The use of capnography for recognition of esophageal intubation in the neonatal intensive care unit

摘要: Failure to recognize esophageal intubation can result in severe hypoxia and permanent neurologic injury. Capnography is a standard monitoring modality the operating room but has not been utilized fully other environments. We used capnography at time of endotracheal neonatal intensive care unit (NICU) determine whether could more quickly accurately identify tube position than clinical indicators position. One hundred episodes were studied 55 neonates. Capnograms obtained 15 120 sec following placement. Intubating personnel blinded capnographic data determined location (trachea vs. esophagus) by criteria only. The sensitivity specificity examination for identification analyzed, required establishing confirmation was trachea or compared that capnography. Forty 100 attempts resulted intubation. correctly identified these errant placements 39 40 instances did so 1.6 (SD ± 2.4). failed successful on only one occasion. Clinical 97.1 92.6) an 5 60 cases. conclude valuable adjunct demonstrate placed neonates NICU. © 1995 Wiley-Liss, Inc.