Application Value of Pleural Sliding Sigh Under Ultrasound in the Position Adjustment of Tracheal Catheter in Infants
Objective To determine the accuracy and time required to adjust the tracheal tube position in infants and young children using the pleural slide sign observed by ultrasound.Methods A total of 240 children undergoing tracheal intubation under general anesthesia in the Third Affiliated Hospital of Zhengzhou University were selected,children aged from 0 to 3 years old.They were divided into＜1 year old group and≥1 year old group.According to the random number table method,the children in the two age groups were divided into ultrasound group and auscultation group,and the position of the tracheal tube was adjusted by ultrasound and auscultation,respectively.The accuracy and time required to adjust the position of the tracheal tube were analyzed.Results The accuracy of adjusting the position of the endotracheal tube by ultrasound and the time required were better than those by auscultation in the＜1 year old group(P＜0.05).The accuracy of adjusting the position of the endotracheal tube by ultrasound at the age of 1-3 years was better than that by auscultation(P＜0.05),but the time required to adjust the position was not significantly different from that by auscultation(P＞0.05),the incidence of adverse effects in the ultrasound group was less than that in the auscultation group(P=0.031).Conclusion In intubation of infants,the ultrasound method is more accurate than auscultation in adjusting the position of the endotracheal tube,has a lower incidence of adverse effects,and has a shorter duration of use in children＜1 year of age.
万方数据
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