Evidence map›Paper›PMID 34870234›Full record

ReviewArchives of academic emergency medicine2021

Screening Performance Characteristics of Ultrasonography in Confirmation of Endotracheal Intubation; a Systematic Review and Meta-analysis.

Mehrdad Farrokhi, Bardia Yarmohammadi, Amir Mangouri, Yasaman Hekmatnia, Yaser Bahramvand, Moein Kiani, Elham Nasrollahi, Milad Nazari-Sabet, Niusha Manoochehri-Arash, Maria Khurshid and 5 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Archives of academic emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06542406 (Can the Fluctuation Observed in the Endotracheal Tube With Compression Applied to the Epigastric Region be Used as a Confirmation Method for Endotracheal Intubation?), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 10% 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.

NCT06542406 nacompletednot on this map

Can the Fluctuation Observed in the Endotracheal Tube With Compression Applied to the Epigastric Region be Used as a Confirmation Method for Endotracheal Intubation?

TypeinterventionalSponsorDuzce UniversityRan2021 to 2023Enrolled78ConditionsIntubation, IntratrachealArmsEndotracheal intubation
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Airway management in the obstetric patient: management strategyRevista colombiana de obstetricia y ginecologia · 2026
    Review
  2. Observational
  3. Review
  4. Article
  5. Review
  6. An Overview of Published Articles inArchives of academic emergency medicine · 2022
    Article
  7. Development of an augmented reality system for tracheal intubation guidance of airway management.Proceedings of SPIE--the International Society for Optical Engineering
    Article
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

15 authors at 8 institutions in 2 countries.

Mehrdad FarrokhiEris Research Institute, Tehran, Iran.
Bardia YarmohammadiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amir MangouriDepartment of Vascular and Endovascular Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Yasaman HekmatniaIslamic Azad University, Sari Branch, School of Medicine, Sari, Iran.
Yaser BahramvandSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Moein KianiSchool of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
Elham NasrollahiSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Milad Nazari-SabetDepartment of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Niusha Manoochehri-ArashEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maria KhurshidDepartment of Internal Medicine, Berkshire Medical Center, Pittsfield, Massachusetts, USA.
Shima MosalanejadDepartment of Internal Medicine, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Vida HajizadehSchool of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza Amani-BeniSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Masoumeh MoallemDepartment of Emergency Medicine, School of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
Maryam FarahmandsadrSchool of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
Shiraz University of Medical Sciences · IRIsfahan University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRBerkshire Medical Center · USIslamic Azad University Medical Branch of Tehran · IRJahrom University · IRSina Hospital · IRZanjan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecent studies have suggested that point-of-care ultrasonography can be used for confirming the placement of endotracheal tube. This systematic review and meta-analysis aimed to investigate the sensitivity and specificity of ultrasonography for confirming endotracheal tube placement.

methodsIn this meta-analysis, systematic search of the previous published papers investigating the diagnostic accuracy of ultrasonography for confirmation of endotracheal tube placement was performed. Seven electronic databases, including PubMed, Scopus, Google Scholar, EBSCO, EMBASE, Web of Science, and Cochrane Database were searched up to July 2021, for all relevant articles published in English on this topic. Meta-DiSc version 1.4 software was used for statistical analysis.

resultsThe estimated pooled sensitivity and specificity of ultrasonography for confirmation of endotracheal tube location were 0.98 (95% CI: 0.98-0.99) and 0.94 (95% CI 0.91-0.96), respectively. The pooled positive likelihood ratio and negative likelihood ratio were 5.94 (95% CI 4.41-7.98) and 0.03 (95% CI: 0.02-0.04), respectively. The diagnostic odds ratio of ultrasonography was 281.47 and the area under hierarchical summary receiver operating characteristic (HSROC) revealed an appropriate accuracy of 0.98.

conclusionUltrasonography has high diagnostic accuracy and can be used as a promising tool for confirmation of endotracheal tube placement, especially in critically ill patients or when capnography is not available, or its result is equivocal.

Indexed as

Airway managementintubationmeta-analysissensitivity and specificityultrasonography

Identifiers

PMID34870234
PMCPMC8628646
OpenAlexW3207985083

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.