TY - JOUR
T1 - Endotracheal Tube Placement Confirmation with Bedside Ultrasonography in the Pediatric Intensive Care Unit: A Validation Study
AU - Chandnani, Harsha K.
AU - Maxson, Ivanna N.
AU - Mittal, Disha K.
AU - Dehom, Salem
AU - Moretti, Anthony
AU - Dinh, Vi A.
AU - Lopez, Merrick
AU - Ejike, Janeth C.
N1 - Thieme. All rights reserved.
PY - 2020/8/20
Y1 - 2020/8/20
N2 - Critically ill patients who are intubated undergo multiple chest X-rays (CXRs) to determine endotracheal tube position; however, other modalities can save time, medical expenses, and radiation exposure. In this article, we evaluated the validity and interrater reliability of ultrasound to confirm endotracheal tube (ETT) position in patients. A prospective study was performed on intubated patients with cuffed ETTs. The accuracy of ultrasound to confirm correct ETT placement in 92 patients was 97.8%. Sensitivity, positive predictive value, and agreement of 97.7, 93.3, and 91.3% were found on comparing ultrasound to CXR findings. Ultrasound is feasible, reliable, and has good interrater reliability in assessing correct ETT position in children.
AB - Critically ill patients who are intubated undergo multiple chest X-rays (CXRs) to determine endotracheal tube position; however, other modalities can save time, medical expenses, and radiation exposure. In this article, we evaluated the validity and interrater reliability of ultrasound to confirm endotracheal tube (ETT) position in patients. A prospective study was performed on intubated patients with cuffed ETTs. The accuracy of ultrasound to confirm correct ETT placement in 92 patients was 97.8%. Sensitivity, positive predictive value, and agreement of 97.7, 93.3, and 91.3% were found on comparing ultrasound to CXR findings. Ultrasound is feasible, reliable, and has good interrater reliability in assessing correct ETT position in children.
UR - http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1715484.pdf
UR - https://www.mendeley.com/catalogue/523f2386-d0ac-36d3-8c61-6aaed229236c/
U2 - 10.1055/S-0040-1715484
DO - 10.1055/S-0040-1715484
M3 - Article
C2 - 34395035
VL - 10
SP - 180
EP - 187
JO - Journal of Pediatric Intensive Care
JF - Journal of Pediatric Intensive Care
IS - 3
ER -