Portable Handheld Point-of-Care Ultrasound for Detecting Unrecognized Esophageal Intubations

被引：10
作者：
White-Dzuro, Gabrielle A. [1 ]
Gibson, Lauren E. [1 ]
Berra, Lorenzo [1 ]
Bittner, Edward A. [1 ]
Chang, Marvin G. [1 ]
机构：
[1] Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Boston, MA 02114 USA
来源：
RESPIRATORY CARE | 2022年 / 67卷 / 05期
关键词：
airway management; emergency airway management; point-of-care ultrasound; POCUS; portable point-of-care ultrasound; PPOCUS; esophageal intubation; tracheal intubation; lung ultrasound; ultrasonography; ultrasound; prehospital care; ENDOTRACHEAL-TUBE PLACEMENT; HOSPITAL CARDIAC-ARREST; DIAGNOSTIC-ACCURACY; EMERGENCY; CONFIRMATION; VERIFICATION; ULTRASONOGRAPHY; MISPLACEMENT; AUSCULTATION; RELIABILITY;
D O I：
10.4187/respcare.09239
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Esophageal intubations are not an uncommon occurrence in prehospital settings, occurring as high as 17%. These "never events" are associated with significant morbidity and mortality especially when unrecognized or when there is delayed recognition. Here, we review the currently available techniques for confirming endotracheal tube intubation and their limitations, and present the case for the application of portable handheld point-of-care ultrasound as an emerging technology for detection of potentially unrecognized esophageal intubations such as during cardiac arrest. We also provide algorithms for confirmation of tracheal intubation.
引用
收藏
页码：607 / 612
页数：6
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