Impact of Universal Non-Targeted Hepatitis C Screening in an Urban Emergency Department

摘要

Successful intubation in the emergencydepartment relies on rapid and accurate confirmation ofendotracheal tube (ETT) placement. An unrecognizedesophageal intubation can delay effective resuscitation ofcritically ill patients and those in cardiac arrest. Ultrasound hasbeen used as a tool to identify tracheal or esophageal location ofan ETT. Imaging can be visualized in a static manner or assistedby performing a side-to-side “twisting” maneuver of the tubedirectly after intubation to induce motion artifact. However,no prior studies have determined whether ETT twistingimproves diagnostic accuracy. The objective of this study wasto investigate the effect of the twisting technique on the use ofultrasound for intubation confirmation.