Sheth Mansi, Jaeel Pooja, Nguyen Jimmy
Keck School of Medicine, University of Southern California, Los Angeles, California.
Division of Neonatal-Perinatal Medicine, Department of Pediatrics, LAC + USC Medical Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
Am J Perinatol. 2017 Jun;34(7):627-632. doi: 10.1055/s-0036-1597846. Epub 2016 Dec 28.
Ultrasonography (US) has been shown to be effective for verifying endotracheal tube (ETT) position in adults and older children but has been less studied in the neonates and infants. The literature regarding US utility for ETT positioning in this population is reviewed. A literature search was conducted using the EMBASE, Google Scholar, MEDLINE, Ovid, and Scopus databases with search terms regarding US relating to ETT intubation and positioning in neonates and infants. Nine relevant studies were included for review. All studies report > 80% visualization of the ETT tip by US. US interpretation of the ETT position correlated with the radiography position in 73 to 100% of cases when the ETT tip was visible. There were variations in technique, sonographer, and sonographer training between studies. US appears to be well tolerated by neonates and infants and may augment the determination of proper ETT position. Further studies are needed regarding optimal technique and sonographer training.
超声检查（US）已被证明在确认成人和大龄儿童气管内插管（ETT）位置方面有效，但在新生儿和婴儿中的研究较少。本文对关于US在该人群中用于ETT定位的文献进行综述。 使用EMBASE、谷歌学术、MEDLINE、Ovid和Scopus数据库进行文献检索，检索词涉及US与新生儿和婴儿ETT插管及定位相关内容。 纳入9项相关研究进行综述。所有研究均报告US对ETT尖端的可视化率>80%。当ETT尖端可见时，US对ETT位置的判断与X线片位置在73%至100%的病例中相关。各研究在技术、超声检查人员及超声检查人员培训方面存在差异。 US似乎在新生儿和婴儿中耐受性良好，可能有助于确定ETT的正确位置。关于最佳技术和超声检查人员培训还需要进一步研究。
