Ultrasonography for Determining Endotracheal Tube Tip Position in Very Low Birth Weight Infants


Dincer E., TOPCUOĞLU S., KARATEKİN G.

Journal of Ultrasound in Medicine, cilt.42, sa.2, ss.437-441, 2023 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 42 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1002/jum.16067
  • Dergi Adı: Journal of Ultrasound in Medicine
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CAB Abstracts, CINAHL, Compendex, Veterinary Science Database
  • Sayfa Sayıları: ss.437-441
  • Anahtar Kelimeler: endotracheal tube, intubation, prematurity, ultrasonography, very low birth weight, X-ray
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: This study aims to investigate the feasibility of USG in confirming the endotracheal tube site and compare it with chest X-rays in very low birth weight infants. Methods: A chest X-ray and thorax ultrasonography processes are started as soon as the infant is intubated. Endotracheal tube place is evaluated with ultrasonography and noted, and with chest X-ray and time elapsed in these two processes are noted. The correlation between these two methods was calculated. Results: While endotracheal tubes are visualized with 100% success, there was a significant correlation between the measures of endotracheal tube-carina distances (r =.979, P >.001). In addition, ultrasonography was six times faster than chest X-ray interpretation (USG; 4.6 ± 1.8 min vs CXR; 29.6 ± 9.0 min, P <.001). Conclusions: Ultrasonography is a feasible and faster method for determining endotracheal tube place in very low birth weight infants and may prevent radiation exposure in neonatal intensive care units.