Survey of use of end-tidal carbon dioxide for confirming tracheal tube placement in intensive care units in the UK

Anaesthesia
S Kannan, M Manji

Abstract

The use of end-tidal carbon dioxide monitoring to confirm the correct placement of a tracheal tube immediately after intubation is mandatory in the operating theatre. Tracheal intubation in critically ill patients can be challenging. Quick and accurate confirmation of tracheal tube placement is essential to minimise complications. This survey explored the use of end-tidal carbon dioxide monitoring to confirm tracheal tube placement in intensive care units in the UK. Questionnaires were sent to either the lead clinician or clinical director of randomly selected general adult intensive care units. One hundred and twenty-seven replies were received from the 215 questionnaires sent (response rate 59%). Twenty per cent of the units did not have an end-tidal carbon dioxide monitor, 20% had one end-tidal carbon dioxide monitor per bed and 60% had one end-tidal carbon dioxide monitor between several beds. Only 50% of the units having an end-tidal carbon dioxide monitor use it to confirm correct tracheal tube placement. Of these 50%, only about a third use it for every intubation. Seventy-two per cent of respondents felt that end-tidal carbon dioxide is well suited to confirm correct placement of tracheal tube in critically ill patients...Continue Reading

References

Jul 1, 1994·British Journal of Anaesthesia·P Clyburn, M Rosen
Apr 1, 1996·Critical Care Medicine·S C PalmonJ R Kirsch
Jul 31, 1997·The New England Journal of Medicine·R L LevineC C Miller
Feb 24, 2001·Intensive Care Medicine·R L Levine
Oct 24, 2002·Anaesthesia·J Bruce, W A Chambers

❮ Previous
Next ❯

Citations

Mar 20, 2013·British Journal of Anaesthesia·C WallaceS Cole
Aug 18, 2004·Critical Care : the Official Journal of the Critical Care Forum·David GattasMartin Chapman
Jan 17, 2014·British Journal of Anaesthesia·E V Kingston, N H Loh
Aug 14, 2010·Veterinary Medicine International·Veronika SieberMarie-Pierre Ryser-Degiorgis
Oct 13, 2006·Current Opinion in Anaesthesiology·Venkatesh Srinivasa, Bhavani Shankar Kodali
Feb 17, 2006·Anaesthesia·A C Schulte, J Bromilow
Jun 2, 2011·Anaesthesia·D K Whitaker
May 4, 2004·Gastrointestinal Endoscopy Clinics of North America·Franco RadaelliGiorgio Minoli
Mar 31, 2009·Journal of Critical Care·Melissa Langhan
Dec 12, 2012·Anesthesiology·Bhavani Shankar Kodali
Nov 16, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Melissa L LanghanUNKNOWN for Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) and National Emergency Airway Registry for Children (NEAR4

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.