Verification of endotracheal tube position by emergency nurses using ultrasound: A repeated measures cadaver study

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dc.authorid0000-0003-3645-5579
dc.contributor.authorSağlam, Caner
dc.contributor.authorGüllüpınar, Birdal
dc.contributor.authorKaragöz, Arif
dc.contributor.authorTandon, Shikha
dc.contributor.authorBilge, Okan
dc.contributor.authorAykır, Merve
dc.contributor.authorVural, Ayşegül
dc.contributor.authorKoran, Serhat
dc.contributor.authorÜnlüer, Erden Erol
dc.date.accessioned2022-07-21T08:07:24Z
dc.date.available2022-07-21T08:07:24Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Aile Hekimliği Ana Bilim Dalı
dc.description.abstractIntroduction: Endotracheal intubation is a lifesaving procedure frequently performed in emergency departments. It is associated with some potential risks. Rapid and reliable confirmation of endotracheal tube placement during intubation is critical. Nurses play an important role in the care of patients in various settings. Ultrasound can be performed and interpreted not only by physicians but also by nurses. The aim of this study was to evaluate how well nurses without previous ultrasound experience can determine both esophageal and tracheal localization of endotracheal tubes in cadavers after a short ultrasound training. Methods: This was a repeated measures study with an educational intervention and no control/contemporaneous comparison group. The study was performed to evaluate the ability of emergency nurses to confirm correct endotracheal tube placement and identify esophageal intubations. A total of 7 emergency nurses were given theoretical education and hands-on training about ultrasound. They diagnosed tracheal or esophageal intubation using ultrasound. Results: Four cadavers were used 8 times each for the study. A total of 32 intubation procedures were evaluated with ultrasound by each nurse. In the analysis based on 224 responses, sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and overall accuracy of ultrasound applied by nurses to detect tracheal intubation were 95.61% (90.06%-98.56%), 97.27% (92.24%-99.43%), 35.06 (11.48-107.10), 0.05 (0.02-0.11), and 96.43% (93.08%-98.45%), respectively. The mean time to evaluate the tube location by ultrasound was 6.57 seconds. Discussion: The results support that ultrasound can be performed by nurses for the confirmation for esophageal and tracheal intubations quickly and accurately.
dc.identifier.citationSağlam, C., Güllüpınar, B., Karagöz, A., Tandon, S., Bilge, O., Aykır, M. ... Ünlüer, E. E. (2022). Verification of endotracheal tube position by emergency nurses using ultrasound: A repeated measures cadaver study. Journal of Emergency Nursing, 48(2), 181-188. http://doi.org/10.1016/j.jen.2022.01.002
dc.identifier.doi10.1016/j.jen.2022.01.002
dc.identifier.endpage188
dc.identifier.issn0099-1767
dc.identifier.issn1527-2966
dc.identifier.issue2
dc.identifier.pmid35125290
dc.identifier.pmid35125290
dc.identifier.scopus2-s2.0-85124018331
dc.identifier.scopusqualityQ2
dc.identifier.startpage181
dc.identifier.urihttp://doi.org/10.1016/j.jen.2022.01.002
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9588
dc.identifier.volume48
dc.identifier.wos000819794100010en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKoran, Serhat
dc.language.isoen
dc.publisherElsevier Science Inc.
dc.relation.ispartofJournal of Emergency Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectEndotracheal Tube
dc.subjectEsophageal Intubation
dc.subjectEmer- Gency Nurse
dc.subjectEmergency Department
dc.subjectPoint-of-Care Ultrasound
dc.titleVerification of endotracheal tube position by emergency nurses using ultrasound: A repeated measures cadaver study
dc.typeArticle

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