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Information Journal Paper

Title

THE APPLICABILITY OF ESOPHAGEAL DETECTOR DEVICE IN THE DIFFERENTIAL DIAGNOSIS OF ENDOTRACHEAL AND ESOPHAGEAL INTUBATIONS

Pages

  23-28

Abstract

 Misplacement of tracheal tube in the esophagus remains a significant cause of morbidity and mortality in anesthesia despite decades of effort aimed at prevention or (more importantly) detection of such an event. We have evaluated a cheap, simple and quick device (Esophageal Detector Device; EDD) which relies mainly on the relation or otherwise of an evacuated elastic bulb applied to the supposed (tracheal) or (esophageal) tube.Identical tracheal tubes were passed into the trachea and esophagus of 100 patients, the left and right position in the mouth was chosen at random.The test was conducted by a second person, not present at intubations and unaware of the tube placed in the trachea. There were no false negatives (relation of elastic bulb applied to the tracheal tubes) probably due to bronchospasm early after induction of anesthesia. Correct deduction of the tracheal tube position was achieved in 98 patients using the device. We conclude that EDD could be a very sensitive (100%) and reliable method for detection of ESOPHAGEAL INTUBATIONs however, it is recommended in further studies to test the tubes immediately after intubations (when bronchospasm is most probable) to find the exact specificity and accuracy of the device.

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  • Cite

    APA: Copy

    ZAND, F., & BEHIN-AYIN, Z.. (2003). THE APPLICABILITY OF ESOPHAGEAL DETECTOR DEVICE IN THE DIFFERENTIAL DIAGNOSIS OF ENDOTRACHEAL AND ESOPHAGEAL INTUBATIONS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 23(41), 23-28. SID. https://sid.ir/paper/63480/en

    Vancouver: Copy

    ZAND F., BEHIN-AYIN Z.. THE APPLICABILITY OF ESOPHAGEAL DETECTOR DEVICE IN THE DIFFERENTIAL DIAGNOSIS OF ENDOTRACHEAL AND ESOPHAGEAL INTUBATIONS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2003;23(41):23-28. Available from: https://sid.ir/paper/63480/en

    IEEE: Copy

    F. ZAND, and Z. BEHIN-AYIN, “THE APPLICABILITY OF ESOPHAGEAL DETECTOR DEVICE IN THE DIFFERENTIAL DIAGNOSIS OF ENDOTRACHEAL AND ESOPHAGEAL INTUBATIONS,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 23, no. 41, pp. 23–28, 2003, [Online]. Available: https://sid.ir/paper/63480/en

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