UNASSIGNED:气管内插管是提供安全的横截面气道区域的基本方法,错误的放置可能是危险的并导致并发症。因此,本研究旨在探讨彩色多普勒腹壁超声和线性探头胸骨上切迹超声与标准二氧化碳造影对插管后气管导管(ETT)放置的诊断价值。
UNASSIGNED:这项诊断价值研究是对104名需要插管的患者进行的,这些患者被转诊到急诊科。插管后,使用彩色多普勒上腹超声和胸骨上切迹超声以及标准二氧化碳造影来确认ETT的放置。
UASSIGNED:彩色多普勒上腹超声的敏感性和特异性分别为97.96%和100%,胸骨上切迹超声分别为98.98%和66.67%,两种方法的组合分别为96.94%和100%,在确认ETT放置方面显示出显着的诊断价值(P<0.001)。通过标准二氧化碳描记术方法确认ETT放置的平均时间(17.95±2.45s)明显高于上腹部超声(10.38±4.65s)和胸骨上切迹超声(5.08±4.45s)两种方法以及平均为15.46±8.31s的联合方法(P<0.001)。
UNASSIGNED:这项研究的结果表明,尽管超声是一种潜在的精确,快,和可靠的方法来确认气管内导管的放置,但与上腹部超声和联合方法相比,胸骨上切迹超声被认为是一种更合适的诊断技术,因为它具有更高的灵敏度和更短的检测时间。
UNASSIGNED: Endotracheal intubation is the basic method of providing a safe cross-sectional airway area and the incorrect placement can be dangerous and causes complications. So this study aimed to access the diagnostic value of color Doppler
epigastric ultrasound and linear probe suprasternal notch ultrasound in comparison with standard capnography in confirmation of endotracheal tube (ETT) placement after intubation.
UNASSIGNED: This diagnostic value study was conducted on 104 patients requiring intubation who were referred to the Emergency Department. After the intubation, color Doppler
epigastric ultrasound and suprasternal notch ultrasound as well as the standard capnography were used to confirm the placement ETT.
UNASSIGNED: The sensitivity and specificity of color Doppler
epigastric ultrasound were 97.96% and 100%, for suprasternal notch ultrasound were 98.98% and 66.67%, and for combination of the both methods were 96.94% and 100% respectively that showed the significant diagnostic value in the confirmation of ETT placement (P < 0.001). The mean of elapsed time to confirm the ETT placement by the standard capnography method (17.95 ± 2.45 s) was significantly more than the two methods of
epigastric ultrasound (10.38 ± 4.65 s) and suprasternal notch ultrasound (5.08 ± 4.45 s) as well as the combined method with the mean of 15.46 ± 8.31 s (P < 0.001).
UNASSIGNED: The results of this study showed that although ultrasound is a potentially accurate, fast, and reliable method to confirm the endotracheal tube placement, but suprasternal notch ultrasound is considered to be a more appropriate diagnostic technique due to its higher sensitivity and less detection time compared to
epigastric ultrasound and combined method.