• J Clin Anesth · Aug 2003

    Randomized Controlled Trial Clinical Trial

    Tracheoscopy with the rapiscope to verify endotracheal tube placement.

    • S T John Sum Ping, James A Pittman, Stuart A Hohm, and Matthew W Sherwood.
    • Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA. sam.sum-ping@utsouthwestern.edu
    • J Clin Anesth. 2003 Aug 1; 15 (5): 334-8.

    Study ObjectiveTo determine whether tracheoscopy is an accurate and quick method for verifying correct placement of the tracheal tube after intubation.DesignProspective, randomized study.SettingOperating rooms of a teaching hospital.Patients26 patients scheduled for surgery and general anesthesia.Interventions8.0-mm tracheal tubes were inserted into both the trachea and the esophagus. Tracheoscopy was performed consecutively through both tracheal tubes by a variety of clinicians.MeasurementsThe times taken to correctly identify the trachea and the esophagus were recorded.Main ResultsCorrect identification of either the esophagus or the trachea occurred with a 100% sensitivity and a 96% specificity. The mean time to recognize either the trachea or the esophagus was 22.0 seconds.ConclusionsTracheoscopy is a reliable method for quickly verifying proper endotracheal placement of a tracheal tube.

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