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Presentation of Two Simple Methods to Confirm Proper Tracheal Intubation: Palm Pressure, Plastic Bag Inflation, and Bag Pulsation



Khan ZH1 ; Rahimi M1 ; Mottaghi K2 ; Nashibi M2
Authors

Source: Tanaffos Published:2022

Abstract

Background: The correct placement of the endotracheal tube is a cornerstone of safe anesthesia. Different methods, such as auscultation, capnography, and ultrasound, have their own limitations regarding the confirmation of endotracheal intubation, reinforcing the idea that a single technique is not foolproof. This study proposes a new technique in this regard. Materials and Methods: A total of 600 patients were enrolled in this study, and tracheal intubation was checked with palm pressure and disposable plastic glove inflation and pulsation. Results: The data were analyzed using the t-test and Mann-Whitney U test that indicate 94% and 94.8% sensitivity for palm pressure and bag pulsation, respectively, and a 100% positive predictive value for both tests. Conclusion: Palm pressure and bag pulsation are accurate, inexpensive, and reliable techniques to confirm proper tracheal intubation. © 2022 NRITLD.
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