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Using Point-of-Care Ultrasound to Confirm Endotracheal Tube Placement

By Ken Milne, MD | on May 17, 2019 | 0 Comment
Skeptics' Guide to EM
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Using Point-of-Care Ultrasound to Confirm Endotracheal Tube Placement

Case Resolution

You directly visualize passage of the ETT through the vocal cords on video laryngoscopy. Waveform capnography confirms an appropriate ETT placement. POCUS is then placed on the neck and also confirms correct tube placement.

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Explore This Issue
ACEP Now: Vol 38 – No 05 – May 2019

Thank you to Chip Lange, an emergency medicine physician assistant and creator of the blog/podcast TOTAL EM and the educational company Practical POCUS.

Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine.

References

  1. Takeda T, Tanigawa K, Tanaka H, et al. The assessment of three methods to verify tracheal tube placement in the emergency setting. Resuscitation. 2003;56(2):153-157.
  2. Tanigawa K, Takeda T, Goto E, et al. Accuracy and reliability of the self-inflating bulb to verify tracheal intubation in out-of-hospital cardiac arrest patients. Anesthesiology. 2000:93(6);1432-1436.
  3. Tanigawa K, Takeda T, Goto E, et al. The efficacy of esophageal detector devices in verifying tracheal tube placement: a randomized cross-over study of out-of-hospital cardiac arrest patients. Anesth Analg. 2001;92(2):375-378.
  4. Brown CA 3rd, Bair AE, Pallin DJ, et al. Techniques, success, and adverse events of emergency department adult intubations. Ann Emerg Med. 2015;65(4):363-370.
  5. Bache S, Pfeiffer P, Rudolph SS, et al. Temporal comparison of ultrasound versus auscultation and capnography in verification of endotracheal tube placement in obese patients. Br J Anaesth. 2012;108(S2):ii118.

Pages: 1 2 | Single Page

Topics: Endotracheal IntubationPOCUSPoint-of-Care Ultrasound

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About the Author

Ken Milne, MD

Ken Milne, MD, is chief of emergency medicine and chief of staff at South Huron Hospital, Ontario, Canada. He is on the Best Evidence in Emergency Medicine faculty and is creator of the knowledge translation project the Skeptics Guide to Emergency Medicine.

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