A Study to Confirm the Position of Endotracheal Tube using Ultrasonography and Standard Auscultation Method
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Endotracheal intubation is a life saving procedure that is routinely performed by anesthesiologist, emergency medicine physicians and critical care physicians. Study aimed to confirm the position of endotracheal tube using point-of-care ultrasonography and standard auscultation method. Material and methods: The present study was conducted in the Department of Anaesthesiology and Critical Care, Pt.B.D.Sharma, PGIMS, UHS, Rohtak in a prospective cross over manner. One hundred patients belonging to American Society of Anaesthesiologists (ASA) physical status 1 or 2 of either sex (18-60 years) presenting for surgery under general anaesthesia were included in the study. After intubation, five points of auscultation was done and position of ETT was noted. Auscultation was followed by Point-of-Care ultrasonography. Assessment by ultrasonography consisted of: Step 1-Tracheal dilation assessment:-ultrasound probe placed transversely on the anterior neck approximately 2 cm superior to the suprasternal notch and scanned cranially to the cricothyroid membrane. The marker of endotracheal cuff is tracheal dilatation with balloon inflation. Step 2-Pleural sliding assessment:-probe placed vertically on the anterior chest at the third rib space midclavicular line bilaterally. Assessment of lung expansion evaluated by the detection of horizontal movement of the pleural linings with respiration. Results: Better confirmation of endotracheal tube placement with ultrasonography as compared to standard auscultation method. Conclusion: Point of care ultrasonography is more sensitive and specific in detecting location of endotracheal tube.
Authors and Affiliations
Nandita Kad, Ashish Sikarwar, Vineet Kumar, Deepak Kumari
Keywords
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