TY - JOUR T1 - Usefulness of bedside ultrasound compared to capnography and X-ray for tracheal intubation JO - Anales de Pediatría (English Edition) T2 - AU - Alonso Quintela,P. AU - Oulego Erroz,I. AU - Mora Matilla,M. AU - Rodríguez Blanco,S. AU - Mata Zubillaga,D. AU - Regueras Santos,L. SN - 23412879 M3 - 10.1016/j.anpede.2014.01.002 DO - 10.1016/j.anpede.2014.01.002 UR - https://www.analesdepediatria.org/en-usefulness-bedside-ultrasound-compared-capnography-articulo-S2341287914000908 AB - ObjectivesThe aim of this study was to assess the usefulness of bedside ultrasound compared to capnography and X-ray for endotracheal intubation in children and newborns. Materials and methodsHemodynamically stable children intubated in pedriatric and neonatal intensive care unit were included. Endotracheal tube insertion was checked after every intubation attempt by tracheal ultrasound and capnography simultaneously. The endotracheal tube insertion depth was then checked by assessment of lung sliding by thoracic ultrasound. Thereafter, Chest X-ray was performed and interpreted as usual. Time to perform each technique was recorded. ResultsThe study included 31 intubations in 26 patients (15 in PICU and 16 in NICU). There were no statistically significant differences between tracheal ultrasound and capnography or between thoracic ultrasound and X-ray in identifying the correct endotracheal intubation and assessment of endotracheal tube insertion depth, respectively. Sensibility and specificity of ultrasound compared to capnography were 92% and 100%, and 100% and 75% compared to X-ray. Ultrasound was significantly slower compared to capnography [12 (4–16) vs 6 (3–12)s; P<.001] and significantly quicker compared to X-ray [0.22 (0.17–0.40) vs. 20 (17–25)min, P<.001]. ConclusionsUltrasound appears to be as effective as capnography, although slower, for identifying endotracheal intubation. Ultrasound may be useful in clinical situations, such as cardiopulmonary resuscitation where capnography is less reliable. Ultrasound is as effective as, and quicker than X-ray for assessment of endotracheal tube insertion depth, and it may contribute to decrease the routine use of X-ray after tracheal intubation. ER -