Clinical Trials Logo

Clinical Trial Summary

Acute respiratory failure (ARF) is a frequent reason for consulting in the Emergency Department (ED) and one of the major clinical problems prompting admission in intensive care unit. In the ED, evaluation of an ARF is mainly based on clinical examination and frontal chest x-ray performed to the patient bedside. This practice has a limited diagnostic capacity due to a lack of specificity of clinical and radiological semiology, especially in the polypathological patient. Thoracic ultrasonography provides morphological information regrouped as a syndrome (interstitial syndrome, alveolar condensation, pneumothorax) and allows the identification of pleural effusions (PE). The PE diagnosis is easy, quick, and relies on two-dimensional ultrasound imaging. Compared to CT scan, which remains the reference examination although ill-suited in the context of emergency, thoracic ultrasonography has a sensitivity and specificity greater than 90% for pleural liquid (PL) diagnosis. In addition, thoracic ultrasonography is used to assess the volume of PL, determine its nature and guide the pleural puncture with higher performance than chest x-ray. The semi-quantitative evaluation of PEs has been validated in patients with mechanical ventilation hospitalized in intensive care unit. On the other hand, few data on the prevalence and quantification of PL for hospitalized patients in ED for an ARF are currently available. Thus, the objective of this study is to evaluate the prevalence and severity of the PL identified by thoracic ultrasonography in patients admitted to the ED for an ARF by emergency physicians with ultrasound skills recommended by the French Society of Emergency Medicine.


Clinical Trial Description

Acute respiratory failure (ARF) is a frequent reason for consulting in the Emergency Department (ED) and one of the major clinical problems prompting admission in intensive care unit. In the ED, evaluation of an ARF is mainly based on clinical examination and frontal chest x-ray performed to the patient bedside. This practice has a limited diagnostic capacity due to a lack of specificity of clinical and radiological semiology, especially in the polypathological patient. Thoracic ultrasonography provides morphological information regrouped as a syndrome (interstitial syndrome, alveolar condensation, pneumothorax) and allows the identification of pleural effusions (PE). The PE diagnosis is easy, quick, and relies on two-dimensional ultrasound imaging. Compared to CT scan, which remains the reference examination although ill-suited in the context of emergency, thoracic ultrasonography has a sensitivity and specificity greater than 90% for PL diagnosis. In addition, thoracic ultrasonography is used to assess the volume of PL, determine its nature and guide the pleural puncture with higher performance than chest x-ray. The semi-quantitative evaluation of PEs has been validated in patients with mechanical ventilation hospitalized in intensive care unit. On the other hand, few data on the prevalence and quantification of PL for hospitalized patients in ED for an ARF are currently available. Thus, the objective of this study is to evaluate the prevalence and severity of the PL identified by thoracic ultrasonography in patients admitted to the ED for an ARF by emergency physicians with ultrasound skills recommended by the French Society of Emergency Medicine. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT03846934
Study type Observational
Source University Hospital, Limoges
Contact
Status Terminated
Phase
Start date December 3, 2019
Completion date August 18, 2021

See also
  Status Clinical Trial Phase
Completed NCT05552989 - Towards Better Preparedness for Future Catastrophes - Local Lessons-learned From COVID-19
Not yet recruiting NCT04915690 - Investigation on the Practice Status of Emergency Stuff
Not yet recruiting NCT03424096 - Primary Palliative Care Education, Training, and Technical Support for Emergency Medicine N/A
Completed NCT02534324 - The Effect of Pre-discharge Blood Pressure of Patients With Asymptomatic Severe Hypertension in Emergency Department N/A
Completed NCT00991471 - The Effect of an Physician-Nurse Supplementary Triage Assistance Team on Emergency Department Patient Wait Times N/A
Recruiting NCT03257319 - Inhaled vs IV Opioid Dosing for the Initial Treatment of Severe Acute Pain in the Emergency Department Phase 3
Recruiting NCT05005117 - Laparoscopic Approach for Emergency Colon Resection N/A
Recruiting NCT03917368 - Ultrasound Evaluation of the Jugular Venous Pulse (US-JVP) N/A
Completed NCT04601922 - Qualitative Study of Long Term Cardiovascular Risk Prediction in the Emergency Department
Recruiting NCT05497830 - Machine Learning for Risk Stratification in the Emergency Department (MARS-ED) N/A
Active, not recruiting NCT06220916 - The Greek Acute Dance Injuries Registry
Recruiting NCT05543772 - Evaluation of Blood Sampling From a Pre-existed Peripheral Intravenous Catheter Line Phase 4
Recruiting NCT06072534 - Evaluation of Effectiveness of Two Different Doses of Mivacurium in Rapid Sequence Intubation N/A
Not yet recruiting NCT05528211 - Safety and Efficacy of Emergent TAVI in Patients With Severe AS
Completed NCT05818215 - Impact of the Qatar 2022 FIFA World Cup on PED Use and Misuse Patterns
Recruiting NCT04615065 - Acutelines: a Large Data-/Biobank of Acute and Emergency Medicine
Active, not recruiting NCT04648449 - Artificial Intelligence (AI) Support in Medical Emergency Calls
Active, not recruiting NCT05221697 - Effect of an ML Electronic Alert Management System to Reduce the Use of ED Visits and Hospitalizations N/A
Not yet recruiting NCT04431986 - ER2 Frailty Levels and Incident Adverse Health Events in Older Community Dwellers
Completed NCT05597059 - The Diagnostic Value of the First Clinical Impression of Patients Presenting to the Emergency Department (PREKEYDIA)