小儿重症监护病房中使用床旁超声检查确认气管插管位置：一项验证研究。
Endotracheal Tube Placement Confirmation with Bedside Ultrasonography in the Pediatric Intensive Care Unit: A Validation Study.
作者信息
Chandnani Harsha K, Maxson Ivanna N, Mittal Disha K, Dehom Salem, Moretti Anthony, Dinh Vi A, Lopez Merrick, Ejike Janeth C
机构信息
Department of Pediatrics, Division of Pediatric Critical Care, Loma Linda University Children's Hospital, Loma Linda, California, United States.
Graduate Department, Loma Linda University School of Nursing, Loma Linda, California, United States.
出版信息
J Pediatr Intensive Care. 2021 Sep;10(3):180-187. doi: 10.1055/s-0040-1715484. Epub 2020 Aug 20.
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.
接受气管插管的重症患者需进行多次胸部X光检查（CXR）以确定气管插管位置；然而，其他方法可以节省时间、医疗费用并减少辐射暴露。在本文中，我们评估了超声在确认患者气管插管（ETT）位置方面的有效性和不同评估者之间的可靠性。对使用带气囊ETT的插管患者进行了一项前瞻性研究。超声确认92例患者ETT正确放置的准确率为97.8%。将超声与CXR检查结果进行比较，发现敏感性、阳性预测值和一致性分别为97.7%、93.3%和91.3%。超声在评估儿童ETT正确位置方面是可行的、可靠的，并且具有良好的不同评估者之间的可靠性。
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