introduction : confirmation of proper endotracheal tube placement is one of the most important and lifesaving issues of tracheal intubation. the present study was aimed to evaluate the accuracy of tracheal ultrasonography by emergency residents in this regard.   method : this was a prospective, cross sectional study for evaluating the diagnostic accuracy of ultrasonography in endotracheal tube ...

BACKGROUND/AIMS Complete endotracheal tube obstruction is a medical emergency, and partial occlusion causes increased breathing rates and failure to wean off mechanical ventilation. Partial occlusion may be underestimated due to the lack of proper detection methods. We tested whether the sound of an endotracheal tube could be used to detect an endotracheal tube obstruction using an in vitro mod...

CEN, CFRN, CPEN, and Tom Pietrantonio, BSRT, RRT-RCP, reply: In a study published in Respiratory Care, Shimizu et al3 concluded that the conventional adhesive tape methods had greater extubation force than the 2 endotracheal tube holders and that extubation force varies considerably depending on the width, length, and type of adhesive tape used. Mohammed and Hassan4 studied endotracheal tube sl...

Electromyogpraphic endotracheal tube (EMG tube) is a new device used to monitor recurrent laryngeal nerve integrity during thyroid surgery. The EMG tube has 2 pairs of electrodes on the surface of silicon-based tube reached to inner space of tube cuff. We experienced an unusual endotracheal tube-related problem from the distinct structural feature of the EMG tube. In this case, we intubated a p...

BACKGROUND A correct estimate of the tracheal tube insertion depth can prevent complications, including endobronchial intubation and vocal cord trauma. We evaluated a new topographical method for endotracheal tube positioning relative to the carina, using a well-known prior topographical method for comparison. METHODS One hundred adult (male 50, female 50) patients were studied. The compariso...

OBJECTIVE To compare ultrasonography with chest radiograph to detect the level of endotracheal tube tip in intubated neonates. DESIGN Observational. SETTING Neonatal care unit of a teaching hospital. PARTICIPANTS 53 neonates selected by convenience sampling. INTERVENTION Ultrasonography of chest was done with probe of 5 to 8 MHz using high parasternal view. The distance of the endotrach...

Background Easier to perform than the conventional procedure, mini-tracheostomy (MT) is widely used in the operating room or intensive care unit to remove sputum or other obstructions of the upper airway. This option, however, does carry the risk of various complications, including malposition, disposition, bleeding, and subcutaneous emphysema. Here, we report a case of endotracheal tube obstru...

OBJECTIVE To compare endotracheal tube tip-to-carina distance obtained by ultrasonography vs. that obtained by chest X-ray in neonates. METHODS After endotracheal intubation of 40 neonates, chest X-ray and, within one hour, ultrasonography was obtained for each patient for measurement of endotracheal tube tip-to-carina distance. RESULTS Means of endotracheal tube tip-to-carina distances wer...