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Comparison of five conventional methods and capnography in the detection of tube placement in endotracheal intubation

Year 2018, Volume: 4 Issue: 4, 167 - 172, 03.01.2019

Nimet Bilal Erdem İsmet Parlak Çağrı Kokkoz , Emirhan Erdem Necmiye Yalçın Ocak

Abstract

Amaç: Bu çalışmanın amacı, endotrakeal tüp (ETT) entübasyonunu saptamak için konvansiyonel yöntemlerin duyarlılık ve özgüllüğünü ve altın standart yöntem, kapnografi ve kapnografi cihazı bulunmadığında bu geleneksel yöntemlerin güvenilirliğini karşılaştırmaktır.
Hastalar ve yöntemler: Bu prospektif kesitsel çalışmada, hastalar dahil etme kriterlerine göre seçildi. Tüpün ses tellerinden geçmesi, ETT'nin bulanıklaşması, akciğerde oskültasyonda iki taraflı ve eşit seslerin duyulması, mide oskültasyonunda işitme seslerinin duyulmaması ve göğüs genişlemesinin gözlemlenmesi ETT pozisyonunun doğrulanması için kullanıldı.
Bulgular: Dahil etme kriterlerini karşılayan toplam 84 hasta çalışmaya dahil edildi. Toplam 96 entübasyonun sonuçları değerlendirildi. Endotrakeal tüp pozisyonunun doğrulanması için, tüpün vokal kordlardan geçme duyarlılığı %93, özgüllük %100, pozitif kestirim değeri (PPV) %100 ve negatif kestirim değeri (NPV) %67 idi. Akciğer oskültasyonunun duyarlılığı %100, özgüllük %83, PPV %98 ve NPV %100 idi. Mide oskültasyonunun duyarlılığı %90, özgüllük %100, PPV %100 ve NPV %45 idi. Akciğer ve mide oskültasyonu birlikte değerlendirildiğinde duyarlılık, özgüllük, PPV ve NPV %100 olarak bulundu.
Sonuç: Tüpün vokal kordlardan geçmesi, iki taraflı ve eşit seslerin akciğer oskültasyonunda duyulması ve mide oskültasyonunda sesler duyulmaması, entübasyon uygulandığında kapnografinin yokluğunda ETT'nin doğrulanması için kullanılabileceğini düşünüyoruz ancak bu yöntemlerin kombine olarak kullanıldığında daha güvenilir ve etkilidir.

Keywords

Kapnografi doğrulama entübasyon

References

  • 1. Chou HC, Tseng WP, Wang CH, Ma MH, Wang HP, Huang PC, et al. Tracheal rapid ultrasound exam (T.R.U.E.) for confirming endotracheal tube placement during emergency intubation. Resuscitation 2011;82:1279-84.
  • 2. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 6: advanced cardiovascular life support: section 1: Introduction to ACLS 2000: overview of recommended changes in ACLS from the guidelines 2000 conference. The American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Circulation 2000;102(8 Suppl):I86-9.
  • 3. Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122(18 Suppl 3):S729-67.
  • 4. Deiorio NM. Continuous end-tidal carbon dioxide monitoring for confirmation of endotracheal tube placement is neither widely available nor consistently applied by emergency physicians. Emerg Med J 2005;22:490-3.
  • 5. Carlson JN, Wang HE. Noninvasive airway management. In: Tintinalli JE, Stapczynski JS, Ma OJ, Yealy D, Meckler GD, Cline DM, , editors. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 8th ed. New York: McGraw-Hill; 2016. p. 178-83.
  • 6. Nagler J, Krauss B. Capnography: a valuable tool for airway management. Emerg Med Clin North Am 2008;26:881-97.
  • 7. Andersen KH, Hald A. Assessing the position of the tracheal tube. The reliability of different methods. Anaesthesia 1989;44:984-5.
  • 8. Grmec S. Comparison of three different methods to confirm tracheal tube placement in emergency intubation. Intensive Care Med 2002;28:701-4.
  • 9. Brunel W, Coleman DL, Schwartz DE, Peper E, Cohen NH. Assessment of routine chest roentgenograms and the physical examination to confirm endotracheal tube position. Chest 1989;96:1043-5.
  • 10. American College of Emergency Physicians. Verification of endotracheal tube placement. Policy statement; 2001.
  • 11. Kelly JJ, Eynon CA, Kaplan JL, de Garavilla L, Dalsey WC. Use of tube condensation as an indicator of endotracheal tube placement. Ann Emerg Med 1998;31:575-8.

