International Classification of Headache Disorders, 3rd Edition: What the Pediatrician Needs to Know.
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Date
2014-02
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Abstract
Objective: To compare ultrasonography with chest radiograph to
detect the level of endotracheal tube tip in intubated neonates.
Design: Observational.
Setting: Neonatal care unit of a teaching hospital.
Participants: 53 neonates selected by convenience sampling.
Intervention: Ultrasonography of chest was done with probe
of 5 to 8 MHz using high parasternal view. The distance of the
endotracheal tube tip to the arch of aorta on ultrasonography
was compared with level of endotracheal tube tip in radiograph.
Primary Outcome: Distance of endotracheal tube tip from the
upper border of the arch of aorta on ultrasonography.
Results: Endotracheal tube tip was visualised on
ultrasonography within 0.5 - 1.0 cm distance from upper border
of arch of aorta in 48 out of 53 neonates. This corresponded
with the normal position of endotracheal tip in radiograph at T2 to
T3. In 5 neonates, endotracheal tube tip was not visualized on
ultrasonography and in all these newborns it was at higher level
in radiograph.
Conclusions: Distance of endotracheal tip to arch of aorta as
measured on ultrasonography is helpful in early identification of
the level of endotracheal tube tip.
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Keywords
Arch of aorta, Endotracheal intubation, Ultrasound
Citation
Sharma Neetu, Mishra Devendra. International Classification of Headache Disorders, 3rd Edition: What the Pediatrician Needs to Know. Indian Pediatrics. 2014 February; 51(2): 123-124.