Trial reportJournal of perinatology : official journal of the California Perinatal Association2015
The concordance of ultrasound technique versus X-ray to confirm endotracheal tube position in neonates.
Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Diagnostic accuracy of real‑time point-of-care tracheal ultrasonography for the confirmation of proper endotracheal tube placement in neonatal acute care settings: a systematic review and diagnostic test accuracy meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2026Pooled it
- Pooled it
- Diagnostic accuracy of ultrasound for localising peripherally inserted central catheter tips in infants in the neonatal intensive care unit: a systematic review and meta-analysis.Pediatric radiology · 2022Pooled it
- Clinical roles of point-of-care ultrasonography in airway management.Anesthesia and pain medicine · 2025Review
- Three-Point Ultrasonography for Confirmation of Endotracheal Tube Position in Children (TRUCE Study).Indian journal of pediatrics · 2025Observational
- Emergency Identification of Endotracheal Tube Tip via Ultrasonography Used by Trained Nurse in the Neonatal Intensive Care Unit (NICU).Diagnostics (Basel, Switzerland) · 2025Article
- New Formula for Depth of Insertion of Endotracheal Tube in Children: A Prospective Observational Study.Indian journal of pediatrics · 2024Observational
- Contemporary Use of Ultrasonography in Acute Care Pediatrics.Indian journal of pediatrics · 2023Review
- Applications of Airway Ultrasound for Endotracheal Intubation in Pediatric Patients: A Systematic Review.Journal of clinical medicine · 2023Review
- Strategies to Improve Neonatal Intubation Safety by Preventing Endobronchial Placement of the Tracheal Tube-Literature Review and Experience at a Tertiary Center.Children (Basel, Switzerland) · 2023Article
- Presentation of Two Simple Methods to Confirm Proper Tracheal Intubation: Palm Pressure, Plastic Bag Inflation, and Bag Pulsation.Tanaffos · 2022Article
- Sonographic Evaluation of the Endotracheal Tube Position in the Neonatal Population: A Comprehensive Review and Meta-Analysis.Frontiers in pediatrics · 2022Review
- Lung Ultrasound in the Neonatal Intensive Care Unit: Does It Impact Clinical Care?Children (Basel, Switzerland) · 2021Review
- The Role of Lung Ultrasound in the Management of the Critically Ill Neonate-A Narrative Review and Practical Guide.Children (Basel, Switzerland) · 2021Review
- Relationship Between Evaluations of Tracheal Tube Position Using Ultrasound and Fluoroscopy in an Infant and Pediatric Population.Journal of clinical medicine · 2020Article
- Does the endotracheal tube insertion depth predicted by formulas in children have a good concordance with the ideal position observed by X-ray?Revista Brasileira de terapia intensiva · 2020Observational
- Radiation exposure by digital radiographic imaging in very low birth weight infants.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Ultrasonography for endotracheal tube position in infants and children.European journal of pediatrics · 2017Review
- Simulation-based Ultrasound Curriculum for Novice Clinicians to Assess Neonatal Endotracheal Tube Position.Journal of medical ultrasoundArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGiven the distressingly high incidence of ETT malposition in the neonatal population, patients are exposed to ionizing radiation to confirm endotracheal tube (ETT) position. Our objective is to determine if ultrasound technique is concordant with X-ray in determining whether an ETT is deeply positioned or not. STUDY
designProspective observational clinical trial. After obtaining informed consent, patients with an ETT who required X-ray for clinical reasons underwent sonographic evaluation of the ETT by an ultrasound technologist or pediatric radiologist, usually within the hour.
resultsA total of 56 image pairs were obtained from 29 patients. Ninety-eight percent of the ultrasound/X-ray image pairs were suitable for analysis. The concordance of ultrasound with X-ray to identify deeply and not deeply positioned ETTs was 95% (53/56). The sensitivity of ultrasound to detect deeply positioned ETTs on X-ray was 86% (6/7). The specificity of ultrasound to detect ETTs that were not deeply positioned on X-ray was 96% (47/49).
conclusionsAs the largest clinical trial of its kind to date, with the greatest number of ultrasound operators, we have further established US as a feasible imaging modality to determine whether an ETT is deeply positioned or not.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.