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Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector

Identifieur interne : 002B16 ( Istex/Checkpoint ); précédent : 002B15; suivant : 002B17

Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector

Auteurs : RBID : ISTEX:8C6CCC3E24A2724947A2BBB4A5B52940158B36AC

English descriptors

KwdEn :
- Carbon dioxide, detection, intubation, Intubation, endotracheal.

Abstract

A miniaturized, infrared, solid-state, end-tidal CO2 detector was used to confirm emergency endotracheal tube (ETT) placement. This prospective, clinical study used a miniature, infrared, solid-state end-tidal CO2 detector to confirm ETT placement in an acute setting. The ICU, emergency department, and hospital floor. There were 88 consecutive adult patients requiring 100 emergency intubations. The indication for airway intervention was considered urgent in 79% and under arrest conditions in 21%. The mean number of intubation attempts was 1.83 (range, one to five) with difficulty of intubation of 6.48 and confirmation of 7.75, on a linear scale from 0 (lowest) to 10 (highest). Determination of ETT position revealed intratracheal intubation in 96% and esophageal intubation in 4%. Placement was confirmed by direct visualization or radiography in all cases. Sensitivity and specificity for ETT localization was 100% (P < .0001). This hand-held infrared capnometer reliably confirms ETT placement under emergency conditions.

Url:

https://api.istex.fr/document/8C6CCC3E24A2724947A2BBB4A5B52940158B36AC/fulltext/pdf

