Search research articles

Search research articles

Related Experiment Videos

[Methods for ensuring correct tracheal intubation. A review].

¹Bispebjerg Hospital, anaestesiologisk afdeling, København.

Ugeskrift for Laeger

|January 21, 1991

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Disentangling time-focusing from beam divergence: A novel approach for high-flux thermal neutron spectroscopy at continuous and long-pulse sources.

The Review of scientific instruments·2019

Same author

A smartphone application supporting patients with psoriasis improves adherence to topical treatment: a randomized controlled trial.

The British journal of dermatology·2018

Same author

Adult and offspring size in the ocean over 17 orders of magnitude follows two life history strategies.

Ecology·2016

Same author

Characteristic Sizes of Life in the Oceans, from Bacteria to Whales.

Annual review of marine science·2015

Same author

Generalization of the classical xyz-polarization analysis technique to out-of-plane and inelastic scattering.

The Review of scientific instruments·2013

Same author

Emerging asymmetric interactions between forage and predator fisheries impose management trade-offs.

Journal of fish biology·2013

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Confirming correct endotracheal tube placement is crucial. Reliable methods include direct visualization, bronchoscopy, and end-tidal carbon dioxide monitoring, unlike less dependable techniques like chest auscultation.

Area of Science:

Medical Devices
Critical Care Medicine
Anesthesiology

Background:

Accurate confirmation of endotracheal tube (ETT) placement is vital for patient safety during mechanical ventilation.
Numerous methods exist for ETT confirmation, but their reliability varies significantly.
Unreliable confirmation can lead to severe complications, including esophageal intubation and delayed recognition of misplacement.

Purpose of the Study:

To review and differentiate reliable from unreliable methods for confirming endotracheal tube placement.
To identify evidence-based recommendations for routine clinical practice.
To enhance patient outcomes by promoting accurate intubation verification.

Main Methods:

Literature review of methods for endotracheal tube confirmation.

Related Experiment Videos

Categorization of methods based on reported reliability and clinical recommendations.

Identification of gold-standard techniques and routine monitoring strategies.

Main Results:

Traditional methods like chest auscultation, thoracic movement, and pulse oximetry are deemed unreliable.
Recommended reliable methods include direct laryngoscopy, fiberoptic bronchoscopy, and end-tidal carbon dioxide (ETCO2) measurement.
Suctioning with a syringe and upper abdominal auscultation are also noted as reliable indicators.

Conclusions:

Direct visualization and ETCO2 monitoring are the most reliable methods for confirming endotracheal tube placement.
Routine clinical practice should prioritize these reliable methods for daily control.
Implementing recommended techniques minimizes the risk of esophageal intubation and improves patient safety.