Point of care ultrasonography for position of tip of endotracheal tube in neonates

Tafoya

Tropical Med Int Health

et al. 2016

165

146

Abstractobjectives To review the scientific literature pertaining to the use of hand-carried and hand-held ultrasound devices in low-and middle-income countries (LMIC), with a focus on clinical applications, geographical areas of use, the impact on patient management and technical features of the devices used.methods The electronic databases PubMed and Google Scholar were searched. No language or date restrictions were applied. Case reports and original research describing the use of hand-carried ultrasound devices in LMIC were included if agreed upon as relevant by two-reviewer consensus based on our predefined research questions.results A total of 644 articles were found and screened, and 36 manuscripts were included for final review. Twenty-seven studies were original research articles, and nine were case reports. Several reports describe the successful diagnosis and management of difficult, often life-threatening conditions, using hand-carried and hand-held ultrasound. These portable ultrasound devices have also been studied for cardiac screening exams, as well as a rapid triage tool in rural areas and after natural disaster. Most applications focus on obstetrical and abdominal complaints. Portable ultrasound may have an impact on clinical management in up to 70% of all cases. However, no randomised controlled trials have evaluated the impact of ultrasound-guided diagnosis and treatment in resource-constrained settings. The exclusion of articles published in journals not listed in the large databases may have biased our results. Our findings are limited by the lack of higher quality evidence (e.g. controlled trials).conclusions Hand-carried and hand-held ultrasound is successfully being used to triage, diagnose and treat patients with a variety of complaints in LMIC. However, the quality of the current evidence is low. There is an urgent need to perform larger clinical trials assessing the impact of hand-carried ultrasound in LMIC.

Section: Resultsmentioning

confidence: 99%

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

Tafoya

Tropical Med Int Health

et al. 2016

165

146

Current Topics in Intensive Care Medicine

“…This is particularly true for resuscitation of neonates <28 weeks gestation. The current standard of practice to confirm the placement of the endotracheal tube (ETT) is with chest x-ray (CXR).The passage of the ETT into the trachea or esophagus can be discerned readily using a transverse probe position in adults and pediatric subjects [22][23][24][25]. POCUS can be used to rapidly and accurately visualize the anatomic position of the ETT position in preterm and term infants [26] (Figure 5).…”

Section: Endotracheal Tubementioning

confidence: 99%

Current Neonatal Applications of Point-of-Care Ultrasound

Kim¹,

Shalygin²,

Safarulla³

2018

Point-of-care ultrasound (POCUS) is an imaging modality that continues to gain acceptance in pediatric and neonatal medicine. In neonatology throughout many areas of the world, functional echocardiography performed by neonatologists has been at the forefront in the growth of POCUS compared to non-cardiac POCUS, the latter which potentially carries more opportunities for use. Despite the early adoption in obstetrics and maternal-fetal medicine, the actual bedside implementation in neonatology has unfortunately been much slower. Examples in neonatology where POCUS may continue to expand include central line placement, endotracheal tube localization, diagnosis of pneumothoraces, cardiac function assessment, and bowel viability assessment just to name a few. This chapter will be a practical synopsis of the most active uses and opportunities for POCUS in neonatology. Expanded training for neonatologists and trainees is required before widespread adoption occurs.

Anaesthesiol Intensive Ther

“…In the operating theatre, E T CO 2 (capnography) is used while a CO 2 detector device may be used as an alternative in out-of-theatre settings [50][51][52]. The correct placement of the TT may be confirmed with ultrasound and a fibre-optic scope [53][54][55][56]. Re: (b).…”

Section: Stage I: Standard Intubationmentioning

confidence: 99%

“…The correct depth of TT insertion may sometimes require radiological confirmation (CXR) [31]. The tracheal tube placement can also be confirmed with an ultrasound [53][54][55][56]59]. A fibre--optic scope may be used for TT placement confirmation in some clinical situations.…”

Section: Stage I: Standard Intubationmentioning

confidence: 99%

Postępowanie w niespodziewanych trudnych drogach oddechowych u dzieci — stanowisko Sekcji Anestezjologii i Intensywnej Terapii Dziecięcej, Sekcji Przyrządowego Udrażniania Dróg Oddechowych Polskiego Towarzystwa Anestezjologii i Intensywnej Terapii oraz Po

Walas¹,

Aleksandrowicz²,

Borszewska−Kornacka³

et al. 2017