Abstract
Background
In this study we aimed to evaluate the success of ultrasonography (USG) for confirming
the tube placement and timeliness by tracheal USG and ultrasonographic lung sliding
in resuscitation and rapid sequence intubation.
Materials and methods
This study was a prospective, single-center, observational study conducted in the
emergency department of a tertiary care hospital. Patients were prospectively enrolled
in the study. Patients who went under emergency intubation because of respiratory
failure, cardiac arrest or severe trauma included in the study. Patients with severe
neck trauma, neck tumors, history of neck operation or tracheotomy and under 18 years old were excluded from the study.
Results
A total of 115 patients included in the study. The mean age was 67.2 ± 17.1 with age 16–95 years old. Among 115 patients 30 were cardiac arrest patients other 85 patients were
non-cardiac arrest patients intubated with rapid sequence intubation. The overall
accuracy of the ultrasonography was 97.18% (95% CI, 90.19–99.66%), and the value of
kappa was 0.869 (95% CI, 0.77–0.96), indicating a high degree of agreement between
the ultrasonography and capnography. The ulrasonography took significantly less time
than capnography in total.
Discussion
Ultrasonography achieved high sensitivity and specificity for confirming tube placement
and results faster than end-tidal carbon dioxide. Ultrasonography is a good alternative
for confirming the endotracheal tube placement. Future studies should examine the
use of ultrasonography as a method for real-time assessment of endotracheal tube placement
by emergency physicians with only basic ultrasonographic training.
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Article Info
Publication History
Published online: January 26, 2016
Accepted:
January 20,
2016
Received in revised form:
January 20,
2016
Received:
November 4,
2015
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
