Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Veterinary Medicine |
Texto Completo: | https://bjvm.org.br/BJVM/article/view/1299 |
Resumo: | Although endotracheal intubation is usually a simple and fast procedure in dogs, some situations can be challenging and lead to the risk of tube misplacement in the esophagus—a life-threatening complication. Hence, confirming intubation is a cornerstone whenever this procedure is performed. Methods such as direct visualization or capnography present limitations insofar as they may be unreliable or unavailable under some circumstances. Ultrasound has emerged as a promising tool to confirm intubation in medicine. However, so far little research has been done on the subject in veterinary medicine. This study’s main goal was to investigate ultrasound performed by veterinary students as a confirmation method for intubation in canine cadavers after a brief training session (25 minutes). A total of 160 exams were performed with a microconvex probe by 20 students in 11 different cadavers on left and right recumbencies. Overall accuracy was 70.6% with a median success rate of 75% and a median time to diagnosis of 25 seconds. The number of correct diagnoses was statistically higher than the wrong ones (p<0.05) without difference between recumbencies. Sensitivity, specificity, and positive and negative predictive values were 72.5%, 68.8%, 69.9%, and 71.4%, respectively. The fastest diagnosis was performed in just 4 seconds, and among the top-performers, one student had 100% accuracy with a mean time to diagnosis of 16.8 seconds, and four students had approximately 88% accuracy. This study showed for the first time that even inexperienced veterinary students can have acceptable accuracy in confirming endotracheal intubation in dogs after a brief training session. |
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Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric studyUltrassonografia cervical para confirmação da intubação endotraqueal em cães por estudantes de veterinária: estudo cadavéricocanine, esophageal intubation, CPR, cardiopulmonary resuscitation.canino, intubação esofágica, PCR, reanimação cardiopulmonar.Although endotracheal intubation is usually a simple and fast procedure in dogs, some situations can be challenging and lead to the risk of tube misplacement in the esophagus—a life-threatening complication. Hence, confirming intubation is a cornerstone whenever this procedure is performed. Methods such as direct visualization or capnography present limitations insofar as they may be unreliable or unavailable under some circumstances. Ultrasound has emerged as a promising tool to confirm intubation in medicine. However, so far little research has been done on the subject in veterinary medicine. This study’s main goal was to investigate ultrasound performed by veterinary students as a confirmation method for intubation in canine cadavers after a brief training session (25 minutes). A total of 160 exams were performed with a microconvex probe by 20 students in 11 different cadavers on left and right recumbencies. Overall accuracy was 70.6% with a median success rate of 75% and a median time to diagnosis of 25 seconds. The number of correct diagnoses was statistically higher than the wrong ones (p<0.05) without difference between recumbencies. Sensitivity, specificity, and positive and negative predictive values were 72.5%, 68.8%, 69.9%, and 71.4%, respectively. The fastest diagnosis was performed in just 4 seconds, and among the top-performers, one student had 100% accuracy with a mean time to diagnosis of 16.8 seconds, and four students had approximately 88% accuracy. This study showed for the first time that even inexperienced veterinary students can have acceptable accuracy in confirming endotracheal intubation in dogs after a brief training session.Apesar de a intubação endotraqueal em cães ser frequentemente um procedimento simples e rápido, algumas situações podem ser desafiadoras e levar ao risco de posicionamento da sonda no esôfago – uma grave complicação. Portanto, a confirmação da intubação é uma etapa crucial sempre que o procedimento for realizado. Métodos como visualização direta ou capnografia apresentam limitações e podem ser pouco confiáveis ou indisponíveis sob certas circunstâncias. A ultrassonografia surgiu como uma ferramenta promissora para confirmação da intubação na medicina. Contudo, até o momento pouco foi estudado na veterinária. O objetivo deste estudo foi investigar a ultrassonografia realizada por estudantes de veterinária como método de confirmação para a intubação em cadáveres caninos após um breve treinamento (25 minutos). Foram realizados 160 exames com transdutor microconvexo por 20 estudantes em 11 cadáveres nos decúbitos direito e esquerdo. A acurácia geral foi 70.6% com medianas de taxa de sucesso de 75% e de tempo para diagnóstico de 25 segundos. O número de diagnósticos corretos foi estatisticamente superior aos errados (p<0.05) sem diferença entre decúbitos. Sensibilidade, especificidade, valor preditivo positivo e negativo foram, respectivamente: 72.5%; 68.8%; 69.9% e 71.4%. O diagnóstico mais rápido se deu em 4 segundos e entre os estudantes com melhor performance, um se destacou com 100% de acurácia e tempo médio para diagnóstico de 16.8 segundos enquanto quatro outros obtiveram 88% de acurácia. Este estudo demonstrou pela primeira vez que mesmo estudantes de veterinária inexperientes podem atingir uma acurácia aceitável na confirmação da intubação endotraqueal em cães após um breve treinamento.Sociedade de Medicina Veterinária do Estado do Rio de Janeiro.2023-09-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer reviewedAvaliado pelos paresapplication/pdftext/xmlhttps://bjvm.org.br/BJVM/article/view/129910.29374/2527-2179.bjvm002623Brazilian Journal of Veterinary