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J Pediatr Intensive Care 2021; 10(03): 180-187
DOI: 10.1055/s-0040-1715484
Original Article

Endotracheal Tube Placement Confirmation with Bedside Ultrasonography in the Pediatric Intensive Care Unit: A Validation Study

Harsha K. Chandnani
1   Department of Pediatrics, Division of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, California, United States
,
Ivanna N. Maxson
1   Department of Pediatrics, Division of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, California, United States
,
Disha K. Mittal
1   Department of Pediatrics, Division of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, California, United States
,
Salem Dehom
2   Graduate Department, Loma Linda University School of Nursing, Loma Linda, California, United States
,
Anthony Moretti
1   Department of Pediatrics, Division of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, California, United States
,
Vi A. Dinh
3   Department of Medicine and Emergency Medicine, Loma Linda University Medical Center, Loma Linda, California, United States
,
Merrick Lopez
1   Department of Pediatrics, Division of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, California, United States
,
Janeth C. Ejike
1   Department of Pediatrics, Division of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, California, United States
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Abstract

Critically ill patients who are intubated undergo multiple chest X-rays (CXRs) to determine endotracheal tube position; however, other modalities can save time, medical expenses, and radiation exposure. In this article, we evaluated the validity and interrater reliability of ultrasound to confirm endotracheal tube (ETT) position in patients. A prospective study was performed on intubated patients with cuffed ETTs. The accuracy of ultrasound to confirm correct ETT placement in 92 patients was 97.8%. Sensitivity, positive predictive value, and agreement of 97.7, 93.3, and 91.3% were found on comparing ultrasound to CXR findings. Ultrasound is feasible, reliable, and has good interrater reliability in assessing correct ETT position in children.

Keywords

ultrasound - endotracheal intubation - radiation


Publikationsverlauf

Eingereicht: 23. April 2020

Angenommen: 26. Juni 2020

Artikel online veröffentlicht:
20. August 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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