prikaz prve stranice dokumenta The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes
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The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes
Journal of Clinical Anesthesia, 22 (2010), 4; 246-249. https://doi.org/10.1016/j.jclinane.2009.07.010
Šustić, Alan; Protić, Alen; Cicvarić, Tedi; Župan, Željko

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Šustić, A., Protić, A., Cicvarić, T. i Župan, Ž. (2010). The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes. Journal of Clinical Anesthesia, 22. (4), 246-249. doi: 10.1016/j.jclinane.2009.07.010

Šustić, Alan, et al. "The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes." Journal of Clinical Anesthesia, vol. 22, br. 4, 2010, str. 246-249. https://doi.org/10.1016/j.jclinane.2009.07.010

Šustić, Alan, Alen Protić, Tedi Cicvarić i Željko Župan. "The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes." Journal of Clinical Anesthesia 22, br. 4 (2010): 246-249. https://doi.org/10.1016/j.jclinane.2009.07.010

Šustić, A., et al. (2010) 'The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes', Journal of Clinical Anesthesia, 22(4), str. 246-249. doi: 10.1016/j.jclinane.2009.07.010

Šustić A, Protić A, Cicvarić T, Župan Ž. The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes. Journal of Clinical Anesthesia [Internet]. 2010. [pristupljeno 12.11.2024.];22(4):246-249. doi: 10.1016/j.jclinane.2009.07.010

A. Šustić, A. Protić, T. Cicvarić i Ž. Župan, "The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes", Journal of Clinical Anesthesia, vol. 22, br. 4, str. 246-249, 2010. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:184:497621. [Citirano: 12.11.2024.]

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Podaci o radu
Naslov (engleski)The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes
AutorAlan Šustić
AutorAlen Protić
AutorTedi Cicvarić
AutorŽeljko Župan
Autorova ustanovaSveučilište u Rijeci
Medicinski fakultet
(Katedra za anesteziologiju, reanimatologiju, hitnu i intenzivnu medicinu)
Autorova ustanovaSveučilište u Rijeci
Medicinski fakultet
(Katedra za kirurgiju)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Anesteziologija i reanimatologija
Sažetak (engleski)
Study Objective: To evaluate the role of a brief ultrasound examination (US) in detecting the correct position of the left double-lumen endotracheal tube (LDLT). Design: Prospective, randomized clinical study. Setting: Operating room of a university hospital. Patients: 50 elective adult thoracic surgery patients who required a LDLT during anesthesia. Intervention and Measurements: Patients were randomized to two groups: Group A, who underwent clinical assessment of the LDLT position, and Group B, who were examined clinically and by ultrasound. All 50 patients underwent the same conventional procedure of LDLT placement. In all patients, clinical assessment of LDLT positioning was made by observing chest wall expansion and checking lung compliance by manual ventilation and by auscultation of both lungs. In Group B, a very brief ultrasound (15-30 sec) examination was added. Ultrasound examination included visualization of the pleural movements ("lung sliding") and motion of the diaphragm from both sides before and after selective clamping of the bronchial and tracheal limbs. In both groups, a second anesthesiologist performed bronchoscopy to estimate actual LDLT position. Main Results: Sensitivity and negative predictive values in detecting proper LDLT positioning for both methods were 100%. For the clinical assessment alone (Group A), specificity was 22%, accuracy was 72%, and positive predictive value, 70%; for the clinical and ultrasound assessment (Group B), specificity was 50%, accuracy was 88%, and positive predictive value, 86%. Conclusion: A brief ultrasound examination added to clinical assessment ensured more precise placement of LDLT than did clinical assessment alone.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran - međunarodna recenzija
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaJournal of Clinical Anesthesia
Brojčani podacivol. 22, br. 4, str. 246-249
p-ISSN0952-8180
DOIhttps://doi.org/10.1016/j.jclinane.2009.07.010
URN:NBNurn:nbn:hr:184:497621
Datum objave publikacije2010
URL dokumentahttps://linkinghub.elsevier.com/retrieve/pii/S0952818010000905
Vrsta resursaTekst
Prava pristupaZatvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2023-11-02 12:51:59