Evidence map›Paper›PMID 41261147›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2026

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.

Mohammed Alsabri, Eslam Abady, Mohammed Tarek Hasan, Shree Rath, Ahmed Bostamy Elsnhory, Khaled Abouelmagd, Abdelrahman M Tawfik, Ibrahim Qattea, Aysha Hasan

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Mohammed AlsabriPediatric Emergency Department, Department of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-7278-2289
Eslam AbadyFaculty of Medicine, Tanta University, Tanta, Egypt.
Mohammed Tarek HasanFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Shree RathAll India Institute of Medical Sciences (AIIMS), Bhubaneswar, India.ORCID http://orcid.org/0009-0000-4273-0827
Ahmed Bostamy ElsnhoryFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Khaled AbouelmagdCardiology Department, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.
Abdelrahman M TawfikFifth Year Medical Student, Smouha, Alexandria, Egypt.
Ibrahim QatteaNassau University Medical Center, East Meadow, NY, USA.ORCID http://orcid.org/0000-0002-6318-6418
Aysha HasanAnesthesiology Department, St. Christopher's Hospital for Children, Philadelphia, PA, USA. Aysha.Hasan@towerhealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate confirmation of endotracheal tube (ETT) placement is critical in neonatal resuscitation. This systematic review and meta-analysis assessed the diagnostic accuracy of point-of-care ultrasound (POCUS) for confirming ETT placement in neonates. We searched PubMed, Scopus, Web of Science, and Cochrane Library through May 2025. Eligible studies included neonates (<28 days) and compared POCUS with gold-standard confirmation (capnography, chest radiography, or direct laryngoscopy). Diagnostic performance was pooled using a bivariate random-effects model. Thirteen studies (930 neonates) met inclusion criteria. POCUS showed pooled sensitivity of 93% and specificity of 59%, with an area under the SROC curve of 92%. tracheal placement was confirmed in 99%, and esophageal misplacement detected in 4%. Subgroup analysis indicated higher accuracy by neonatologists and with linear transducers. POCUS offers a rapid, radiation-free method for confirming neonatal ETT placement. Broader implementation requires standardized techniques and operator training.

Indexed as

Intubation, IntratrachealPoint-of-Care SystemsTracheaHumansInfant, NewbornSensitivity and SpecificityUltrasonography

Identifiers

PMID41261147
PMCPMC12815668

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.