DOI: 10.1016/S0196-0644(05)80831-5

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Le document en format XML

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<author><name sortKey="Stein, Keith L" uniqKey="Stein K">Keith L Stein</name>
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<front><div type="abstract" xml:lang="eng">A miniaturized, infrared, solid-state, end-tidal CO2 detector was used to confirm emergency endotracheal tube (ETT) placement. This prospective, clinical study used a miniature, infrared, solid-state end-tidal CO2 detector to confirm ETT placement in an acute setting. The ICU, emergency department, and hospital floor. There were 88 consecutive adult patients requiring 100 emergency intubations. The indication for airway intervention was considered urgent in 79% and under arrest conditions in 21%. The mean number of intubation attempts was 1.83 (range, one to five) with difficulty of intubation of 6.48 and confirmation of 7.75, on a linear scale from 0 (lowest) to 10 (highest). Determination of ETT position revealed intratracheal intubation in 96% and esophageal intubation in 4%. Placement was confirmed by direct visualization or radiography in all cases. Sensitivity and specificity for ETT localization was 100% (P < .0001). This hand-held infrared capnometer reliably confirms ETT placement under emergency conditions. </div>
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<abstract>A miniaturized, infrared, solid-state, end-tidal CO2 detector was used to confirm emergency endotracheal tube (ETT) placement. This prospective, clinical study used a miniature, infrared, solid-state end-tidal CO2 detector to confirm ETT placement in an acute setting. The ICU, emergency department, and hospital floor. There were 88 consecutive adult patients requiring 100 emergency intubations. The indication for airway intervention was considered urgent in 79% and under arrest conditions in 21%. The mean number of intubation attempts was 1.83 (range, one to five) with difficulty of intubation of 6.48 and confirmation of 7.75, on a linear scale from 0 (lowest) to 10 (highest). Determination of ETT position revealed intratracheal intubation in 96% and esophageal intubation in 4%. Placement was confirmed by direct visualization or radiography in all cases. Sensitivity and specificity for ETT localization was 100% (P > .0001). This hand-held infrared capnometer reliably confirms ETT placement under emergency conditions.</abstract>
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<abstract xml:lang="en"><p>A miniaturized, infrared, solid-state, end-tidal CO2 detector was used to confirm emergency endotracheal tube (ETT) placement. This prospective, clinical study used a miniature, infrared, solid-state end-tidal CO2 detector to confirm ETT placement in an acute setting. The ICU, emergency department, and hospital floor. There were 88 consecutive adult patients requiring 100 emergency intubations. The indication for airway intervention was considered urgent in 79% and under arrest conditions in 21%. The mean number of intubation attempts was 1.83 (range, one to five) with difficulty of intubation of 6.48 and confirmation of 7.75, on a linear scale from 0 (lowest) to 10 (highest). Determination of ETT position revealed intratracheal intubation in 96% and esophageal intubation in 4%. Placement was confirmed by direct visualization or radiography in all cases. Sensitivity and specificity for ETT localization was 100% (P < .0001). This hand-held infrared capnometer reliably confirms ETT placement under emergency conditions.</p>
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<head><ce:article-footnote><ce:note-para>Presented at the Society for Academic Emergency Medicine Annual Meeting in Minneapolis, Minnesota, May 1990.</ce:note-para>
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<ce:dochead><ce:textfn>Original contribution</ce:textfn>
</ce:dochead>
<ce:title>Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co<ce:inf loc="post">2</ce:inf>
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<ce:author-group><ce:author><ce:degrees>MD</ce:degrees>
<ce:given-name>Rade B</ce:given-name>
<ce:surname>Vukmir</ce:surname>
<ce:cross-ref refid="aff1"><ce:sup>*</ce:sup>
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<ce:author><ce:degrees>MD, FACEP</ce:degrees>
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<ce:surname>Heller</ce:surname>
<ce:cross-ref refid="aff2"><ce:sup>†</ce:sup>
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</ce:author>
<ce:author><ce:degrees>MD, FCCP, FCCM</ce:degrees>
<ce:given-name>Keith L</ce:given-name>
<ce:surname>Stein</ce:surname>
<ce:cross-ref refid="aff1"><ce:sup>*</ce:sup>
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<ce:correspondence id="cor1"><ce:label>*</ce:label>
<ce:text>Address for reprints: Rade B Vukmir, MD, Center for Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, Pennsylvania 15213.</ce:text>
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<ce:date-received day="8" month="11" year="1990"></ce:date-received>
<ce:date-revised day="18" month="1" year="1991"></ce:date-revised>
<ce:date-accepted day="7" month="2" year="1991"></ce:date-accepted>
<ce:abstract id="ab1" class="author" xml:lang="en"><ce:abstract-sec><ce:section-title>Study objectives:</ce:section-title>
<ce:simple-para>A miniaturized, infrared, solid-state, end-tidal CO<ce:inf loc="post">2</ce:inf>
 detector was used to confirm emergency endotracheal tube (ETT) placement.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Design:</ce:section-title>
<ce:simple-para>This prospective, clinical study used a miniature, infrared, solid-state end-tidal CO<ce:inf loc="post">2</ce:inf>
 detector to confirm ETT placement in an acute setting.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Setting:</ce:section-title>
<ce:simple-para>The ICU, emergency department, and hospital floor.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Type of participants:</ce:section-title>
