Confirmation of tracheal tube placement

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Prehospital determination of tracheal tube placement in severe head injury.

OBJECTIVES The aim of this prospective study in the prehospital setting was to compare three different methods for immediate confirmation of tube placement into the trachea in patients with severe head injury: auscultation, capnometry, and capnography. METHODS All adult patients (>18 years) with severe head injury, maxillofacial injury with need of protection of airway, or polytrauma were int...

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Sonographic Identification of Tube Thoracostomy Study (SITTS): Confirmation of Intrathoracic Placement

INTRODUCTION Thoracostomy tubes (TT) are commonly placed in the management of surgical, emergency, and trauma patients and chest radiographs (CXR) and computed tomography (CT) are performed to confirm placement. Ultrasound (US) has not previously been used as a means to confirm intrathoracic placement of chest tubes. This study involves a novel application of US to demonstrate chest tubes passi...

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Verification of endotracheal tube placement: a comparison of confirmation techniques and devices.

The properly placed endotracheal tube provides the definitive protected airway and is crucial to ensuring adequate ventilation in the event of cardiac arrest, respiratory failure, or significant trauma. Although unrecognized esophageal placement is rapidly fatal, it is not harmful if it is recognized quickly. Nevertheless, many malpractice claims have been prosecuted successfully because practi...

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Confirmation of endotracheal tube placement after intubation using the ultrasound sliding lung sign.

OBJECTIVES To evaluate the performance of the ultrasound (US) sliding lung sign as a predictor of endotracheal tube (ETT) placement. Many other tools and examination findings have been used to confirm ETT placement; erroneous placement of the ETT has even been confirmed by US. METHODS This was a laboratory study using fresh, recently dead cadavers. Cadavers were obtained at a medical school a...

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The assessment of three methods to verify tracheal tube placement in the emergency setting.

We studied prospectively the reliability of clinical methods, end-tidal carbon dioxide (ETCO(2)) detection, and the esophageal detector device (EDD) for verifying tracheal intubation in 137 adult patients in the emergency department. Immediately after intubation, the tracheal tube position was tested by the EDD and ETCO(2) monitor, followed by auscultation of the chest. The views obtained at la...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1988

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1988.tb05460.x