Verification of endotracheal intubation in obese patients – temporal comparison of ultrasound vs. auscultation and capnography

Pfeiffer, P.; Bache, Søren; Isbye, Dan Lou; Rudolph, Søren Steemann; Rovsing, Louise; Børglum, Jens

doi:10.1111/j.1399-6576.2011.02630.x

Cited by 51 publications

(20 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar conclusions were derived in obese patients also. [13] Anticipating thicker anterior chest wall in these patients and keeping the depth setting of the ultrasound machine at higher values from the beginning itself will facilitate faster identification of lung sliding.…”

Section: Discussionmentioning

confidence: 99%

Rapidity and efficacy of ultrasonographic sliding lung sign and auscultation in confirming endotracheal intubation in overweight and obese patients

et al. 2017

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Rapidity and efficacy of ultrasonographic sliding lung sign and auscultation in confirming endotracheal intubation in overweight and obese patients

et al. 2017

View full text Add to dashboard Cite

“…In line with these findings, Pfeiffer et al [24,25] documented that verification of ETT placement with US is as fast as auscultation alone and faster than the combination of auscultation and capnography, even in obese patients [23]. Thereafter, Alonso Quintela et al [9] reported despite US was slower than capnography for identifying ETT, US is as effective and quicker than X-ray for assessment of ETT insertion depth, and it may contribute to decrease the routine use of X-ray after tracheal intubation.…”

Section: Discussionmentioning

confidence: 56%

Accuracy of Bedside Upper Airway Ultrasonography vs. Standard Auscultation for Assuring the Location of Endotracheal Tube after Tracheal Intubation: Comparative Study Controlled by Quantitative Waveform Capnography

Arafa¹,

Abouzkry²,

Mohamady³

2017

J Anesth Clin Res

View full text Add to dashboard Cite

Objectives: To estimate the accuracy and rapidity of bed-side upper airway ultrasonography (UA-US) versus standard auscultation (SA) for confirmation of endotracheal tube (ETT) position. Patients and methods:107 patients underwent tracheal intubation for maintenance of general anesthesia. Position of ETT was confirmed by chest auscultation for the presence of breath sounds on both sides, and by UA-US using 9-12 MHz linear US transducer that was placed transversely on the neck anteriorly and superior to the suprasternal notch to visualize the ETT in the tracheal transverse and longitudinal views. The data obtained were compared to findings on using waveform capnography (WC). Time to define ETT position was determined. Study outcomes included determination of ETT position; tracheal or esophageal, accuracy of diagnosis and time taken till confirming the diagnosis. Results:With comparison to WC findings, UA-US revealed sensitivity, specificity and accuracy rates of 97%, 71.4% and 95.3% while that for SA were 93.6%, 53.9% and 88.8%, respectively with significantly higher specificity and accuracy rates for UA-WC versus SA. Time required for confirmation of ETT position was significantly shorter with WC (9.16 ± 0.69 sec.) compared to SA and UA-US with significant difference in favor of UA-US (11.14 ± 1.3 vs. 13.5 ± 2.15 sec). Conclusion:Confirmation of ETT position using UA-US or WC is very important because of the high false result depending on SA alone. UA-US using bed-side equipment is a simple, accurate and fast method than SA compared to WC as a gold standard, so it is recommended to be one of the important theater equipments whenever possible

show abstract

“…The use of a ‘Bougie’ to aid tube passage during surgical airway placement is also recommended, especially in situations of anticipated difficulty. When available and following requisite training, the use of ultrasound may assist in identifying anatomical landmarks, as well as correct tube placement18 19 [IIb].…”

Section: Methodsmentioning

confidence: 99%

Management of pregnancy and obstetric complications in prehospital trauma care: faculty of prehospital care consensus guidelines

Battaloglu

Porter

2017

Emerg Med J

View full text Add to dashboard Cite

show abstract

Verification of endotracheal intubation in obese patients – temporal comparison of ultrasound vs. auscultation and capnography

Abstract: In obese patients, verification of endotracheal tube placement with US is as fast as auscultation alone and faster than the standard method of auscultation and capnography.

Cited by 51 publications

References 34 publications

Rapidity and efficacy of ultrasonographic sliding lung sign and auscultation in confirming endotracheal intubation in overweight and obese patients

Rapidity and efficacy of ultrasonographic sliding lung sign and auscultation in confirming endotracheal intubation in overweight and obese patients

Accuracy of Bedside Upper Airway Ultrasonography vs. Standard Auscultation for Assuring the Location of Endotracheal Tube after Tracheal Intubation: Comparative Study Controlled by Quantitative Waveform Capnography

Management of pregnancy and obstetric complications in prehospital trauma care: faculty of prehospital care consensus guidelines

Contact Info

Product

Resources

About