Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022
Ultrasonography for Determining Endotracheal Tube Tip Position in Very Low Birth Weight Infants.
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Dincer Emre, Topçuoğlu Sevilay, Karatekin Güner
Аннотация
OBJECTIVE: This study aims to investigate the feasibility of USG in confirming the endotracheal tube site and compare it with chest X-rays in very low birth weight infants.
METHODS: A chest X-ray and thorax ultrasonography processes are started as soon as the infant is intubated. Endotracheal tube place is evaluated with ultrasonography and noted, and with chest X-ray and time elapsed in these two processes are noted. The correlation between these two methods was calculated.
RESULTS: While endotracheal tubes are visualized with 100% success, there was a significant correlation between the measures of endotracheal tube-carina distances (r = .979, P > .001). In addition, ultrasonography was six times faster than chest X-ray interpretation (USG; 4.6 ± 1.8 min vs CXR; 29.6 ± 9.0 min, P < .001).
CONCLUSIONS: Ultrasonography is a feasible and faster method for determining endotracheal tube place in very low birth weight infants and may prevent radiation exposure in neonatal intensive care units.
METHODS: A chest X-ray and thorax ultrasonography processes are started as soon as the infant is intubated. Endotracheal tube place is evaluated with ultrasonography and noted, and with chest X-ray and time elapsed in these two processes are noted. The correlation between these two methods was calculated.
RESULTS: While endotracheal tubes are visualized with 100% success, there was a significant correlation between the measures of endotracheal tube-carina distances (r = .979, P > .001). In addition, ultrasonography was six times faster than chest X-ray interpretation (USG; 4.6 ± 1.8 min vs CXR; 29.6 ± 9.0 min, P < .001).
CONCLUSIONS: Ultrasonography is a feasible and faster method for determining endotracheal tube place in very low birth weight infants and may prevent radiation exposure in neonatal intensive care units.