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Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube

This study was designed to assess the accuracy of point-of-care ultrasound in determining the position of double-lumen tubes (DLTs). A total of 103 patients who required DLT intubation were enrolled into the study. After DLTs were tracheal intubated in the supine position, an auscultation researcher...

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Autores principales: Hu, Wei-Cai, Xu, Lei, Zhang, Quan, Wei, Li, Zhang, Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895420/
https://www.ncbi.nlm.nih.gov/pubmed/29595696
http://dx.doi.org/10.1097/MD.0000000000009311
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author Hu, Wei-Cai
Xu, Lei
Zhang, Quan
Wei, Li
Zhang, Wei
author_facet Hu, Wei-Cai
Xu, Lei
Zhang, Quan
Wei, Li
Zhang, Wei
author_sort Hu, Wei-Cai
collection PubMed
description This study was designed to assess the accuracy of point-of-care ultrasound in determining the position of double-lumen tubes (DLTs). A total of 103 patients who required DLT intubation were enrolled into the study. After DLTs were tracheal intubated in the supine position, an auscultation researcher and ultrasound researcher were sequentially invited in the operating room to conduct their evaluation of the DLT. After the end of their evaluation, fiberscope researchers (FRs) were invited in the operating room to evaluate the position of DLT using a fiberscope. After the patients were changed to the lateral position, the same evaluation process was repeated. These 3 researchers were blind to each other when they made their conclusions. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were obtained by statistical analysis. When left DLTs (LDLTs) were used, the accuracy of ultrasound (84.2% [72.1%, 92.5%]) was higher than the accuracy of auscultation (59.7% [45.8%, 72.4%]) (P < .01). When right DLTs (RDLTs) were used, the accuracy of ultrasound (89.1% [76.4%, 96.4%]) was higher than the accuracy of auscultation (67.4% [52.0%, 80.5%]) (P < .01). When LDLTs were used in the lateral position, the accuracy of ultrasound (75.4% [62.2%, 85.9%]) was higher than the accuracy of auscultation (54.4% [40.7%, 67.6%]) (P < .05). When RDLT were used, the accuracy of ultrasound (73.9% [58.9%, 85.7%]) was higher than the accuracy of auscultation (47.8% [32.9%, 63.1%]) (P < .05). Assessment via point-of-care ultrasound is superior to auscultation in determining the position of DLTs.
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spelling pubmed-58954202018-04-18 Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube Hu, Wei-Cai Xu, Lei Zhang, Quan Wei, Li Zhang, Wei Medicine (Baltimore) 6800 This study was designed to assess the accuracy of point-of-care ultrasound in determining the position of double-lumen tubes (DLTs). A total of 103 patients who required DLT intubation were enrolled into the study. After DLTs were tracheal intubated in the supine position, an auscultation researcher and ultrasound researcher were sequentially invited in the operating room to conduct their evaluation of the DLT. After the end of their evaluation, fiberscope researchers (FRs) were invited in the operating room to evaluate the position of DLT using a fiberscope. After the patients were changed to the lateral position, the same evaluation process was repeated. These 3 researchers were blind to each other when they made their conclusions. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were obtained by statistical analysis. When left DLTs (LDLTs) were used, the accuracy of ultrasound (84.2% [72.1%, 92.5%]) was higher than the accuracy of auscultation (59.7% [45.8%, 72.4%]) (P < .01). When right DLTs (RDLTs) were used, the accuracy of ultrasound (89.1% [76.4%, 96.4%]) was higher than the accuracy of auscultation (67.4% [52.0%, 80.5%]) (P < .01). When LDLTs were used in the lateral position, the accuracy of ultrasound (75.4% [62.2%, 85.9%]) was higher than the accuracy of auscultation (54.4% [40.7%, 67.6%]) (P < .05). When RDLT were used, the accuracy of ultrasound (73.9% [58.9%, 85.7%]) was higher than the accuracy of auscultation (47.8% [32.9%, 63.1%]) (P < .05). Assessment via point-of-care ultrasound is superior to auscultation in determining the position of DLTs. Wolters Kluwer Health 2018-03-30 /pmc/articles/PMC5895420/ /pubmed/29595696 http://dx.doi.org/10.1097/MD.0000000000009311 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 6800
Hu, Wei-Cai
Xu, Lei
Zhang, Quan
Wei, Li
Zhang, Wei
Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube
title Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube
title_full Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube
title_fullStr Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube
title_full_unstemmed Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube
title_short Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube
title_sort point-of-care ultrasound versus auscultation in determining the position of double-lumen tube
topic 6800
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895420/
https://www.ncbi.nlm.nih.gov/pubmed/29595696
http://dx.doi.org/10.1097/MD.0000000000009311
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