Use of an optical fiber scope to confirm endotracheal tube placement in pediatric patients
Autor: | Tarek Husayni, Jose L. Ramilo, Anne E. Freter, David G. Jaimovich, Gerardo Reyes, Ira Horowitz, Rabi Sulayman |
---|---|
Rok vydání: | 2001 |
Předmět: |
Artificial ventilation
Male medicine.medical_specialty Optical fiber Adolescent medicine.medical_treatment Critical Care and Intensive Care Medicine Intensive Care Units Pediatric law.invention law Intensive care medicine Intubation Intratracheal Fiber Optic Technology Humans Single-Blind Method Prospective Studies Intensive care medicine Child Optical Fibers Endotracheal tube Mechanical ventilation Scope (project management) medicine.diagnostic_test business.industry Infant Newborn Infant Reproducibility of Results Endoscopy Intensive care unit Respiration Artificial Child Preschool Linear Models Female business |
Zdroj: | Critical care medicine. 29(1) |
ISSN: | 0090-3493 |
Popis: | To determine the efficacy of a portable optical fiber scope to confirm endotracheal tube (ETT) placement.A prospective, nonrandomized, blinded study.Pediatric intensive care unit in a children's hospital.Thirty mechanically ventilated patients with an ETT in place.Patients entered into the study underwent ETT placement determination by chest roentgenogram (CXR) and by the optical fiber scope.Thirty patients were entered into the study, for a total of 46 measurements (n = 46). ETT size ranged from 3.0 to 6.0 mm internal diameter. Distance from the ETT and the carina was determined by the scope and compared with the distance measured on the CXR. No statistical difference was found between the two methods. None of the patients experienced clinically significant side effects from the procedure. On three occasions, the presence of secretions in the ETT did not allow for the visualization of the carina by the scope.The use of a flexible optical fiber scope is an accurate, fast, and practical method to determine ETT placement in pediatric patients on mechanical ventilation. |
Databáze: | OpenAIRE |
Externí odkaz: |