<ce:simple-para>There were 88 consecutive adult patients requiring 100 emergency intubations.</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Measurements and main results:</ce:section-title>
<ce:simple-para>The indication for airway intervention was considered urgent in 79% and under arrest conditions in 21%. The mean number of intubation attempts was 1.83 (range, one to five) with difficulty of intubation of 6.48 and confirmation of 7.75, on a linear scale from 0 (lowest) to 10 (highest). Determination of ETT position revealed intratracheal intubation in 96% and esophageal intubation in 4%. Placement was confirmed by direct visualization or radiography in all cases. Sensitivity and specificity for ETT localization was 100% (<ce:italic>P</ce:italic>
 < .0001).</ce:simple-para>
</ce:abstract-sec>
<ce:abstract-sec><ce:section-title>Conclusion:</ce:section-title>
<ce:simple-para>This hand-held infrared capnometer reliably confirms ETT placement under emergency conditions.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
<ce:keywords class="keyword" xml:lang="en"><ce:keyword><ce:text>carbon dioxide, detection, intubation</ce:text>
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<ce:keyword><ce:text>intubation, endotracheal</ce:text>
</ce:keyword>
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</head>
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<mods version="3.5"><titleInfo lang="eng"><title>Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector</title>
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<titleInfo type="alternative" lang="eng"><title></title>
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<name type="personal"><namePart type="given">Rade B</namePart>
<namePart type="family">Vukmir</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Critical Care Medicine/Anesthesia, Presbyterian-University Hospital, Pittsburgh, Pennsylvania, USA</affiliation>
<affiliation>Address for reprints: Rade B Vukmir, MD, Center for Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, Pennsylvania 15213.</affiliation>
<role><roleTerm type="text">author</roleTerm>
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<name type="personal"><namePart type="given">Michael B</namePart>
<namePart type="family">Heller</namePart>
<namePart type="termsOfAddress">MD, FACEP</namePart>
<affiliation>Division of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation>
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<name type="personal"><namePart type="given">Keith L</namePart>
<namePart type="family">Stein</namePart>
<namePart type="termsOfAddress">MD, FCCP, FCCM</namePart>
<affiliation>Department of Critical Care Medicine/Anesthesia, Presbyterian-University Hospital, Pittsburgh, Pennsylvania, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
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<typeOfResource>text</typeOfResource>
<originInfo><publisher>ELSEVIER</publisher>
<dateIssued encoding="w3cdtf">1991</dateIssued>
<dateCaptured encoding="w3cdtf">1990-11-08</dateCaptured>
<dateValid encoding="w3cdtf">1991-02-07</dateValid>
<dateModified encoding="w3cdtf">1991-01-18</dateModified>
<copyrightDate encoding="w3cdtf">1991</copyrightDate>
</originInfo>
<language><languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
<physicalDescription><internetMediaType>text/html</internetMediaType>
</physicalDescription>
<abstract lang="eng">A miniaturized, infrared, solid-state, end-tidal CO2 detector was used to confirm emergency endotracheal tube (ETT) placement. This prospective, clinical study used a miniature, infrared, solid-state end-tidal CO2 detector to confirm ETT placement in an acute setting. The ICU, emergency department, and hospital floor. There were 88 consecutive adult patients requiring 100 emergency intubations. The indication for airway intervention was considered urgent in 79% and under arrest conditions in 21%. The mean number of intubation attempts was 1.83 (range, one to five) with difficulty of intubation of 6.48 and confirmation of 7.75, on a linear scale from 0 (lowest) to 10 (highest). Determination of ETT position revealed intratracheal intubation in 96% and esophageal intubation in 4%. Placement was confirmed by direct visualization or radiography in all cases. Sensitivity and specificity for ETT localization was 100% (P < .0001). This hand-held infrared capnometer reliably confirms ETT placement under emergency conditions. </abstract>
<note>Presented at the Society for Academic Emergency Medicine Annual Meeting in Minneapolis, Minnesota, May 1990.</note>
<note type="content">Section title: Original contribution</note>
<subject lang="eng"><topic>carbon dioxide, detection, intubation</topic>
<topic>intubation, endotracheal</topic>
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<part><date>1990</date>
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<relatedItem type="references" displayLabel="bib52"><titleInfo><title>Multicenter study of end tidal carbon dioxide in the prehospital setting</title>
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<relatedItem type="references" displayLabel="bib53"><titleInfo><title>Validity of a disposable end-tidal CO2 detector in verifying endotracheal tube position in infants and children</title>
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<relatedItem type="references" displayLabel="bib54"><titleInfo><title>Minicap III CO2 Detector Operation Manual</title>
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<originInfo><publisher>Mine Safety Appliances Co</publisher>
<place><placeTerm type="text">Eastborne, Australia</placeTerm>
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<part><date>1990</date>
<extent unit="pages"><start>10</start>
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Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector

Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector

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