Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector
Identifieur interne : 003734 ( Main/Merge ); précédent : 003733; suivant : 003735Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector
Auteurs : RBID : ISTEX:8C6CCC3E24A2724947A2BBB4A5B52940158B36ACEnglish descriptors
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.
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DOI: 10.1016/S0196-0644(05)80831-5
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Confirmation of endotracheal tube placement: A miniaturized infrared qualitative Co2 detector</title><author><name sortKey="Vukmir, Rade B" uniqKey="Vukmir R">Rade B Vukmir</name><affiliation wicri:level="1"><mods:affiliation>Department of Critical Care Medicine/Anesthesia, Presbyterian-University Hospital, Pittsburgh, Pennsylvania, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Critical Care Medicine/Anesthesia, Presbyterian-University Hospital, Pittsburgh, Pennsylvania</wicri:regionArea><wicri:noRegion>Pennsylvania</wicri:noRegion></affiliation><affiliation wicri:level="2"><mods:affiliation>Address for reprints: Rade B Vukmir, MD, Center for Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh, Pennsylvania 15213.</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Address for reprints: Rade B Vukmir, MD, Center for Emergency Medicine, 230 McKee Place, Suite 500, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Heller, Michael B" uniqKey="Heller M">Michael B Heller</name><affiliation wicri:level="4"><mods:affiliation>Division of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Stein, Keith L" uniqKey="Stein K">Keith L Stein</name><affiliation wicri:level="1"><mods:affiliation>Department of Critical Care Medicine/Anesthesia, Presbyterian-University Hospital, Pittsburgh, Pennsylvania, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Critical Care Medicine/Anesthesia, Presbyterian-University Hospital, Pittsburgh, Pennsylvania</wicri:regionArea><wicri:noRegion>Pennsylvania</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="RBID">ISTEX:8C6CCC3E24A2724947A2BBB4A5B52940158B36AC</idno><date when="1991">1991</date><idno type="doi">10.1016/S0196-0644(05)80831-5</idno><idno type="url">https://api.istex.fr/document/8C6CCC3E24A2724947A2BBB4A5B52940158B36AC/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002117</idno><idno type="wicri:Area/Istex/Curation">002117</idno><idno type="wicri:Area/Istex/Checkpoint">002B16</idno><idno type="MainMerge">002B16</idno><idno type="wicri:Area/Main/Merge">003734</idno></publicationStmt><seriesStmt><idno type="ISSN">0196-0644</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Carbon dioxide, detection, intubation</term><term>Intubation, endotracheal</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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