scholarly journals Accuracy of 7-8-9 Rule for Endotracheal Tube Placement in Nepalese Neonates

2011 ◽  
Vol 31 (3) ◽  
pp. 175-179
Author(s):  
KP Paudel ◽  
D Nepal ◽  
C Mahaseth
Keyword(s):  
Endotracheal Tube ◽  
Tube Placement ◽  
Clinical Method ◽  
Children's Hospital ◽  
Gestation Age ◽  
Endotracheal Tube Placement ◽  
Children’S Hospital ◽  
Clinical Accuracy ◽  
Chest X Ray ◽  
G 12

Introduction: Neonatal intubation is done for cardiopulmonary resuscitation, hypoxemia, and hypercapnia, for surfactant therapy or for airway protection. When correctly placed, endotracheal tube (ETT) tip should be at mid tracheal position which is half way between the clavicles and the carina to prevent complications of ventilation. Objective: To assess the accuracy of 7-8-9 Rule in neonates at Kanti Children’s hospital. Methodology: Prospective observational study was conducted in neonates who required oral intubations from July 2009 to December 2009 at NICU of Kanti Children’s Hospital. The initial ETT depth of insertion was determined using admission weight in the 7-8-9 Rule calculation. This depth was compared to the midtracheal depth to determine clinical accuracy of the 7-8-9 Rule. Results: Mean gestation age of the 69 infants was 36.01 weeks (26 to 42 weeks) and weight was 2411 g( 900 g to 3800 g ). 7 (10.1%) neonates weighed 1000 g or less, 19 (27.5%) weighed between 1001 to 2000 g, 31 ( 44.9%) weighed between 2001 to 3000 g, 12(17.4%) weighed between 3001 to 4000 g. The accuracy of 7-8-9 rule in clinical setting with auscultation and Chest x-ray resulted in ETT depth 0.11 cm above midtracheal position. (-1.5 to 1.5 cm). Using this rule ET tube was placed 0.11 cm above the mid tracheal position. Conclusions: The 7-8-9 Rule appears to be an accurate clinical method for endotracheal tube placement in Nepalese neonates. Keywords: Intubation; Neonate; Mid Tracheal Position DOI: http://dx.doi.org/10.3126/jnps.v31i3.4299 J Nep Paedtr Soc 2011;31(3): 175-179

scholarly journals Ultrasonography for Endotracheal Tube Placement Confirmation in an Emergency Setting - A Prospective Study in a Teritiary Hospital

2018 ◽  
Vol 5 (2) ◽  
pp. 3545-3549
Author(s):  
Dr. A.Srikanth Reddy ◽  
Dr.Inugala Raj Kumar Reddy ◽  
Dr.Polupangu Hima Bindu
Keyword(s):  
Endotracheal Tube ◽  
Sensitivity And Specificity ◽  
Tertiary Care ◽  
High Sensitivity ◽  
Tube Placement ◽  
Emergency Setting ◽  
Care Hospital ◽  
Clinical Method ◽  
Clinical Methods ◽  
Endotracheal Tube Placement

Background: Ultrasonography, clinical methods and capnography are used to confirm the proper placement of endotracheal tube. Ultrasonography was thought to have high sensitivity and specificity and took less when compared with other two methods. Aims: To compare ultrasonography with the traditional clinical methods and the gold standard quantitative waveform capnography in confirming the proper placement of endotracheal tube. Materials and Methods: We carried out a prospective cohort study on 120 patients who were indicated for intubation in an emergency department of a tertiary care hospital, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Telangana State, India. The study was carried out from June 2017 to December 2017. The confirmation of endotracheal tube placement was identified by three methods, ultrasonography, quantitative waveform capnography (end-tidal carbon dioxide) and traditional clinical method. The parameters recorded by three methods were confirmation of tube placement and time taken for tube placement. Results: Out of the 120 intubation attempts, six (5 %) had esophageal intubations. Ultrasonography produced a sensitivity and specificity of diagnosis of 98.63% and 100%, respectively, which was statistically comparable with the other two methods. When the time taken to confirm tube placement was compared, it was found that ultrasonography took significantly less time. The time taken by ultrasonography, waveform capnography and clinical methods was 8.13 ± 1.27, 17.86 ± 2.34 and 20.13 ± 2.72 seconds respectively. Conclusion: The endotracheal tube placement was confirmed by ultrasonography with comparable sensitivity and specificity to other two methods i.e. quantitative waveform capnography and clinical methods and it took less time.

scholarly journals Three-Window Bedside Ultrasound versus Chest X-Ray for the Confirmation of Endotracheal Tube Placement

2013 ◽  
Vol 62 (4) ◽  
pp. S88
Author(s):  
C. Fox ◽  
A. Youssefian ◽  
E. Turner ◽  
N. Vandordaklou ◽  
E. Mervis ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Bedside Ultrasound ◽  
Tube Placement ◽  
X Ray ◽  
Endotracheal Tube Placement ◽  
Chest X Ray

