Use of capnography in the delivery room for assessment of endotracheal tube placement

被引：84

作者：

Repetto J.E. ^{[1
]}

Donohue ^{[1
]}

Pa-C P.K. ^{[1
]}

Baker S.F. ^{[1
]}

Kelly L. ^{[2
]}

Nogee L.M. ^{[1
]}

机构：

[1] Division of Neonatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD

[2] Johns Hopkins Hospital, Baltimore, MD

来源：

Journal of Perinatology | 2001年 / 21卷 / 5期

关键词：

D O I：

10.1038/sj.jp.7210534

中图分类号：

学科分类号：

摘要：

Objective: Determine whether end-tidal CO2 (ETCO2) monitoring allows for more rapid discrimination of tracheal versus esophageal intubation than standard clinical assessment during neonatal resuscitation in the delivery room. Study Design: Endotracheal tube (ETT) placement was assessed using either a hand-held monitor that displayed graphic and quantitative ETCO2 by an investigator not involved in the resuscitation, or using clinical parameters by the resuscitation team unaware of the ETCO2 data. The time differences between ETCO2 and clinical determinations of ETT placement were compared. Results: Capnography correctly identified all 16 tracheal and 11 esophageal intubations performed on 16 study infants. The median times (and range) in seconds required for capnographic and clinical determination of tracheal intubation were 9 (4 to 26) vs. 35 (18 to 70), p<.001, and for esophageal intubation were 9 (4 to 17) vs. 30 (25 to 111), p=.001. Conclusion: Capnography allowed more rapid determination of both tracheal and unintended esophageal intubation than clinical assessment.

引用

页码：284 / 287

页数：3

共 12 条

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