Ultrasonography for Determining Endotracheal Tube Tip Position in Very Low Birth Weight Infants

Dinçer, Emre; Topçuoğlu, Sevilay; Karatekın, Güner

doi:10.1002/jum.16067

Cited by 2 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The fact that the person performing the US in these studies was a radiologist or sonographer made it difficult to implement this procedure as a rapid bedside procedure in daily practice. Recently, Dincer et al 13 published a study of the evaluation of ETT tip position in VLBW infants by two neonatologists, in quite shorter time than CXR. In only half of the articles reviewed by Congedi et al, 2 the US was performed by neonatologists.…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound for the Tip of the Endotracheal Tube: A Neonatologist Perspective

Sahin,

Tasar,

Colak

et al. 2023

Am J Perinatol

View full text Add to dashboard Cite

Introduction: Point-of-care ultrasound (POCUS) has been reported to reduce radiation exposure and has been shown to be a reliable bedside technique to confirm endotracheal tube(ETT) placement, but evidence in neonates is still limited. The aim of this study was to compare the effectiveness and reliability of POCUS performed by a neonatologist, as an alternative to CXR for optimal position of ETT. Methods: Newborns who underwent intubation were included in this prospective observational study. The CXR was used to evaluate the position of the ETT tip and categorize into three groups: above the T1, between the T1-T3, and below the T3 vertebra. An experienced neonatologist measured the distance between the ETT tip and the upper border of the aortic arch from the suprasternal notch with US. A 5-10 mm measurement was considered as the optimal distance, and the position was classified into three categories: correct, high and deep. Results: Among 91 measurements performed on 63 intubated patients with US, 73(80%) were within the 5-10 mm range(correct position). Of these, 61 (92.4%) were determined to be between T1-3 vertebrae in CXR. There was no significant difference between the two methods, and the US had an excellent ability to distinguish the correct position of the ETT. The distance measured by the US for the ETT tip to be located between the T1-T3 vertebrae on CXR should range between 6.17-9.0 mm. Conclusions: This study showed that the US by an experienced neonatologist is an easy and feasible alternative to determine the position of the ETT in the NICU.

show abstract

Section: Discussionmentioning

confidence: 99%