Real-time tracheal ultrasonography for confirming endotracheal tube placement
Abstract Objective To evaluate the accuracy of tracheal ultrasonography for confirming the endotracheal tube placement during patients’ intubation. Patients and methods The current study was a prospective, randomized study performed at the ICU of Al-Hussein Hospital, Cairo. Intubated for respiratory...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-08-01
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| Series: | The Egyptian Journal of Bronchology |
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| Online Access: | http://link.springer.com/article/10.4103/ejb.ejb_88_17 |
| _version_ | 1818576419064643584 |
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| author | Ahmed E. Kabil Ahmed M. Ewis Ahmed M. Al-Ashkar Mohamed A. A. Abdelatif Mohamed O. Nour |
| author_facet | Ahmed E. Kabil Ahmed M. Ewis Ahmed M. Al-Ashkar Mohamed A. A. Abdelatif Mohamed O. Nour |
| author_sort | Ahmed E. Kabil |
| collection | DOAJ |
| description | Abstract Objective To evaluate the accuracy of tracheal ultrasonography for confirming the endotracheal tube placement during patients’ intubation. Patients and methods The current study was a prospective, randomized study performed at the ICU of Al-Hussein Hospital, Cairo. Intubated for respiratory failure, cardiac arrest or other medical causes were included in the current study. Real-time tracheal ultrasonography was conducted during intubation with the ultrasound probe placed transversely over the trachea above the suprasternal notch for confirming the tube position, either tracheal or esophageal. The standard method for confirming endotracheal tube placement include clinical evaluation and rapid bronchoscopic confirmation. The main outcomes were the degree of accuracy and timeliness of tracheal ultrasound in confirming endotracheal tube placement. Results Forty patients eligible for endotracheal intubation were randomized in the current study and only four (10%) patients had confirmed esophageal intubations. Our results concluded that tracheal ultrasound had a diagnostic accuracy of 97.5% in the detection of endotracheal tube site. The sensitivity was 97.2%, while the specificity was 100%. Tracheal ultrasound had a positive predictive value of 100%, while the negative predictive value was 80%. The total operating time of ultrasonography was significantly lower than that of bronchoscopy. Conclusion Real-time ultrasound of the trachea is an accurate, feasible, and fast method in confirming endotracheal tube placement. |
| first_indexed | 2024-12-16T06:13:43Z |
| format | Article |
| id | doaj.art-8e5cdbd8c0324df29df844f2d9a0115b |
| institution | Directory Open Access Journal |
| issn | 1687-8426 2314-8551 |
| language | English |
| last_indexed | 2024-12-16T06:13:43Z |
| publishDate | 2018-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj.art-8e5cdbd8c0324df29df844f2d9a0115b2022-12-21T22:41:20ZengSpringerOpenThe Egyptian Journal of Bronchology1687-84262314-85512018-08-0112332332810.4103/ejb.ejb_88_17Real-time tracheal ultrasonography for confirming endotracheal tube placementAhmed E. Kabil0Ahmed M. Ewis1Ahmed M. Al-Ashkar2Mohamed A. A. Abdelatif3Mohamed O. Nour4Department of Chest Diseases, Faculty of Medicine, Al-Azhar UniversityDepartment of Chest Diseases, Faculty of Medicine, Al-Azhar UniversityDepartment of Internal Medicine, Al-Azhar UniversityDepartment of Radiology, Al-Azhar UniversityDepartment of Public Health and Community Medicine, Faculty of Medicine, Al-Azhar UniversityAbstract Objective To evaluate the accuracy of tracheal ultrasonography for confirming the endotracheal tube placement during patients’ intubation. Patients and methods The current study was a prospective, randomized study performed at the ICU of Al-Hussein Hospital, Cairo. Intubated for respiratory failure, cardiac arrest or other medical causes were included in the current study. Real-time tracheal ultrasonography was conducted during intubation with the ultrasound probe placed transversely over the trachea above the suprasternal notch for confirming the tube position, either tracheal or esophageal. The standard method for confirming endotracheal tube placement include clinical evaluation and rapid bronchoscopic confirmation. The main outcomes were the degree of accuracy and timeliness of tracheal ultrasound in confirming endotracheal tube placement. Results Forty patients eligible for endotracheal intubation were randomized in the current study and only four (10%) patients had confirmed esophageal intubations. Our results concluded that tracheal ultrasound had a diagnostic accuracy of 97.5% in the detection of endotracheal tube site. The sensitivity was 97.2%, while the specificity was 100%. Tracheal ultrasound had a positive predictive value of 100%, while the negative predictive value was 80%. The total operating time of ultrasonography was significantly lower than that of bronchoscopy. Conclusion Real-time ultrasound of the trachea is an accurate, feasible, and fast method in confirming endotracheal tube placement.http://link.springer.com/article/10.4103/ejb.ejb_88_17endotracheal intubationesophageal intubationtracheal ultrasonography |
| spellingShingle | Ahmed E. Kabil Ahmed M. Ewis Ahmed M. Al-Ashkar Mohamed A. A. Abdelatif Mohamed O. Nour Real-time tracheal ultrasonography for confirming endotracheal tube placement The Egyptian Journal of Bronchology endotracheal intubation esophageal intubation tracheal ultrasonography |
| title | Real-time tracheal ultrasonography for confirming endotracheal tube placement |
| title_full | Real-time tracheal ultrasonography for confirming endotracheal tube placement |
| title_fullStr | Real-time tracheal ultrasonography for confirming endotracheal tube placement |
| title_full_unstemmed | Real-time tracheal ultrasonography for confirming endotracheal tube placement |
| title_short | Real-time tracheal ultrasonography for confirming endotracheal tube placement |
| title_sort | real time tracheal ultrasonography for confirming endotracheal tube placement |
| topic | endotracheal intubation esophageal intubation tracheal ultrasonography |
| url | http://link.springer.com/article/10.4103/ejb.ejb_88_17 |
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