VALIDITY OF A DISPOSABLE END-TIDAL CO2 DETECTOR IN VERIFYING ENDOTRACHEAL-TUBE PLACEMENT IN INFANTS AND CHILDREN

被引：76

作者：

BHENDE, MS

THOMPSON, AE

COOK, DR

SAVILLE, AL

机构：

[1] Emergency Department, Children's Hospital of Pittsburgh, Pittsburgh, PA

[2] Pediatric Intensive Care Unit, Children's Hospital of Pittsburgh, Pittsburgh, PA

[3] Department of Anesthesiology, Children's Hospital of Pittsburgh, Pittsburgh, PA

[4] Respiratory Care Services, Children's Hospital of Pittsburgh, Pittsburgh, PA

来源：

ANNALS OF EMERGENCY MEDICINE | 1992年 / 21卷 / 02期

关键词：

END-TIDAL CO2 DETECTOR; ENDOTRACHEAL INTUBATION;

D O I：

10.1016/S0196-0644(05)80148-9

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To examine the validity of a disposable, colorimetric end-tidal CO2 detector in verifying endotracheal tube (ETT) placement in infants and children. Design: The detector was studied prospectively in 151 intubations. Setting: Operating room, ICU, and emergency department of a children's hospital. Participants: One hundred thirty-seven children undergoing endotracheal intubation for anesthesia (52), respiratory support (76), or CPR (23). Interventions: After endotracheal intubation, tube position was verified, the detector was attached, and readings were obtained. Measurements and results: The detector correctly identified tube position (trachea, 124; esophagus, four) in all 120 patients who were not in cardiac arrest (P < .01). In the cardiac arrest setting, all six esophageal intubations were correctly identified, but two of the 17 tracheal intubations were incorrectly interpreted as esophageal intubations (P < .01). Conclusion: The detector accurately identifies ETT position in children with spontaneous circulation who weigh more than 2 kg. During CPR, a positive test correctly indicates that the ETT is in the airway, but a negative result (suggesting esophageal placement) requires an alternate means of confirming ETT position.

引用

页码：142 / 145

页数：4

共 20 条

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