A Check-list Including Lung Ultrasound for ED Patients With ARF
NCT04791241 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 105
Last updated 2022-06-22
Summary
The aim of the study is to evaluate if a check-list including lung ultrasonography can help to identify the etiology of the acute respiratory failure of patients managed at the emergency room.
Adult patients admitted to the emergency room for acute respiratory failure will be offered the study. The emergency physician will perform a systematic examination using a checklist, including pulmonary embolism prediction scores, structured clinical examination and lung ultrasound, in order to establish a diagnostic hypothesis.
A diagnostic hypothesis will be made after completion of the checklist. The emergency physician can perform additional examinations and treatment after completion of the checklist.
The final diagnosis will be checked by an adjudication committee which will have all the documents established during the emergency room consultation and any hospitalization following this hospitalization.
The main outcome will be the concordance rate between the diagnosis after the check-list and the final diagnosis.
Conditions
- Acute Respiratory Failure
Interventions
- OTHER
-
check-list including lung ultrasound
The investigator will follow the checklist which includes the collection of anamnestic data and clinical signs, the performance of a pulmonary embolism clinical probability score and a cardiopulmonary ultrasound with count -standardized rendering. After completing this checklist, the investigator will note their diagnosis (list of proposals on the data collection sheet), the treatments started (closed list of therapeutic classes). If he orders other tests, he will write them down and then note the diagnosis made and the treatments prescribed after obtaining the results of these tests. The therapeutic management of patients compared to the usual care in the respective departments may be modified depending on the results of the cardiopulmonary ultrasound . The emergency physician may initiate therapy before the results of additional examinations that he would have usually performed without cardiopulmonary ultrasound.
Sponsors & Collaborators
-
Centre Hospitalier Metropole Savoie
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-03-03
- Primary Completion
- 2022-01-03
- Completion
- 2022-01-04
Countries
- France
Study Locations
More Related Trials
-
Point-of-care Ultrasound Interest in Dyspneic Emergency Department Patients: an Observational Bicentric Study
NCT04327882 ·Status: UNKNOWN
-
Lung Ultrasound Findings in Patients With COVID-19 in a UK ED
NCT05065827 ·Status: COMPLETED
-
Performance Evaluation of Clinical Ultrasound in Management of Acute Pulmonary Edema in Elderly Patient
NCT02638350 ·Status: COMPLETED ·Phase: NA
-
Value of Diaphragmatic Motion Measurement at Ultrasonography to Predict Poor Prognosis in Emergency Department Patients With Acute Respiratory Failure
NCT04119505 ·Status: COMPLETED
-
Reproductibility of TM-mode Ultrasound Diaphragm Measures in Patients With Acute Respiratory Distress in the ER
NCT01743105 ·Status: COMPLETED ·Phase: NA
-
Personalized Mechanical Ventilation Guided by UltraSound in Patients With Acute Respiratory Distress Syndrome
NCT05492344 ·Status: RECRUITING ·Phase: NA
-
Contribution and Reproducibility of Lung Ultrasound in the Diagnosis of Acute Heart Failure in the ED
NCT03660592 ·Status: COMPLETED
-
Construction of a Composite Clinical-echo Score Predictive of a Risk of Short-term Aggravation of Respiratory Impairment in Patients Suspected of Covid-19
NCT04370249 ·Status: COMPLETED
-
Live Stream of Prehospital Emergency Ultrasound in Patients With Acute Dyspnoea
NCT04817488 ·Status: ACTIVE_NOT_RECRUITING
-
Prevalence and Kinetics of Diaphragmatic Dysfunction in Elderly Patients With Acute Respiratory Distress
NCT04520815 ·Status: UNKNOWN
-
Lung Ultrasound to Detect Pulmonary Complications in Critically Ill Parturients
NCT03828630 ·Status: COMPLETED
-
Diaphragm Response in Elderly for Acute Monitoring
NCT07132268 ·Status: NOT_YET_RECRUITING
-
Point-of-care Lung Ultrasound (POCUS)-Integrated Study of Admitted Patients With COVID-19
NCT05228717 ·Status: UNKNOWN
-
Predictability of Echographic Excursion of the Diaphragm for Intubation in COPD- Patients With Acute Respiratory Failure in ED
NCT04591509 ·Status: UNKNOWN
-
Diaphragmatic Ultrasound to Predict NIV Outcome in Patients With De-novo ARF
NCT02976233 ·Status: UNKNOWN
-
Ultrasonography in the Emergency Department
NCT02550184 ·Status: UNKNOWN ·Phase: NA
-
Lung Ultrasound-Guided Fluid Deresuscitation in ICU Patients
NCT05188092 ·Status: RECRUITING ·Phase: NA
-
Initial Patient Evaluation in the Emergency Department With Point-of-Care Ultrasonography
NCT02099045 ·Status: UNKNOWN
-
Bedside Lung Ultrasonography by Nurses in Acute Dyspnea.
NCT05126940 ·Status: COMPLETED
-
Focus Thoracic Ultrasound for Dyspnea Diagnosis in Elderly Patient in the Emergency Department
NCT04029051 ·Status: COMPLETED
-
LUS in Acute Heart Failure Therapeutic Adaptation
NCT04633629 ·Status: UNKNOWN
-
Contribution LUS in the Diagnosis of Acute Heart Failure (AHF) in Patients Admitted to the ED
NCT03717779 ·Status: COMPLETED
-
Prehospital Use of Ultrasound in Undifferentiated Shortness of Breath
NCT02638649 ·Status: COMPLETED
-
Evaluation of the COVID-19 Infection Response in Patients Admitted to the Emergency Department for Dyspnea
NCT04422587 ·Status: COMPLETED
-
Evaluation of the Impact of Pleuropulmonary Ultrasound on the Diagnosis of Dyspnea
NCT07104578 ·Status: RECRUITING