Accuracy of Ultrasound Technique for Confirmation of Endotracheal Intubation by Emergency Medicine Department
Journal Title: International Journal Of Research In Medicine - Year 2016, Vol 5, Issue 4
Abstract
BACKGROUND: End tidal CO2 is the gold standard for confirmation of endotracheal intubation but commonly used method in emergency department are five point auscultation and direct visualization method. USG is an alternative technique for confirmation of endotracheal intubation.The study was done to assess the Accuracy of Ultrasound Technique for Confirmation of Endotracheal Intubation. METHODS: A prospective descriptive study of Ultrasound guided endotracheal intubation confirmation of 50 patients presenting to ED was done in BJMC, Ahmedabad after obtaining the consent of patients. Sensitivity and specificity will be calculated. RESULTS & DISCUSSION: Total 50 Intubations were analysed of which 36 were male and 14 were female patients. The sensitivity and specificity for the detection of proper ETT placement with US were: Sensitivity: 98%, Specificity: 100%, Positive Predictive Value: 100%, Negative Predictive Value: 0%. CONCLUSION: Ultrasound imaging of trachea is a useful, quick, non-invasive, portable, and direct anatomic method for confirmation of ET tube position. We think it should be considered the method of choice for the secondary confirmation of the ET tube position.
Authors and Affiliations
Gosai Jigarkumar , Parikh Samira N. , Vaghamshi Umeshkumar V. , Darji Nirav R.
Keywords
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