Year 2018, Volume: 4 Issue: 4, 167 - 172, 03.01.2019

Nimet Bilal Erdem İsmet Parlak Çağrı Kokkoz , Emirhan Erdem Necmiye Yalçın Ocak

Abstract

References

  • 1. Chou HC, Tseng WP, Wang CH, Ma MH, Wang HP, Huang PC, et al. Tracheal rapid ultrasound exam (T.R.U.E.) for confirming endotracheal tube placement during emergency intubation. Resuscitation 2011;82:1279-84.
  • 2. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 6: advanced cardiovascular life support: section 1: Introduction to ACLS 2000: overview of recommended changes in ACLS from the guidelines 2000 conference. The American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Circulation 2000;102(8 Suppl):I86-9.
  • 3. Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122(18 Suppl 3):S729-67.
  • 4. Deiorio NM. Continuous end-tidal carbon dioxide monitoring for confirmation of endotracheal tube placement is neither widely available nor consistently applied by emergency physicians. Emerg Med J 2005;22:490-3.
  • 5. Carlson JN, Wang HE. Noninvasive airway management. In: Tintinalli JE, Stapczynski JS, Ma OJ, Yealy D, Meckler GD, Cline DM, , editors. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 8th ed. New York: McGraw-Hill; 2016. p. 178-83.
  • 6. Nagler J, Krauss B. Capnography: a valuable tool for airway management. Emerg Med Clin North Am 2008;26:881-97.
  • 7. Andersen KH, Hald A. Assessing the position of the tracheal tube. The reliability of different methods. Anaesthesia 1989;44:984-5.
  • 8. Grmec S. Comparison of three different methods to confirm tracheal tube placement in emergency intubation. Intensive Care Med 2002;28:701-4.
  • 9. Brunel W, Coleman DL, Schwartz DE, Peper E, Cohen NH. Assessment of routine chest roentgenograms and the physical examination to confirm endotracheal tube position. Chest 1989;96:1043-5.
  • 10. American College of Emergency Physicians. Verification of endotracheal tube placement. Policy statement; 2001.
  • 11. Kelly JJ, Eynon CA, Kaplan JL, de Garavilla L, Dalsey WC. Use of tube condensation as an indicator of endotracheal tube placement. Ann Emerg Med 1998;31:575-8.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Experimental Study
Authors

Nimet Bilal Erdem This is me

İsmet Parlak This is me

Çağrı Kokkoz

Emirhan Erdem This is me

Necmiye Yalçın Ocak This is me

Publication Date January 3, 2019
Published in Issue Year 2018 Volume: 4 Issue: 4

Cite

APA Erdem, N. B., Parlak, İ., Kokkoz, Ç., Erdem, E., et al. (2019). Comparison of five conventional methods and capnography in the detection of tube placement in endotracheal intubation. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 4(4), 167-172.
AMA Erdem NB, Parlak İ, Kokkoz Ç, Erdem E, Yalçın Ocak N. Comparison of five conventional methods and capnography in the detection of tube placement in endotracheal intubation. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. January 2019;4(4):167-172.
Chicago Erdem, Nimet Bilal, İsmet Parlak, Çağrı Kokkoz, Emirhan Erdem, and Necmiye Yalçın Ocak. “Comparison of Five Conventional Methods and Capnography in the Detection of Tube Placement in Endotracheal Intubation”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 4, no. 4 (January 2019): 167-72.
EndNote Erdem NB, Parlak İ, Kokkoz Ç, Erdem E, Yalçın Ocak N (January 1, 2019) Comparison of five conventional methods and capnography in the detection of tube placement in endotracheal intubation. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 4 4 167–172.
IEEE N. B. Erdem, İ. Parlak, Ç. Kokkoz, E. Erdem, and N. Yalçın Ocak, “Comparison of five conventional methods and capnography in the detection of tube placement in endotracheal intubation”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 4, no. 4, pp. 167–172, 2019.
ISNAD Erdem, Nimet Bilal et al. “Comparison of Five Conventional Methods and Capnography in the Detection of Tube Placement in Endotracheal Intubation”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 4/4 (January 2019), 167-172.
JAMA Erdem NB, Parlak İ, Kokkoz Ç, Erdem E, Yalçın Ocak N. Comparison of five conventional methods and capnography in the detection of tube placement in endotracheal intubation. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2019;4:167–172.
MLA Erdem, Nimet Bilal et al. “Comparison of Five Conventional Methods and Capnography in the Detection of Tube Placement in Endotracheal Intubation”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 4, no. 4, 2019, pp. 167-72.
Vancouver Erdem NB, Parlak İ, Kokkoz Ç, Erdem E, Yalçın Ocak N. Comparison of five conventional methods and capnography in the detection of tube placement in endotracheal intubation. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2019;4(4):167-72.
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