Volume 20 Issue 8
Aug.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1283-1286
ZUO Li-li, REN Yi-mei, GUAN Ya-fei, GONG Li-ling, YAN Qi, CHEN Xiao-qing. Application of ultrasound imaging technology to evaluate the localisation of endotracheal intubation in critically ill premature infants[J]. Chinese Journal of General Practice, 2022, 20(8): 1283-1286. doi: 10.16766/j.cnki.issn.1674-4152.002577
Citation: ZUO Li-li, REN Yi-mei, GUAN Ya-fei, GONG Li-ling, YAN Qi, CHEN Xiao-qing. Application of ultrasound imaging technology to evaluate the localisation of endotracheal intubation in critically ill premature infants[J]. Chinese Journal of General Practice, 2022, 20(8): 1283-1286. doi: 10.16766/j.cnki.issn.1674-4152.002577
shu

Application of ultrasound imaging technology to evaluate the localisation of endotracheal intubation in critically ill premature infants

doi: 10.16766/j.cnki.issn.1674-4152.002577

  • Department of Pediatrics, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China

Funds:

 81871195

  • Received Date: 2021-08-07
    Available Online: 2022-09-26
    Abstract
  •   Objective  To evaluate the clinical application of ultrasound imaging technology in the localisation of endotracheal intubation in critically ill preterm infants.  Methods  A total of 103 critically ill premature infants who received endotracheal intubation in the neonatal intensive care unit of the First Affiliated Hospital of Nanjing Medical University from January 2019 to January 2021 were selected as the research object. By different methods of positioning endotracheal tube, they were divided into ultrasound group (50 cases) and control group (53 cases) by auscultation of lung and gastric vesicle. After the catheter was fixed, the catheter's position was evaluated by chest X-ray. The ultrasonographic characteristics of the ultrasound group were observed and analysed. Moreover, the suitability rate of endotracheal tube positioning and the rates of mistakenly entering the oesophagus and main bronchus (catheterisation too deep) and detubation (catheterisation too shallow) were compared between the two groups to evaluate the accuracy of endotracheal tube positioning by different methods.  Results  The suitability rate of catheter positioning in the ultrasound group was higher than that in the control group (86.0% vs. 54.7%, P=0.001). The rates of mistakenly entering the main bronchus (6.0% vs. 20.8%, P=0.029) and detubation (4.0% vs. 17.0%, P=0.033) were lower than those in the control group (P < 0.05). The suitability of X-ray localisation of endotracheal tube was taken as the gold standard, and the localisation mode of the two groups was considered as the screening standard. The Youden index (71.1% vs. 6.5%), sensitivity (91.1% vs. 88.9%), specificity (80.0% vs. 11.8%) and Kappa consistency coefficient (0.561 vs. 0.008) in the ultrasound group were significantly higher than those in the control group.  Conclusion  Ultrasound imaging technology can effectively evaluate the positioning of the endotracheal tube in real time. It can accurately judge the position and depth of the endotracheal tube and reduce the accumulation of radiation exposure. It is worthy to be popularised and applied in critically ill preterm infants.

     

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