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2017, Number 1

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Gaceta Médica Espirituana 2017; 19 (1)

Assessment of endotracheal tube positioning by point- of-care ecography

Díaz ÁHR
Full text How to cite this article

Language: Spanish
References: 6
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PDF size: 153.13 Kb.


Key words:

intubation intratracheal, endotracheal intubation, ultrasound, echography, airways.

ABSTRACT

Background: The tracheal intubation is the second invasive procedure used in critical patients. Several methods have been used for the confirmation of the tracheal intubation, among them the lung auscultation, capnography, radiological study and echography. Presentation of the case: A case was assisted in the emergency room complaining of intense dyspnea, intensive care was needed and a rapid orotracheal intubation guided by ecography was performed, this method was not habitually carried out in Cuba where no records in publication were found previously in Cuban medical magazines. The technique of orotracheal intubation guided by ecography was carried out. Conclusions: The technique of orotracheal intubation guided by ecography is a safe, reliable and repeatable procedure, it also verifies the correct permanence and adequate position of orotracheal tube.


REFERENCES

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  2. Sun J, Sin S, Chou H, Chong K, Ma M, Lien W. Ultrasonography for proper endotracheal tube placement confirmation in out-of-hospital cardiac arrest patients: two-center experience. Crit Ultrasound J. [Internet]. 2014 [cited: 2016 julio 2]; 6(Suppl.1):A29. Available from: http://www.criticalultrasoundjournal.com/content/6/S1/A29

  3. Hoppmann R, Rao V, Bell F, Poston M, Howe D, Riffle S, et al. The evolution of an integrated ultrasound curriculum (iUSC) for medical students: 9-year experience. Crit Ultrasound J. [Internet]. 2015 [cited:2016/ jul 2];7:18 .Available from: http://www.criticalultrasoundjournal.com/content/3/1/

  4. Muslu B, Sert H, Irem R, Gözdemir M, Serife K. Use of Sonography for Rapid Identification of Esophageal and Tracheal Intubations in Adult Patients. J Ultrasound Med [Internet]. 2011 [cited: 2016 jul 2];30:671-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21527615.

  5. Shrestha GS. Point-of-Care Ultrasonography:A “Third Eye” for Anesthesiologist. SM J Anesth [Internet]. 2015 [cited: 2016/02/16];1:1001. Available from: http://smjournals.com/anesthesia/current-issue.php#

  6. Chou H, Chong K, Sim S, Ma MH, Liu SH, Chen NC, et al. Real-time tracheal ultrasonography for confirmation of endotracheal tube placement during cardiopulmonary resuscitation. Resuscitation. [Internet]. 2013 Dec [cited 2016 jul 16]; 84(12):1708–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23851048.




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Gaceta Médica Espirituana. 2017;19