Literature DB >> 36258919

Presentation of Two Simple Methods to Confirm Proper Tracheal Intubation: Palm Pressure, Plastic Bag Inflation, and Bag Pulsation.

Zahid Hussain Khan1, Mojgan Rahimi1, Kamran Mottaghi2, Masoud Nashibi2.   

Abstract

Background: The correct placement of the endotracheal tube is a cornerstone of safe anesthesia. Different methods, such as auscultation, capnography, and ultrasound, have their own limitations regarding the confirmation of endotracheal intubation, reinforcing the idea that a single technique is not foolproof. This study proposes a new technique in this regard. Materials and
Methods: A total of 600 patients were enrolled in this study, and tracheal intubation was checked with palm pressure and disposable plastic glove inflation and pulsation.
Results: The data were analyzed using the t-test and Mann-Whitney U test that indicate 94% and 94.8% sensitivity for palm pressure and bag pulsation, respectively, and a 100% positive predictive value for both tests.
Conclusion: Palm pressure and bag pulsation are accurate, inexpensive, and reliable techniques to confirm proper tracheal intubation. Copyright
© 2022 National Research Institute of Tuberculosis and Lung Disease.

Entities:  

Keywords:  Bag inflation; Bag pulsation; Palm pressure; Tracheal intubation

Year:  2022        PMID: 36258919      PMCID: PMC9571238     

Source DB:  PubMed          Journal:  Tanaffos        ISSN: 1735-0344


  22 in total

1.  The esophageal detector device can give false positives for tracheal intubation.

Authors:  M Ardagh; K Moodie
Journal:  J Emerg Med       Date:  1998 Sep-Oct       Impact factor: 1.484

2.  Esophageal detector device: not always reliable.

Authors:  T Heidegger; C Heim
Journal:  Ann Emerg Med       Date:  1996-11       Impact factor: 5.721

3.  Using spectral reflectance to distinguish between tracheal and oesophageal tissue: applications for airway management.

Authors:  C D Nawn; M B Blackburn; R A De Lorenzo; K L Ryan
Journal:  Anaesthesia       Date:  2019-01-21       Impact factor: 6.955

4.  Ultrasonography for the Confirmation of Endotracheal Tube Intubation: A Systematic Review and Meta-Analysis.

Authors:  Michael Gottlieb; Dallas Holladay; Gary D Peksa
Journal:  Ann Emerg Med       Date:  2018-08-14       Impact factor: 5.721

5.  Accuracy of ultrasound for endotracheal intubation between different transducer types.

Authors:  Michael Gottlieb; Dallas Holladay; Katharine Burns; Stephen R Gore; Collin Wulff; Shital Shah; John Bailitz
Journal:  Am J Emerg Med       Date:  2019-03-12       Impact factor: 2.469

6.  End-Tidal Carbon Dioxide Use for Tracheal Intubation: Analysis From the National Emergency Airway Registry for Children (NEAR4KIDS) Registry.

Authors:  Melissa L Langhan; Beth L Emerson; Sholeen Nett; Matthew Pinto; Ilana Harwayne-Gidansky; Kyle J Rehder; Conrad Krawiec; Keith Meyer; John S Giuliano; Erin B Owen; Keiko M Tarquinio; Ron C Sanders; Michael Shepherd; Gokul Kris Bysani; Asha N Shenoi; Natalie Napolitano; Sandeep Gangadharan; Simon J Parsons; Dennis W Simon; Vinay M Nadkarni; Akira Nishisaki
Journal:  Pediatr Crit Care Med       Date:  2018-02       Impact factor: 3.624

7.  Diagnostic utilities of tracheal ultrasound and USB-endoscope for the confirmation of endotracheal tube placement: A cadaver study.

Authors:  Erkman Sanri; Ebru Unal Akoglu; Sinan Karacabey; Ural Verimli; Haldun Akoglu; Umit Sehirli; Arzu Denizbasi
Journal:  Am J Emerg Med       Date:  2018-02-17       Impact factor: 2.469

8.  Accuracy of a Chest X-Ray-Based Method for Predicting the Depth of Insertion of Endotracheal Tubes in Pediatric Patients Undergoing Cardiac Surgery.

Authors:  Thomas Koshy; Satyajeet Misra; Nilay Chatterjee; Baiju S Dharan
Journal:  J Cardiothorac Vasc Anesth       Date:  2016-01-29       Impact factor: 2.628

9.  Diagnostic Accuracy of a 3-Point Ultrasound Protocol to Detect Esophageal or Endobronchial Mainstem Intubation in a Pediatric Emergency Department.

Authors:  Takaaki Mori; Osamu Nomura; Yusuke Hagiwara; Nobuaki Inoue
Journal:  J Ultrasound Med       Date:  2019-04-16       Impact factor: 2.153

10.  Chest radiography after endotracheal tube placement: is it necessary or not?

Authors:  Hooman Hossein-Nejad; Pooya Payandemehr; Seyed Ali Bashiri; Hamid Hossein-Nejad Nedai
Journal:  Am J Emerg Med       Date:  2013-06-28       Impact factor: 2.469

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