Air Medical Journal
Volume 25, Issue 2 , Pages 74-80 , March 2006

Verification of endotracheal tube placement by prehospital providers: Is a portable fiberoptic bronchoscope of value?

  • Timothy Angelotti, MD, PhD

      Affiliations

    • Department of Anesthesia, Stanford University Medical Center, Stanford, California
    • Stanford Life Flight Program, Stanford University Medical Center, Stanford, California
    • Corresponding Author InformationAddress for correspondence: Timothy Angelotti, Stanford University, Department of Anesthesia, 300 Pasteur Drive H3580, Stanford, CA 94305
    • ,
  • Eric L. Weiss, MD

      Affiliations

    • Stanford Life Flight Program, Stanford University Medical Center, Stanford, California
    • Department of Emergency Medicine, Stanford University Medical Center, Stanford, California
    • ,
  • Hendrikus J.M. Lemmens, MD, PhD

      Affiliations

    • Department of Anesthesia, Stanford University Medical Center, Stanford, California
    • ,
  • John Brock-Utne, MD, PhD

      Affiliations

    • Department of Anesthesia, Stanford University Medical Center, Stanford, California

References 

  1. Salem MR . Verification of endotracheal tube position . Anesthesiol Clin North Am . 2001;19:813–839
  2. Zaleski L , Abello D , Gold MI . The esophageal detector device. Does it work? . Anesthesiology . 1993;79:244–247
  3. Schaller RJ , Huff JS , Zahn A . Comparison of a colorimetric end-tidal CO2 detector and an esophageal aspiration device for verifying endotracheal tube placement in the prehospital setting: a six-month experience . Prehosp Disaster Med . 1997;12:57–63
  4. Grmec S . Comparison of three different methods to confirm tracheal tube placement in emergency intubation . Intensive Care Med . 2002;28:701–704
  5. Kasper CL , Deem S . The self-inflating bulb to detect esophageal intubation during emergency airway management . Anesthesiology . 1998;88:898–902
  6. Baraka A , Choueiry P , Salem R . The esophageal detector device in the morbidly obese . Anesth Analg . 1993;77:400
  7. Bozeman WP , Hexter D , Liang HK , Kelen GD . Esophageal detector device versus detection of end-tidal carbon dioxide level in emergency intubation . Ann Emerg Med . 1996;27:595–599
  8. Tanigawa K , Takeda T , Goto E , Tanaka K . Accuracy and reliability of the self-inflating bulb to verify tracheal intubation in out-of-hospital cardiac arrest patients . Anesthesiology . 2000;93:1432–1436
  9. MacLeod BA , Heller MB , Gerard J , Yealy DM , Menegazzi JJ . Verification of endotracheal tube placement with colorimetric end-tidal CO2 detection . Ann Emerg Med . 1991;20:267–270
  10. Takeda T , Tanigawa K , Tanaka H , et al.   The assessment of three methods to verify tracheal tube placement in the emergency setting . Resuscitation . 2003;56:153–157
  11. Hutton KC , Verdile VP , Yealy DM , Paris PM . Prehospital and emergency department verification of endotracheal tube position using a portable, non-directable, fiberoptic bronchoscope . Prehosp Disaster Med . 1990;5:131–136
  12. Sum Ping ST , Pittman JA , Hohm SA , Sherwood MW . Tracheoscopy with the rapiscope to verify endotracheal tube placement . J Clin Anesth . 2003;15:334–338
  13. Hendey GW , Shubert GS , Shalit M , Hogue B . The esophageal detector bulb in the aeromedical setting . J Emerg Med . 2002;23:51–55
  14. Tanigawa K , Takeda T , Goto E , Tanaka K . The efficacy of esophageal detector devices in verifying tracheal tube placement: a randomized cross-over study of out-of-hospital cardiac arrest patients . Anesth Analg . 2001;92:375–378
  15. Lang DJ , Wafai Y , Salem MR , et al.   Efficacy of the self-inflating bulb in confirming tracheal intubation in the morbidly obese . Anesthesiology . 1996;85:246–253

 Presented at the Air Medical Transport Conference 2005, Austin, Texas, October 25, 2005. Supported in part by a grant from Stanford University Department of Anesthesia.Conflict of Interest StatementNone of the authors have any financial or personal relationship with Clarus Medical or other organizations that could inappropriately influence this work.

PII: S1067-991X(05)00221-X

doi: 10.1016/j.amj.2005.12.001

Air Medical Journal
Volume 25, Issue 2 , Pages 74-80 , March 2006

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