Medicine; Vol. 45 (2023); e002623Revista Brasileira de Medicina Veterinária; v. 45 (2023); e0026232527-21790100-2430reponame:Brazilian Journal of Veterinary Medicineinstname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)instacron:SBMVenghttps://bjvm.org.br/BJVM/article/view/1299/1340https://bjvm.org.br/BJVM/article/view/1299/1351Copyright (c) 2023 Bruno Augusto da Silva Rezende, Nicolle Gouvêa Bottoni, Ângelo Gustavo Novello de Oliveira, Lucas Baptista Motta, Fabio Sartori, Eduardo Butturini de Carvalhohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRezende, Bruno Augusto da SilvaBottoni, Nicolle Gouvêade Oliveira, Ângelo Gustavo NovelloMotta, Lucas BaptistaSartori, Fabio de Carvalho, Eduardo Butturini2023-11-06T13:57:37Zoai:ojs.rbmv.org:article/1299Revistahttps://rbmv.org/BJVMONGhttps://rbmv.org/BJVM/oaicontato.rbmv@gmail.com2527-21790100-2430opendoar:2023-11-06T13:57:37Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)false |
dc.title.none.fl_str_mv |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study Ultrassonografia cervical para confirmação da intubação endotraqueal em cães por estudantes de veterinária: estudo cadavérico |
title |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study |
spellingShingle |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study Rezende, Bruno Augusto da Silva canine, esophageal intubation, CPR, cardiopulmonary resuscitation. canino, intubação esofágica, PCR, reanimação cardiopulmonar. |
title_short |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study |
title_full |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study |
title_fullStr |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study |
title_full_unstemmed |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study |
title_sort |
Cervical ultrasound for endotracheal intubation confirmation in dogs by veterinary students: a cadaveric study |
author |
Rezende, Bruno Augusto da Silva |
author_facet |
Rezende, Bruno Augusto da Silva Bottoni, Nicolle Gouvêa de Oliveira, Ângelo Gustavo Novello Motta, Lucas Baptista Sartori, Fabio de Carvalho, Eduardo Butturini |
author_role |
author |
author2 |
Bottoni, Nicolle Gouvêa de Oliveira, Ângelo Gustavo Novello Motta, Lucas Baptista Sartori, Fabio de Carvalho, Eduardo Butturini |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Rezende, Bruno Augusto da Silva Bottoni, Nicolle Gouvêa de Oliveira, Ângelo Gustavo Novello Motta, Lucas Baptista Sartori, Fabio de Carvalho, Eduardo Butturini |
dc.subject.por.fl_str_mv |
canine, esophageal intubation, CPR, cardiopulmonary resuscitation. canino, intubação esofágica, PCR, reanimação cardiopulmonar. |
topic |
canine, esophageal intubation, CPR, cardiopulmonary resuscitation. canino, intubação esofágica, PCR, reanimação cardiopulmonar. |
description |
Although endotracheal intubation is usually a simple and fast procedure in dogs, some situations can be challenging and lead to the risk of tube misplacement in the esophagus—a life-threatening complication. Hence, confirming intubation is a cornerstone whenever this procedure is performed. Methods such as direct visualization or capnography present limitations insofar as they may be unreliable or unavailable under some circumstances. Ultrasound has emerged as a promising tool to confirm intubation in medicine. However, so far little research has been done on the subject in veterinary medicine. This study’s main goal was to investigate ultrasound performed by veterinary students as a confirmation method for intubation in canine cadavers after a brief training session (25 minutes). A total of 160 exams were performed with a microconvex probe by 20 students in 11 different cadavers on left and right recumbencies. Overall accuracy was 70.6% with a median success rate of 75% and a median time to diagnosis of 25 seconds. The number of correct diagnoses was statistically higher than the wrong ones (p<0.05) without difference between recumbencies. Sensitivity, specificity, and positive and negative predictive values were 72.5%, 68.8%, 69.9%, and 71.4%, respectively. The fastest diagnosis was performed in just 4 seconds, and among the top-performers, one student had 100% accuracy with a mean time to diagnosis of 16.8 seconds, and four students had approximately 88% accuracy. This study showed for the first time that even inexperienced veterinary students can have acceptable accuracy in confirming endotracheal intubation in dogs after a brief training session. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion peer reviewed Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjvm.org.br/BJVM/article/view/1299 10.29374/2527-2179.bjvm002623 |
url |
https://bjvm.org.br/BJVM/article/view/1299 |
identifier_str_mv |
10.29374/2527-2179.bjvm002623 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://bjvm.org.br/BJVM/article/view/1299/1340 https://bjvm.org.br/BJVM/article/view/1299/1351 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/xml |
dc.publisher.none.fl_str_mv |
Sociedade de Medicina Veterinária do Estado do Rio de Janeiro. |
publisher.none.fl_str_mv |
Sociedade de Medicina Veterinária do Estado do Rio de Janeiro. |
dc.source.none.fl_str_mv |
Brazilian Journal of Veterinary Medicine; Vol. 45 (2023); e002623 Revista Brasileira de Medicina Veterinária; v. 45 (2023); e002623 2527-2179 0100-2430 reponame:Brazilian Journal of Veterinary Medicine instname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ) instacron:SBMV |
instname_str |
Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ) |
instacron_str |
SBMV |
institution |
SBMV |
reponame_str |
Brazilian Journal of Veterinary Medicine |
collection |
Brazilian Journal of Veterinary Medicine |
repository.name.fl_str_mv |
Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ) |
repository.mail.fl_str_mv |
contato.rbmv@gmail.com |
_version_ |
1798313106218156032 |