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Screening Performance Characteristics of Ultrasonography in Confirmation of Endotracheal Intubation; a Systematic Review Andmeta-Analysis Publisher



Farrokhi M1 ; Yarmohammadi B2 ; Mangouri A3 ; Hekmatnia Y4 ; Bahramvand Y5 ; Kiani M6 ; Nasrollahi E5 ; Nazarisabet M7 ; Manoochehriarash N8 ; Khurshid M9 ; Mosalanejad S10 ; Hajizadeh V11 ; Amanibeni R12 ; Moallem M13 Show All Authors
Authors
  1. Farrokhi M1
  2. Yarmohammadi B2
  3. Mangouri A3
  4. Hekmatnia Y4
  5. Bahramvand Y5
  6. Kiani M6
  7. Nasrollahi E5
  8. Nazarisabet M7
  9. Manoochehriarash N8
  10. Khurshid M9
  11. Mosalanejad S10
  12. Hajizadeh V11
  13. Amanibeni R12
  14. Moallem M13
  15. Farahmandsadr M14
Show Affiliations
Authors Affiliations
  1. 1. Eris Research Institute, Tehran, Iran
  2. 2. School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Department of Vascular and Endovascular Surgery, Sina Hospital, Tehran University ofMedical Sciences, Tehran, Iran
  4. 4. Islamic Azad University, Sari Branch, School ofMedicine, Sari, Iran
  5. 5. School ofMedicine, Shiraz University ofMedical Sciences, Shiraz, Iran
  6. 6. School ofMedicine, Zanjan University ofMedical Sciences, Zanjan, Iran
  7. 7. Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  8. 8. Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University ofMedical Sciences, Tehran, Iran
  9. 9. Department of Internal Medicine, Berkshire Medical Center, Pittsfield, MA, United States
  10. 10. Department of InternalMedicine, Faculty ofMedicine, TehranMedical Sciences, Islamic Azad University, Tehran, Iran
  11. 11. School of Dentistry, Shiraz University ofMedical Sciences, Shiraz, Iran
  12. 12. School ofMedicine, Isfahan University ofMedical Sciences, Isfahan, Iran
  13. 13. Department of Emergency Medicine, School of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
  14. 14. School ofMedicine, Jahrom University ofMedical Sciences, Jahrom, Iran

Source: Archives of Academic Emergency Medicine Published:2021


Abstract

Introduction: Recent studies have suggested that point-of-care ultrasonography can be used for confirming the placement of endotracheal tube. This systematic review and meta-analysis aimed to investigate the sensitivity and specificity of ultrasonography for confirming endotracheal tube placement. Methods: In thismeta-analysis, systematic search of the previous published papers investigating the diagnostic accuracy of ultrasonography for confirmation of endotracheal tube placement was performed. Seven electronic databases, including PubMed, Scopus, Google Scholar, EBSCO, EMBASE, Web of Science, and Cochrane Database were searched up to July 2021, for all relevant articles published in English on this topic. Meta-DiSc version 1.4 software was used for statistical analysis. Results: The estimated pooled sensitivity and specificity of ultrasonography for confirmation of endotracheal tube location were 0.98 (95% CI: 0.98–0.99) and 0.94 (95% CI 0.91–0.96), respectively. The pooled positive likelihood ratio and negative likelihood ratio were 5.94 (95% CI 4.41–7.98) and 0.03 (95% CI: 0.02-0.04), respectively. The diagnostic odds ratio of ultrasonography was 281.47 and the area under hierarchical summary receiver operating characteristic (HSROC) revealed an appropriate accuracy of 0.98. Conclusion: Ultrasonography has high diagnostic accuracy and can be used as a promising tool for confirmation of endotracheal tube placement, especially in critically ill patients or when capnography is not available, or its result is equivocal. © 2021. Archives of Academic Emergency Medicine. All Rights Reserved.
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