scholarly journals Replacing the stethoscope with ultrasound identification of lung sliding to confirm correct endotracheal tube placement for COVID‐19 patients—Time for a paradigm shift?

2020 ◽  
Vol 74 (10) ◽  
Author(s):  
Dan S. Dîrzu
Keyword(s):  
Endotracheal Tube ◽  
Paradigm Shift ◽  
Tube Placement ◽  
Endotracheal Tube Placement ◽  
Lung Sliding

Assessment of gas flow waves for endotracheal tube placement in an ovine model of neonatal resuscitation

Resuscitation ◽  
2010 ◽  
Vol 81 (6) ◽  
pp. 737-741 ◽  
Author(s):  
G.M. Schmölzer ◽  
S.B. Hooper ◽  
K.J. Crossley ◽  
B.J. Allison ◽  
C.J. Morley ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Gas Flow ◽  
Neonatal Resuscitation ◽  
Tube Placement ◽  
Ovine Model ◽  
Endotracheal Tube Placement

THE SENSITIVITY, SPECIFICITY AND ACCURACY OF STATIC METHOD OF ULTRASONOGRAPHY TO CONFIRM ENDOTRACHEAL INTUBATION IN EMERGENCY DEPARTMENT.

2021 ◽  
pp. 8-13
Author(s):  
Pankaj Kumar Singh ◽  
Budhaditya Sanyal ◽  
Mohit Bhatnagar ◽  
Mandeep Joshi ◽  
Shreya Verma
Keyword(s):  
Diagnostic Accuracy ◽  
Endotracheal Tube ◽  
Predictive Value ◽  
Static Method ◽  
Tube Placement ◽  
Short Course ◽  
Endotracheal Tube Placement ◽  
Linear Probe ◽  
Post Intubation ◽  
Sensitivity Specificity

Aims and objectives: This study aims to assess the diagnostic accuracy and timeliness of ultrasonography by static method only for identication of Endotracheal tube (ET Tube) placement in the trachea in emergency settings vs existing clinical methods. Material and Methods: This prospective study was carried out in the emergency room from October 2018 till the end of March 2019. The ultrasonography was performed in 120 emergency patients only after the intubation had been completed ie, static phase. A linear probe was used over the neck to identify the predened signs of ET intubation. Residents who perform ultrasound examination ll a form after assessment of each patient. Results: It was found that Tracheal Intubation-USG Sensitivity was 99.1, Specicity was 91.7, Positive Predictive Value: 99.1, Negative Predictive Value was 91.7 and Accuracy was 98.3%. Ultrasonography can be used as an adjunct tool to verify the ETTposition by Emergency Physicians which can be performed easily after a brieng or short-course training.Conclusion:This study demonstrates that US imaging has a high diagnostic accuracy to immediately conrm proper ETT placement post-intubation in an emergency setup. Therefore, it seems that ultrasonography using a static technique only is a proper screening tool in determining endotracheal tube placement.

scholarly journals Pulmonary atelectasis in newborns with clinically treatable diseases who are on mechanical ventilation: clinical and radiological aspects

2018 ◽  
Vol 51 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Mariana Chiaradia Dominguez ◽  
Beatriz Regina Alvares
Keyword(s):  
Mechanical Ventilation ◽  
Endotracheal Tube ◽  
Left Lung ◽  
Hyaline Membrane Disease ◽  
Relevant Information ◽  
Tube Placement ◽  
Cross Sectional ◽  
Pulmonary Atelectasis ◽  
Radiology Reports ◽  
Endotracheal Tube Placement

Abstract Objective: To analyze the radiological aspects of pulmonary atelectasis in newborns on mechanical ventilation and treated in an intensive care unit, associating the characteristics of atelectasis with the positioning of the head and endotracheal tube seen on the chest X-ray, as well as with the clinical variables. Materials and Methods: This was a retrospective cross-sectional study of 60 newborns treated between 1985 and 2015. Data were collected from medical records and radiology reports. To identify associations between variables, we used Fisher's exact test. The level of significance was set at p < 0.05. Results: The clinical characteristics associated with improper positioning of the endotracheal tube were prematurity and a birth weight of less than 1000 g. Among the newborns evaluated, the most common comorbidity was hyaline membrane disease. Atelectasis was seen most frequently in the right upper lobe, although cases of total atelectasis were more common in the left lung. Malpositioning of the head showed a trend toward an association with atelectasis in the left upper lobe. Conclusion: Pulmonary atelectasis is a common complication in newborns on mechanical ventilation. Radiological evaluation of the endotracheal tube placement provides relevant information for the early correction of this condition.

Pulmonary Reverse Mismatches Due to Endotracheal Tube Placement

1995 ◽  
Vol 20 (10) ◽  
pp. 939-940
Author(s):  
RONALD J. ROSENBERG ◽  
RICHARDO E. SANTIAG ◽  
RICHARD P. SPENCER
Keyword(s):  
Endotracheal Tube ◽  
Tube Placement ◽  
Endotracheal Tube Placement

scholarly journals Reliability of ultrasonography in confirming endotracheal tube placement in an emergency setting

2017 ◽  
Vol 21 (5) ◽  
pp. 257-261 ◽  
Author(s):  
Vimal Koshy Thomas ◽  
Cherish Paul ◽  
Punchalil Chathappan Rajeev ◽  
Babu Urumese Palatty
Keyword(s):  
Endotracheal Tube ◽  
Tube Placement ◽  
Emergency Setting ◽  
Endotracheal Tube Placement

Diagnostic utilities of tracheal ultrasound and USB-endoscope for the confirmation of endotracheal tube placement: A cadaver study

2018 ◽  
Vol 36 (11) ◽  
pp. 1943-1946
Author(s):  
Erkman Sanri ◽  
Ebru Unal Akoglu ◽  
Sinan Karacabey ◽  
Ural Verimli ◽  
Haldun Akoglu ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Cadaver Study ◽  
Tube Placement ◽  
Endotracheal Tube Placement
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