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Sonographic verification of endotracheal tube position in neonates: A modified technique

Sonographic verification of endotracheal tube position in neonates: A modified technique Peter Allen Lingle, MD A major problem in the care of newborn infants with respiratory failure is the initial placement and subsequent maintenance of the endotracheal (ET) tube in a safe position within the neonatal airway. The chest roentgenogram is widely regarded as the only method for verifying ET tube position that is completely reliable and because of this many newborns with respiratory failure will ultimately require a large number of chest roentgenograms during their hospital course solely to document ET tube position. Although generally reliable, certain features of chest roentgenography make it a less than ideal technique for verifying ET tube position in newborn infants. The delivery of ionizing radiation both to the patient and to the work environment is clearly a disadvantageous feature. Also, extensive patient handling is required in order to perform a routine chest X-ray, and since the stress of such environmental exposure and handling is not well tolerated by premature newborns, this feature is also disadvantageous. A recent report in the medical literature for the first time demonstrated that in the intubated newborn, real-time ultrasound can be used to verify correct and safe positioning of the ET tube.’ These authors studied ET tube http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Sonographic verification of endotracheal tube position in neonates: A modified technique

Lingle, Peter Allen
Journal of Clinical Ultrasound , Volume 16 (8) – Oct 1, 1988
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References (14)

Publisher
Wiley
Copyright
Copyright © 1988 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870160816
Publisher site
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Abstract

Peter Allen Lingle, MD A major problem in the care of newborn infants with respiratory failure is the initial placement and subsequent maintenance of the endotracheal (ET) tube in a safe position within the neonatal airway. The chest roentgenogram is widely regarded as the only method for verifying ET tube position that is completely reliable and because of this many newborns with respiratory failure will ultimately require a large number of chest roentgenograms during their hospital course solely to document ET tube position. Although generally reliable, certain features of chest roentgenography make it a less than ideal technique for verifying ET tube position in newborn infants. The delivery of ionizing radiation both to the patient and to the work environment is clearly a disadvantageous feature. Also, extensive patient handling is required in order to perform a routine chest X-ray, and since the stress of such environmental exposure and handling is not well tolerated by premature newborns, this feature is also disadvantageous. A recent report in the medical literature for the first time demonstrated that in the intubated newborn, real-time ultrasound can be used to verify correct and safe positioning of the ET tube.’ These authors studied ET tube

Journal

Journal of Clinical Ultrasound – Wiley

Published: Oct 1, 1988

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