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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Monday, May 2, 2016

US confirmation of ET Intubation

EM Resident Magazine
Confirmation of Endotracheal Intubation with Bedside US
EM Resident - April 4, 2016 - By Vermeulen M & Beck-Esmay JFigure 1. The high-frequency linear probe is placed in transverse orientation on the patient’s neck. CO2 capnography turns from purple to gold with endotracheal tube confirmation.
"Endotracheal intubation is necessary for definitive airway control during resuscitation of the critically ill patient. Unrecognized misplacement of the endotracheal tube can lead to devastating, avoidable morbidity and mortality. Real-time tracheal ultrasound allows for the dynamic observation of tube passage through the trachea or the esophagus, providing immediate confirmation of placement prior to any ventilation attempts. This can be particularly helpful in situations in which capnography may not be reliable, or in training settings, allowing the supervising physician to watch as the tube passes into place...
Bottom Line
Ultrasound is a rapid, non-invasive means of confirming proper placement of an endotracheal tube. When used in conjunction with traditional methods such as auscultation and capnography, it can improve patient care and avoid the disastrous consequences of unidentified missed endotracheal intubation. Consider adding this technique to your arsenal the next time you intubate."