PURPOSE: The aim of this study was to evaluate the necessity of chest x-ray (CXR) in detecting the endotracheal tube (ETT) misplacement after the intubation. BASIC PROCEDURES: In this cross-sectional study, we took a CXR after confirming the ETT placement by physical examination. The distance between the tip of the ETT and carina was then evaluated and graded as satisfactory if it was more than 2 cm. MAIN FINDINGS: During the study period, 381 patients were intubated in the emergency department (ED). According to the CXR findings, the distance between the ETT and carina was more than 2 cm in 336 patients (88.2%), whereas it was less than 2 cm in 45 patients (11.8%). Fourteen ETTs (3.6%) were judged to be too low with 6 (1.5%) of these being right bronchus intubations. One patient had a CXR confirming left bronchial intubation. PRINCIPAL CONCLUSIONS: Although ED intubations have high success rate, the complications of inappropriate intubations are highly remarkable that postintubation CXR remains a necessary step to minimize the misplacement of the tube.
PURPOSE: The aim of this study was to evaluate the necessity of chest x-ray (CXR) in detecting the endotracheal tube (ETT) misplacement after the intubation. BASIC PROCEDURES: In this cross-sectional study, we took a CXR after confirming the ETT placement by physical examination. The distance between the tip of the ETT and carina was then evaluated and graded as satisfactory if it was more than 2 cm. MAIN FINDINGS: During the study period, 381 patients were intubated in the emergency department (ED). According to the CXR findings, the distance between the ETT and carina was more than 2 cm in 336 patients (88.2%), whereas it was less than 2 cm in 45 patients (11.8%). Fourteen ETTs (3.6%) were judged to be too low with 6 (1.5%) of these being right bronchus intubations. One patient had a CXR confirming left bronchial intubation. PRINCIPAL CONCLUSIONS: Although ED intubations have high success rate, the complications of inappropriate intubations are highly remarkable that postintubation CXR remains a necessary step to minimize the misplacement of the tube.
Authors: Guido Heyne; Sebastian Ewens; Holger Kirsten; Johannes Karl Maria Fakler; Orkun Özkurtul; Gunther Hempel; Sebastian Krämer; Manuel Florian Struck Journal: Emerg Med J Date: 2021-08-10 Impact factor: 3.814
Authors: Ana Catalina Hernandez Padilla; Timothée Trampont; Thomas Lafon; Thomas Daix; Dominique Cailloce; Olivier Barraud; François Dalmay; Philippe Vignon; Bruno François Journal: PLoS One Date: 2019-05-23 Impact factor: 3.240
Authors: Robert J Harris; Scott G Baginski; Yulia Bronstein; Shwan Kim; Jerry Lohr; Steve Towey; Zeljko Velichkovich; Tim Kabachenko; Ian Driscoll; Brian Baker Journal: J Digit Imaging Date: 2021-07-28 Impact factor: 4.903