Evidence map›Paper›PMID 29696124›Full record

ArticleAnesthesiology and pain medicine2017

Diagnostic Value of Sonography for Confirmation of Endotracheal Intubation in the Emergency Department.

Farzad Rahmani, Zahra Parsian, Kavous Shahsavarinia, Mahboob Pouraghaei, Sohrab Negargar, Robab Mehdizadeh Esfanjani, Hassan Soleimanpour

Open access · hybridAbstract read
In one paragraph

Article in Anesthesiology and pain medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Point-of-care Ultrasonography for Endotracheal Tube Confirmation: An Essential Adjunct in Airway Management.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  3. Diagnostic Accuracy of Point-of-care Ultrasonography for Confirming Endotracheal Tube Placement in Adults: An Updated Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Farzad RahmaniRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Zahra ParsianStudents' Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Kavous ShahsavariniaEmergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.
Mahboob PouraghaeiEmergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.
Sohrab NegargarCardiovascular Research Center, Tabriz University of Medical Sciences, Daneshgah Street, Tabriz, Iran.
Robab Mehdizadeh EsfanjaniNeurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Hassan SoleimanpourCardiovascular Research Center, Tabriz University of Medical Sciences, Daneshgah Street, Tabriz, Iran.
Tabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntubation and maintaining airway are crucial in the management of critically ill patients in the emergency department. Correct tracheal intubation should be confirmed by the physician, otherwise oesophageal intubation could lead to hypoxia with detrimental consequences and even death. Sonography can be used to determine proper placement of the tracheal tube.

methodsIn this study, 75 patients, with an indication of intubation and age older than 18 years entered the study. An emergency medicine performed real-time sonography of the trachea to evaluate the correct placement of endotracheal tube. Tube passage (snowstorm) and vocal cord angel widening (bullet sign) were evaluated, and then both lungs sliding and diaphragm movement were evaluated to confirm correct tube placement and ventilation.

resultsIn this study, 75 patients entered the study. The mean age of the patients was 61.12; 47 patients (62.7%) were male and 28 (37.3%) were female. The reason of intubation was the decreased level of consciousness in 22 cases (29.3%), cardiopulmonary arrest in 22 patients (29.3%), respiratory distress in 9 patients (12%), shock in 10 patients (13.3%), and seizure in 1 case. Snowstorm sign was seen in 72 patients (96%). Bullet sign was objected in 24 cases (32%). Lung sliding was seen bilaterally in 63 patients (84%) and unilaterally in 7 patients (9.3 %), but it was not noticed in 6.7% of the patients (5 patients).

conclusionsTransverse tracheal and lung sonography in the emergency department can be a fast measure to confirm correct endotracheal intubation.

Indexed as

CapnographyEmergency DepartmentIntubationSonography

Identifiers

PMID29696124
PMCPMC5903389
OpenAlexW2767783332

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.