Recenzija, Prikaz slučaja
https://doi.org/10.22514/SV142.102018.2
Validation of tracheal intubation of wire-reinforced endotracheal tube with ultrasonography
Süleyman Deniz
; Department of Anesthesia and Reanimation Gulhane Military Medical Academy Haydarpasa Training Hospital Istanbul, Turkey
GÖKHAN INANGIL
SEDAT TEMIRCAN
ÖMER BAKAL
HÜSEYIN SEN
SEZAI ÖZKAN
Sažetak
Objective. Te use of ultrasonography (US) is a new method for verifying the location of the endotracheal tube. Design. Our study was designed as a paired-data and investigator-blind clinical study for evaluating the efectiveness of US for verifcation of wire-reinforced endotracheal tube (WR-ETT) placement compared with capnography.
Setting. Tis study was conducted on 56 patients scheduled for elective surgery under general anesthesia. Patients. Fify patients completed the study as 6 were excluded for various reasons.
Intervention. Two diferent investigators performed the ultrasonography and intubation independently from one another.
While investigator 1 attempted to verify the
location of the WR-ETT with a portable ultrasonography with sagittal trans-tracheal view, investigator 2 intubated the patient
and verifed the location of the ETT using capnography.
Measurements. Time for verifying the location of the ETT using both US and capnography was recorded. Main Results. When the ultrasonography method was compared with capnography
for verifcation of the WR-ETT placement, the results showed 95.75% sensitivity and 100% specifcity. Te average verifcation
times for endotracheal intubation were 12.78 ± 7.46 s. and 24.44 ± 1.45 s. with US and capnography, respectively (p=0.003).
Conclusion. Our results suggest that ultrasound identifcation of a WR-ETT within the trachea is a rapid and accurate method
for confrmation of tracheal placement. Larger studies are needed before widespread use of this technique.
Ključne riječi
endotracheal tube; intubation; ultrasonography; capnography
Hrčak ID:
217584
URI
Datum izdavanja:
1.11.2018.
Posjeta: 902 *