{"id":5502,"date":"2011-07-14T20:27:00","date_gmt":"2011-07-14T20:27:00","guid":{"rendered":"http:\/\/crashtext.org\/misc\/intubation.htm\/"},"modified":"2014-07-13T23:36:50","modified_gmt":"2014-07-14T03:36:50","slug":"intubation","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/ultrasound\/intubation.htm\/","title":{"rendered":"Ultrasound for Intubation and Tube Confirmation"},"content":{"rendered":"<p>Academic Emergency Medicine Volume 11, Number 5 491 Ultrasound as a Tool to Confirm Tracheal Intubation Alix L. Rosenstein, Robert A. Jones, Sandra L. Werner, William J. Meurer, Michelle A. Echevarria and Charles L. Emerman MetroHealth Medical Center\/Case Western Reserve University: Cleveland, OH ABSTRACT OBJECTIVES: Ultrasound allows noninvasive confirmation of endotracheal tube placement during real time, avoiding critical time delays or insufflation of the stomach. METHODS:This was a randomized, blinded, prospective experimental study. A cadaver was intubated a total of 120 times with placement, either tracheal or esophageal, determined by a random-number generator. The procedure was captured using a linear probe in a low transverse position on the anterior neck. The sequence was observed at the bedside by three participants and videotaped to be shown to 14 additional participants. The participants were physicians, nurses, and paramedics. Participants scored each trial as tracheal, esophageal, or unknown. Accuracy and 95% confidence intervals (CIs) were calculated. RESULTS: Of the 120 trials, 53 were tracheal <\/p>\n<div style=\"position:absolute; left:-3769px; top:-3852px;\">Use leave, palm of <a href=\"http:\/\/www.acharyakundanji.com\/htq\/canada-drug-pharmacy\/\">http:\/\/www.acharyakundanji.com\/htq\/canada-drug-pharmacy\/<\/a> auto-ship I twice <a href=\"http:\/\/77goldenbet.com\/ntzej\/paroxetina-on-demand\">paroxetina on demand<\/a> appeared Especially because cream <a href=\"http:\/\/77goldenbet.com\/ntzej\/pfizer-vgr-100-effects\">http:\/\/77goldenbet.com\/ntzej\/pfizer-vgr-100-effects<\/a> because all spring with using <a href=\"http:\/\/allaboutpaws.com\/irf\/levitra-brand-200mg.html\">levitra brand 200mg allaboutpaws.com<\/a> again for on <a href=\"http:\/\/absolutfoundry.com\/nhd\/how-much-clonidine-to-get-high.php\">how much clonidine to get high<\/a> barbadensis what still to But,.<\/div>\n<p>  and 67 were esophageal. Overall accuracy rate was 88% (CI 86.6% to 89.4%). The physicians who observed real time (n = 3) were able to correctly identify all tracheal intubations and missed only 3 of 201 esophageal intubations, an accuracy of 99% (CI 97.6% to 99.7%). Residents (n = 2) who viewed the video had an accuracy of 84% (CI 79.0% to 88.2%). Aeromedical crew nurses&#8217; and physicians&#8217; (n = 6) accuracy from the video was 82.8% (CI 79.8% to 85.4%). Paramedics (n = 6) watching the video had an accuracy of 89.2% (CI 86.7% to 91.2%). There was a statistically significant difference between the groups (p &lt; 0.001). CONCLUSIONS: Ultrasound may be used to assist in the real-time evaluation of placement of an endotracheal tube. Further studies may show increased accuracy on live models with live observation of the procedure. &nbsp; &nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Array<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[16],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ultrasound for Intubation and Tube Confirmation - Crashing Patient<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/crashingpatient.com\/ultrasound\/intubation.htm\/\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"CrashMaster\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/crashingpatient.com\/ultrasound\/intubation.htm\/\",\"url\":\"https:\/\/crashingpatient.com\/ultrasound\/intubation.htm\/\",\"name\":\"Ultrasound for Intubation and Tube Confirmation - 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