A prospective observational trial evaluating factors predictive of accurate endotracheal tube positioning in neonates and small infants

Ebenebe, Chinedu Ulrich; Deindl, Philipp; Wolf, Monika; Jahn, Matthias; Singer, Dominique; Blohm, Martin

doi:10.1111/pan.13965

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…The gold method for determining the proper depth of tracheal tube is CXR. Other disadvantages of these methods are that they are not always available [ 6 ] and since a proper position is needed for radiography, locating the tube might encounter problem [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Determining the diagnostic value of tracheal intubation by palpation and auscultation methods compared to the chest X-ray method in children

Masoumi

Mansouri²,

Fathali

2022

Acute Crit Care

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Background: It is important to determine the proper location of tracheal tube for proper ventilation. In this study, we compared the diagnostic value of tracheal intubation with two methods of palpation and auscultation with chest X-ray (CXR) method in pediatric. Methods: In this interventional study, 80 patients under 6 years of age were included. After tracheal intubation appropriate depth of tracheal tube was determined by auscultation and recorded, then by palpation depth of tracheal tube determined and tube was fixed. The length of the tube was calculated with the standard formula based on age. After surgery, CXR was taken and, according to the landmark, the distance from the end of the tube to the anterior lower tooth was recorded. Results: Interclass correlation coefficient (ICC) between the palpation method and the standard method in the number of fixing tracheal intubation was 0.573, which shows the average and significant correlation between these two methods in determining the fixed number of tracheal intubation. ICC between the auscultation and the standard method in fixing tracheal intubation number was 0.430, which shows the average and significant agreement between these two methods in determining the fixed number of tracheal intubation. There is no significant relationship between sex and the average number of fixing tracheal intubation in all methods. Conclusions: This study has shown that both palpation and auscultation methods are appropriate, but with a slightly higher palpation ICC, the palpation can be considered relatively better.

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Section: Introductionmentioning

confidence: 99%

Determining the diagnostic value of tracheal intubation by palpation and auscultation methods compared to the chest X-ray method in children

Masoumi

Mansouri²,

Fathali

2022

Acute Crit Care

View full text Add to dashboard Cite

show abstract

“…They reviewed 186 nasal intubations in 139 patients and found that clinical measures such as experience of the provider, previously known tube position in patients previously intubated, and auscultation were not reliable in predicting correct endotracheal tube positioning in neonates. 4 Without reliability in experience and clinical examination, is proper endotracheal tube positioning solely determined by chest radiography, as Kuhns and Poznanski have suggested? The introduction of pointof-care ultrasound (POCUS) to the neonatal intensive care unit may change the tide once more.…”

mentioning

confidence: 99%