TY  - CHAP
M1  - Book, Section
TI  - Chapter 22. Ultrasound for Endotracheal Intubation
A1  - Manson, William
A2  - Carmody, Kristin A.
A2  - Moore, Christopher L.
A2  - Feller-Kopman, David
PY  - 2011
T2  - Handbook of Critical Care and Emergency Ultrasound
AB  - Endotracheal  intubation  can  be  one  of  the  more  challenging  tasks  in  emergency  medicine  and  critical  care.  Misplacement  of  the  tube,  most  often  into  the  right  main  stem  bronchus  or  esophagus,  has  been  reported  in  up  to  8%  of  cases  in  the  literature.  Secondary  confirmation  of  tube  placement  also  presents  various  challenges  to  the  practitioner.  Traditionally,  direct  visualization  of  the  endotracheal  tube  followed  by  at  least  one  or  more  secondary  confirmations  is  required  to  confirm  tube  placement.  End-tidal  colorimetric  devices  are  most  frequently  used  in  the  acute  care  setting,  as  well  as  auscultation  of  the  thorax  and  epigastrium.  Esophageal  bulb  detectors,  visualization  of  mist  in  the  endotracheal  tube,  and  bilateral  chest  rise  are  also  employed.  Each  of  these  techniques  and  devices  has  specific  limitations  and  pitfalls.  Bedside  ultrasound  may  also  be  used  to  dynamically  observe  tube  passage  into  the  trachea  or  esophagus,  providing  an  additional  method  of  confirmation.  Following  successful  intubation,  bedside  ultrasound  may  also  be  used  to  visualize  the  presence  of  bilateral  lung  sliding  and  comet-tail  artifact,  additional  indicators  of  correct  placement,  and  lung  expansion  post-intubation.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=56302065
ER  -