• Respiratory care · May 2022

    Review

    Portable Handheld Point-of-Care Ultrasound for Detecting Unrecognized Esophageal Intubations.

    • Gabrielle A White-Dzuro, Lauren E Gibson, Lorenzo Berra, Edward A Bittner, and Marvin G Chang.
    • Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.
    • Respir Care. 2022 May 1; 67 (5): 607612607-612.

    AbstractEsophageal 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.Copyright © 2022 by Daedalus Enterprises.

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