MEASURING ENDOTRACHEAL TUBE DEPTH BY BEDSIDE ULTRASOUND IN ADULT PATIENTS IN AN INTENSIVE CARE UNIT: A PILOT STUDY

被引：6

作者：

Dong, Fenglin ^{[1
]}

Zhu, Canhong ^{[2
]}

Xu, Huiwen ^{[3
]}

Wang, Jiajia ^{[4
]}

Zhu, Yehan ^{[4
]}

Fan, Qingmin ^{[1
]}

Huang, Jian'an ^{[4
]}

Lei, Wei ^{[4
]}

机构：

[1] Soochow Univ, Affiliated Hosp 1, Dept Ultrasound, Suzhou, Jiangsu, Peoples R China

[2] Soochow Univ, Childrens Hosp, Dept Resp Med, Suzhou, Jiangsu, Peoples R China

[3] Univ Rochester, Med Ctr, Dept Publ Hlth, Rochester, NY 14642 USA

[4] Soochow Univ, Affiliated Hosp 1, Dept Resp Med, 188 Shizi Rd, Suzhou, Jiangsu, Peoples R China

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2017年 / 43卷 / 06期

基金：

中国国家自然科学基金;

关键词：

Endotracheal intubation; Endotracheal tube; Point-of-care ultrasound; Bronchoscopy; Computed tomography scan; Critical care; CHEST RADIOGRAPHY; POSITION; CONFIRMATION; ULTRASONOGRAPHY; PLACEMENT; SALINE; CUFF; RESUSCITATION; INTUBATION; CARINA;

D O I：

10.1016/j.ultrasmedbio.2017.01.018

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

The aim of the study described here was to evaluate the feasibility and accuracy of measuring endotracheal tube (ETT) depth with ultrasound in adult patients in an intensive care unit (ICU). The distance between the upper margin of the cuff and the upper margin of the aortic arch (Duc-ua) of 67 ICU patients was measured by ultrasound, and the time of measurement was recorded. The level of agreement between the distance between the tip of the ETT and the carina (Dtt-c) measured by ultrasound (U-Dtt-c) and Dtt-c measured by bronchoscopy (B-Dtt-c) was assessed using linear regression and a Bland-Altman plot. There was a significant correlation between B-Dtt-c and U-Dtt-c (r = 0.844, p < 0.001). Also, the Bland-Altman plot revealed strong agreement between B-Dtt-c and U-Dtt-c. The time it took to measure ETT depth by ultrasound was 33.91 +/- 5.43 s. In conclusion, bedside ultrasound provides a novel and convenient method for measuring the depth of ETT in ICU patients. (C) 2017 World Federation for Ultrasound in Medicine & Biology.

引用

页码：1163 / 1170

页数：8

共 37 条

[1] Part 14: Education 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care [J].

Bhanji, Farhan ;

Donoghue, Aaron J. ;

Wolff, Margaret S. ;

Flores, Gustavo E. ;

Halamek, Louis P. ;

Berman, Jeffrey M. ;

Sinz, Elizabeth H. ;

Cheng, Adam .

CIRCULATION, 2015, 132 (18) :S561-S573

[2] STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].

BLAND, JM ;

ALTMAN, DG .

LANCET, 1986, 1 (8476) :307-310

[3] Managing endotracheal tube cuff pressure at altitude: A comparison of four methods [J].

Britton, Tyler ;

Blakeman, Thomas C. ;

Eggert, John ;

Rodriquez, Dario ;

Ortiz, Heather ;

Branson, Richard D. .

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2014, 77 :S240-S244

[4] Airway length in adults: Estimation of the optimal endotracheal tube length for orotracheal intubation [J].

Cherng, CH ;

Wong, CS ;

Hsu, CH ;

Ho, ST .

JOURNAL OF CLINICAL ANESTHESIA, 2002, 14 (04) :271-274

[5] The clinical implication of the vocal cords-carina distance in anaesthetized Chinese adults during orotracheal intubation [J].

Chong, D. Y. C. ;

Greenland, K. B. ;

Tan, S. T. ;

Irwin, M. G. ;

Hung, C. T. .

BRITISH JOURNAL OF ANAESTHESIA, 2006, 97 (04) :489-495

[6] Ultrasonography for confirmation of endotracheal tube placement: A systematic review and meta-analysis [J].

Chou, Eric H. ;

Dickman, Eitan ;

Tsou, Po-Yang ;

Tessaro, Mark ;

Tsai, Yang-Ming ;

Ma, Matthew Huei-Ming ;

Lee, Chien-Chang ;

Marshall, John .

RESUSCITATION, 2015, 90 :97-103

[7] Real-time tracheal ultrasonography for confirmation of endotracheal tube placement during cardiopulmonary resuscitation [J].

Chou, Hao-Chang ;

Chong, Kah-Meng ;

Sim, Shyh-Shyong ;

Ma, Matthew Huei-Ming ;

Liu, Shih-Hung ;

Chen, Nai-Chuan ;

Wu, Meng-Che ;

Fu, Chia-Ming ;

Wang, Chih-Hung ;

Lee, Chien-Chang ;

Lien, Wan-Ching ;

Chen, Shyr-Chyr .

RESUSCITATION, 2013, 84 (12) :1708-1712

[8] Is flexible bronchoscopy necessary to confirm the position of double-lumen tubes before thoracic surgery? [J].

de Bellis, Mario ;

Accardo, Rosanna ;

Di Maio, Massimo ;

Lamanna, Carmine ;

Rossi, Giovanni Battista ;

Pace, Maria Caterina ;

Romano, Vincenzo ;

Rocco, Gaetano .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2011, 40 (04) :912-916

[9] Ultrasound Confirmation of Endotracheal Tube Position in Neonates [J].

Dennington, Debra ;

Vali, Payam ;

Finer, Neil N. ;

Kim, Jae H. .

NEONATOLOGY, 2012, 102 (03) :185-189

[10] Ultrasound-guided Tracheal Intubation A Novel Intubation Technique [J].

Fiadjoe, John E. ;

Stricker, Paul ;

Gurnaney, Harshad ;

Nishisaki, Akira ;

Rabinowitz, Anna ;

Gurwitz, Avrahom ;

McCloskey, John J. ;

Ganesh, Arjunan .

ANESTHESIOLOGY, 2012, 117 (06) :1389-1391

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