Author Affiliations: University of Miami School of Nursing and Health Studies, Coral Gables, Florida (Drs Gonzalez, Ortega, Gonzalez, Crenshaw, and Groom); and The Ohio State University The college of Nursing, Columbus, Ohio (Dr. McGhee).
Adv Emerg Nurs J. 2024;46(2):126-140. doi: 10.1097/TME.0000000000000514. Epub 2024 May 9.
Ensuring correct placement of the endotracheal tube (ETT) during intubation is an important step to avoid complications. Appropriate placement of the ETT can be challenging and, if done incorrectly, can lead to complications such as hypoxemia, atelectasis, hyperinflation, barotrauma, cardiovascular instability, end organ damage, and even death. Although several procedures exist to help assess ETT confirmation, all have limitations, are not always reliable, and vary in their degree of accuracy. Point-of-care ultrasound (POCUS) has emerged as a useful tool in the emergency department for quick diagnosis and treatment of many emergency conditions (Gonzalez et al., 2020). The purpose of this paper is to describe a systematic approach for the emergency nurse practitioner to use POCUS to assess proper endotracheal placement and the positioning within the trachea based on prior studies that compare this modality to traditional ones.
确保在插管过程中正确放置气管内导管（ETT）是避免并发症的重要步骤。正确放置 ETT 可能具有挑战性，如果操作不当，可能会导致低氧血症、肺不张、过度充气、气压伤、心血管不稳定、终末器官损伤，甚至死亡。尽管存在几种程序来帮助评估 ETT 确认，但所有程序都有局限性，并不总是可靠的，并且准确性程度不同。即时护理超声（POCUS）已成为急诊科快速诊断和治疗许多急症的有用工具（Gonzalez 等人，2020 年）。本文的目的是描述一种系统方法，供急诊执业护士使用 POCUS 根据先前将该模式与传统模式进行比较的研究来评估适当的气管内放置和在气管内的定位。