CHEST X-RAY TO DETERMINE ENDOTRACHEAL TUBE PLACEMENT PRIOR TO FIXED WING TRANSPORT

1999 ◽  
Vol 27 (Supplement) ◽  
pp. 73A
Author(s):  
Teresa Merk ◽  
Marilyn Jenkins ◽  
Mary Berwanger ◽  
John McCall
Keyword(s):  
Endotracheal Tube ◽  
Tube Placement ◽  
X Ray ◽  
Endotracheal Tube Placement ◽  
Chest X Ray

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

Assessment of gas flow waves for endotracheal tube placement in an ovine model of neonatal resuscitation

Resuscitation ◽  
2010 ◽  
Vol 81 (6) ◽  
pp. 737-741 ◽  
Author(s):  
G.M. Schmölzer ◽  
S.B. Hooper ◽  
K.J. Crossley ◽  
B.J. Allison ◽  
C.J. Morley ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Gas Flow ◽  
Neonatal Resuscitation ◽  
Tube Placement ◽  
Ovine Model ◽  
Endotracheal Tube Placement

THE SENSITIVITY, SPECIFICITY AND ACCURACY OF STATIC METHOD OF ULTRASONOGRAPHY TO CONFIRM ENDOTRACHEAL INTUBATION IN EMERGENCY DEPARTMENT.

2021 ◽  
pp. 8-13
Author(s):  
Pankaj Kumar Singh ◽  
Budhaditya Sanyal ◽  
Mohit Bhatnagar ◽  
Mandeep Joshi ◽  
Shreya Verma
Keyword(s):  
Diagnostic Accuracy ◽  
Endotracheal Tube ◽  
Predictive Value ◽  
Static Method ◽  
Tube Placement ◽  
Short Course ◽  
Endotracheal Tube Placement ◽  
Linear Probe ◽  
Post Intubation ◽  
Sensitivity Specificity

Aims and objectives: This study aims to assess the diagnostic accuracy and timeliness of ultrasonography by static method only for identication of Endotracheal tube (ET Tube) placement in the trachea in emergency settings vs existing clinical methods. Material and Methods: This prospective study was carried out in the emergency room from October 2018 till the end of March 2019. The ultrasonography was performed in 120 emergency patients only after the intubation had been completed ie, static phase. A linear probe was used over the neck to identify the predened signs of ET intubation. Residents who perform ultrasound examination ll a form after assessment of each patient. Results: It was found that Tracheal Intubation-USG Sensitivity was 99.1, Specicity was 91.7, Positive Predictive Value: 99.1, Negative Predictive Value was 91.7 and Accuracy was 98.3%. Ultrasonography can be used as an adjunct tool to verify the ETTposition by Emergency Physicians which can be performed easily after a brieng or short-course training.Conclusion:This study demonstrates that US imaging has a high diagnostic accuracy to immediately conrm proper ETT placement post-intubation in an emergency setup. Therefore, it seems that ultrasonography using a static technique only is a proper screening tool in determining endotracheal tube placement.

scholarly journals Pulmonary atelectasis in newborns with clinically treatable diseases who are on mechanical ventilation: clinical and radiological aspects

2018 ◽  
Vol 51 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Mariana Chiaradia Dominguez ◽  
Beatriz Regina Alvares
Keyword(s):  
Mechanical Ventilation ◽  
Endotracheal Tube ◽  
Left Lung ◽  
Hyaline Membrane Disease ◽  
Relevant Information ◽  
Tube Placement ◽  
Cross Sectional ◽  
Pulmonary Atelectasis ◽  
Radiology Reports ◽  
Endotracheal Tube Placement

Abstract Objective: To analyze the radiological aspects of pulmonary atelectasis in newborns on mechanical ventilation and treated in an intensive care unit, associating the characteristics of atelectasis with the positioning of the head and endotracheal tube seen on the chest X-ray, as well as with the clinical variables. Materials and Methods: This was a retrospective cross-sectional study of 60 newborns treated between 1985 and 2015. Data were collected from medical records and radiology reports. To identify associations between variables, we used Fisher's exact test. The level of significance was set at p < 0.05. Results: The clinical characteristics associated with improper positioning of the endotracheal tube were prematurity and a birth weight of less than 1000 g. Among the newborns evaluated, the most common comorbidity was hyaline membrane disease. Atelectasis was seen most frequently in the right upper lobe, although cases of total atelectasis were more common in the left lung. Malpositioning of the head showed a trend toward an association with atelectasis in the left upper lobe. Conclusion: Pulmonary atelectasis is a common complication in newborns on mechanical ventilation. Radiological evaluation of the endotracheal tube placement provides relevant information for the early correction of this condition.

Pulmonary Reverse Mismatches Due to Endotracheal Tube Placement

1995 ◽  
Vol 20 (10) ◽  
pp. 939-940
Author(s):  
RONALD J. ROSENBERG ◽  
RICHARDO E. SANTIAG ◽  
RICHARD P. SPENCER
Keyword(s):  
Endotracheal Tube ◽  
Tube Placement ◽  
Endotracheal Tube Placement
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