Using lung ultrasound in an infant to detect bronchial intubation not previously identified by auscultation

Hiruma, Masataka; Watanabe, Tatsunori; Baba, Hiroshi

doi:10.1007/s12630-015-0400-5

Cited by 3 publications

(2 citation statements)

References 5 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Seven years after the initial description of the lung pulse by Lichtenstein et al, Volpicelli described the use of the lung pulse in the diagnosis of pneumothorax. Otherwise, few studies or case reports have specifically used or even mentioned the lung pulse for detecting endobronchial intubation. Two other studies acknowledged the concept of the lung pulse but chose to use only lung sliding and diaphragmatic motion for confirmation of ETT placement …”

Section: Inadequate Physician Understanding and Recognition Of The Lumentioning

confidence: 99%

Unmasking the Lung Pulse for Detection of Endobronchial Intubation

Alerhand

Tsung

2020

J of Ultrasound Medicine

View full text Add to dashboard Cite

The ultrasound lung pulse for detecting endobronchial intubation was first described in 2003 in the only study to date assessing its accuracy. It refers to rhythmic movement of the visceral pleura along the stationary parietal pleura as cardiac vibrations transmit through a motionless, airless lung. Compared to delayed visualization on chest radiography, this artifact immediately detects physiologic atelectasis. There is a scarcity of studies assessing the lung pulse, while several others that encountered this artifact did not even identify it. The lung pulse is useful for immediate detection of endobronchial intubation, but it remains unrecognized and underused by physicians.

show abstract

Section: Inadequate Physician Understanding and Recognition Of The Lumentioning

confidence: 99%

Unmasking the Lung Pulse for Detection of Endobronchial Intubation

Alerhand

Tsung

2020

J of Ultrasound Medicine

View full text Add to dashboard Cite

show abstract

“…Many studies have reported that POCU could provide important information on the depth of the tube in patients such as in pediatrics and those who need emergent tracheal intubation. [ 8 – 11 ] However, most of these studies were based on the pleural gliding sign t technique. The gliding of the pleura could be easily observed by ultrasound.…”

Section: Introductionmentioning

confidence: 99%

Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube

Hu¹,

Xu²,

Zhang³

et al. 2018

Medicine

View full text Add to dashboard Cite

This study was designed to assess the accuracy of point-of-care ultrasound in determining the position of double-lumen tubes (DLTs).A total of 103 patients who required DLT intubation were enrolled into the study. After DLTs were tracheal intubated in the supine position, an auscultation researcher and ultrasound researcher were sequentially invited in the operating room to conduct their evaluation of the DLT. After the end of their evaluation, fiberscope researchers (FRs) were invited in the operating room to evaluate the position of DLT using a fiberscope. After the patients were changed to the lateral position, the same evaluation process was repeated. These 3 researchers were blind to each other when they made their conclusions. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were obtained by statistical analysis.When left DLTs (LDLTs) were used, the accuracy of ultrasound (84.2% [72.1%, 92.5%]) was higher than the accuracy of auscultation (59.7% [45.8%, 72.4%]) (P < .01). When right DLTs (RDLTs) were used, the accuracy of ultrasound (89.1% [76.4%, 96.4%]) was higher than the accuracy of auscultation (67.4% [52.0%, 80.5%]) (P < .01). When LDLTs were used in the lateral position, the accuracy of ultrasound (75.4% [62.2%, 85.9%]) was higher than the accuracy of auscultation (54.4% [40.7%, 67.6%]) (P < .05). When RDLT were used, the accuracy of ultrasound (73.9% [58.9%, 85.7%]) was higher than the accuracy of auscultation (47.8% [32.9%, 63.1%]) (P < .05).Assessment via point-of-care ultrasound is superior to auscultation in determining the position of DLTs.

show abstract