ULTRASOUND AS A SECONDARY CONFIRMATION METHOD AFTER ENDOTRACHEAL INTUBATION

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AHMADI KOUROSH; PISHBIN ELHAM; RAMEZANI MAHSAN; EBRAHIMI MOHSEN

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Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2013 | Volume:56 | Issue:4 Page(s): 236-242

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Title

ULTRASOUND AS A SECONDARY CONFIRMATION METHOD AFTER ENDOTRACHEAL INTUBATION

Author(s)

AHMADI KOUROSH | PISHBIN ELHAM | RAMEZANI MAHSAN | EBRAHIMI MOHSEN | Issue Writer Certificate

Keywords

ENDOTRACHEAL TUBEQ2

INUBATONQ3

ULTRASOUNDQ3

Abstract

Introduction: Beside assessment by physical examination a device also should be used to confirm the correct position of ENDOTRACHEAL TUBE immediately after intubation. Recent studies have shown that ULTRASOUND can be a used to detect diaphragmatic motion as an indirect sign of endotracheal intubation.Our objective was to assess the sensitivity and specificity of ULTRASOUND for verification of tube position after intubation and to evaluate whether ULTRASOUND could be used as a usefull method for secondary confirmation of tube position.Materials and Methods: ULTRASOUND imaging was performed immediately after intubation for each patient. Scanning window was in right lower chest where the right lateral part of diaphragm could be imaged just on top of the liver. Then a second laryngoscopy was performed by the means of a glydoscope and tube position was assessed under direct visualization. Sensitivity, specificity and agreement between 2 methods were calculated.Results: Overall 100 patients with a mean age of 67.1±16.6 [SD] years were included in the study. The sensitivity and specificity of ULTRASOUND for correct tracheal intubation was 97% and 100% respectively. Agreement between ULTRASOUND and glydoscope in assessment of tube position was 0.713 which indicated that there was an acceptable agreement between the 2 methods. We successfully identified all 4 esophageal intubations and 9 tracheal intubations which had been positioned down in to the right main bronchus.Conclusion: Diaphragmatic ULTRASOUND is a rapid, noninvasive and useful method for assessment of ENDOTRACHEAL TUBE position.

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APA: Copy

AHMADI, KOUROSH, PISHBIN, ELHAM, RAMEZANI, MAHSAN, & EBRAHIMI, MOHSEN. (2013). ULTRASOUND AS A SECONDARY CONFIRMATION METHOD AFTER ENDOTRACHEAL INTUBATION. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 56(4), 236-242. SID. https://sid.ir/paper/52029/en

Vancouver: Copy

AHMADI KOUROSH, PISHBIN ELHAM, RAMEZANI MAHSAN, EBRAHIMI MOHSEN. ULTRASOUND AS A SECONDARY CONFIRMATION METHOD AFTER ENDOTRACHEAL INTUBATION. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2013;56(4):236-242. Available from: https://sid.ir/paper/52029/en

IEEE: Copy

KOUROSH AHMADI, ELHAM PISHBIN, MAHSAN RAMEZANI, and MOHSEN EBRAHIMI, “ULTRASOUND AS A SECONDARY CONFIRMATION METHOD AFTER ENDOTRACHEAL INTUBATION,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 56, no. 4, pp. 236–242, 2013, [Online]. Available: https://sid.ir/paper/52029/en

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