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• W2980659237 abstract "SESSION TITLE: Ultrasound in the ICU: What Else Can We Look At? SESSION TYPE: Original Investigations PRESENTED ON: 10/20/2019 2:15 PM - 3:15 PM PURPOSE: Bedside Ultrasound is an increasingly important tool that is being used daily by ICU & emergency physicians yet this method has not been widely adopted by providers performing endotracheal intubation. The current clinical practice is to confirm ETT placement with sequential use of the calorimetric device then auscultation, and followed by a CXR. We wanted to show that bedside US in the hands of trained physicians is an accurate method confirming ETT placement. The study is a quality improvement project trying to show that pulmonary fellows and faculty who are trained to used bedside ultrasound can use it as an additional method of verification of ETT placement. METHODS: A total of 15 intubations were studied. Following an intubation in the ICU a routine use of the calorimetric device and auscultation will be used to assess for ETT placement. Bedside US will then be performed by fellow and faculty to assess for ETT placement while waiting for a potable CXR. Using the high-frequency linear transducer over the trachea just above the suprasternal notch and identifying the trachea with ETT as a single tract and ensuring no esophagus or double tract sign identified. This was followed by obtaining images of bilateral pleural sliding. Study personal observed the time and accuracy of bedside US to assess for ETT placement and compare results with the confirmatory CXR. RESULTS: Among the 15 intubations we had in this study, Bedside US sensitivity, specificity & positive predictive value were 100% 100% of the physicians that performed this method thought that it was easy to obtain images, they were confident about the ETT position and they were willing to change their practice. The time recored to verify ETT placement using bedside US was between 2-5 minutes. CONCLUSIONS: Bedside US in the hands of trained physicians is an easy, reliable and accurate tool to confirm ETT placement with excellent degree of sensitivity and specificity. Pulmonary fellows and faculty at KUMC who participated in this study were willing to change their practice and adopt the use of bedside US to confirm ETT placement. CLINICAL IMPLICATIONS: We anticipate that other pulmonologist and intensivists will have similar experience to ours. Bedside US if adopted widely by physicians would save time, cost and radiation exposure. DISCLOSURES: Speaker/Speaker's Bureau relationship with Cheetah Medical Inc Please note: $1001 - $5000 Added 02/04/2019 by Heath Latham, source=Web Response, value=Consulting fee No relevant relationships by Mohamed Ramez Mourad, source=Web Response No relevant relationships by Lewis Satterwhite, source=Web Response No relevant relationships by Zaid Shakir, source=Web Response" @default.
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• W2980659237 date "2019-10-01" @default.
• W2980659237 modified "2023-10-16" @default.
• W2980659237 title "BEDSIDE ULTRASOUND AS AN ADDITIONAL TOOL TO VERIFY ENDOTRACHEAL TUBE PLACEMENT FOLLOWING INTUBATION IN ICU PATIENTS" @default.
• W2980659237 doi "https://doi.org/10.1016/j.chest.2019.08.1384" @default.
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