Ultrasonographic Confirmation of Endotracheal Tube Position in Neonates

作者：Najib Khadijehsadat; Pishva Narjes; Amoozegar Hamid; Pishdad Parisa^*; Fallahzadeh Ebrahim

来源：Indian Pediatrics, 2016, 53(10): 886-888.

DOI：10.1007/s13312-016-0953-6

• Endotratracheal intubation
• Radiography
• Ultrasonography

Objective: To compare endotracheal tube tip-to-carina distance obtained by ultrasonography vs. that obtained by chest X-ray in neonates.
Methods: After endotracheal intubation of 40 neonates, chest X-ray and, within one hour, ultrasonography was obtained for each patient for measurement of endotracheal tube tip-to-carina distance.
Results: Means of endotracheal tube tip-to-carina distances were not significantly different by both modalities (mean difference 0.157 cm, P=0.06). In addition, an intraclass correlation was observed between them (r(2)=0.61, 95% CI=0.26, 0.79).
Conclusion: Ultrasonography and chest X-ray are equally accurate for determination of endotracheal tube tip-to-carina in infants. As ultrasonography is more easily available and is safer than X-ray, it may be a better modality for confirming proper placement of endotracheal tube in neonates.

• 出版日期2016-10