Umesh’s intubation detector (UID) for rapid and reliable identification of tracheal intubation by novices in anaesthetised, paralysed adult patients

Goneppanavar, Umesh and Thomas, Joseph Tim and Prabhu, Manjunath and Prasad, Krishnamurthy N and Kaur, Jasvinder (2013) Umesh’s intubation detector (UID) for rapid and reliable identification of tracheal intubation by novices in anaesthetised, paralysed adult patients. Journal of Clinical Monitoring and Computing , 27 (2). pp. 1-6. ISSN 1387-1307

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Abstract

Oesophageal intubation can lead to life threatening complications if left undetected. Several devices and techniques are available to confirm tracheal intubation and for early detection of oesophageal intubation. This study was carried out to evaluate the utility of the Umesh’s intubation detector device for rapid and reliable differentiation of tracheal from oesophageal intubation by novice users. In this prospective, double blind and randomised study, 100 healthy patients undergoing general anaesthesia with endotracheal intubation received two identical size endotracheal tubes; one inserted into trachea and the other into the oesophagus. The Umesh’s intubation detector was connected to one of the tubes randomly and a novice was asked to observe for inflation of the reservoir bag of the device while two chest compressions of approximately one inch each were given to the patient. Out of the total 100 tracheal intubations, 96 were correctly identified while the observers could not clearly conclude whether the tube was in trachea or oesophagus in the other four patients. Out ofthe total 100 oesophageal intubations, 99 were correctly identified. There were no complications related to the study. Umesh’s intubation detector device can be used by novices for rapid and reliable differentiation of tracheal from oesophageal intubation in healthy adult patients.

Item Type: Article
Uncontrolled Keywords: Capnography ;Confirmation of intubation ;Oesophageal intubation ;Tracheal intubation
Subjects: Medicine > KMC Manipal > Anaesthesiology
Depositing User: KMC Manipal
Date Deposited: 11 Jun 2013 09:40
Last Modified: 29 Apr 2014 06:35
URI: http://eprints.manipal.edu/id/eprint/136284

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