Intra-op POCUS for Identification of Endotracheal Tube Position in the Pediatric Population

Intraoperative Point-of Care Ultrasound for Identification of Endotracheal Tube Position in the Pediatric Population

Chest X-ray and/or fluoroscopy is not routinely used in the OR to confirm endotracheal tube (ETT) placement by anesthesiologists. Multiple studies have shown that ~19% of all intubations result in inappropriate ETT placement. An adult study has shown that ultrasound point-of-care is superior to auscultation in determining the location of ETT. This study aims to determine if point-of-care is useful in determining ETT position in children.

Patients scheduled to have a procedure in the cardiovascular laboratory where fluoroscopy is routinely used will also undergo a point-of-care ultrasound exam to determine endotracheal tube position. An anesthesiologist will perform the ultrasound exam.

Inclusion Criteria:

1. children birth to 10 years of age;
2. undergoing cardiac catheterization in the cath lab;
3. general anesthesia with an endotracheal tube;
4. subjects will also receive a chest x-ray as standard of care

Exclusion Criteria:

1. children ages birth to 10 years undergoing cardiac catheterization under GA without an endotracheal tube;
2. emergency procedures;
3. known airway anomalies;
4. children who are non-English and non-Spanish speaking -