RT Journal Article
SR Electronic
T1 Portable Handheld Point-of-Care Ultrasound for Detecting Unrecognized Esophageal Intubations
JF Respiratory Care
FD American Association for Respiratory Care
SP 607
OP 612
DO 10.4187/respcare.09239
VO 67
IS 5
A1 Gabrielle A White-Dzuro
A1 Lauren E Gibson
A1 Lorenzo Berra
A1 Edward A Bittner
A1 Marvin G Chang
YR 2022
UL http://rc.rcjournal.com/content/67/5/607.abstract
AB Esophageal intubations are not an uncommon occurrence in prehospital settings, occurring as high as 17%. These “never events” are associated with significant morbidity and mortality especially when unrecognized or when there is delayed recognition. Here, we review the currently available techniques for confirming endotracheal tube intubation and their limitations, and present the case for the application of portable handheld point-of-care ultrasound as an emerging technology for detection of potentially unrecognized esophageal intubations such as during cardiac arrest. We also provide algorithms for confirmation of tracheal intubation.