{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T19:09:15Z","timestamp":1781291355672,"version":"3.54.1"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003Point-of-care ultrasound (POCUS) has been reported to reduce radiation exposure and has been shown to be a reliable bedside technique to confirm endotracheal tube (ETT) placement, but evidence in neonates is still limited. The aim of this study was to compare the effectiveness and reliability of POCUS performed by a neonatologist, as an alternative to chest radiography (CXR) for the optimal position of ETT.<\/jats:p><jats:p>\n            Study Design\u2003Newborns who underwent intubation were included in this prospective observational study. The CXR was used to evaluate the position of the ETT tip and categorized into three groups: above the T1, between the T1 and T3, and below the T3 vertebra. An experienced neonatologist measured the distance between the ETT tip and the upper border of the aortic arch from the suprasternal notch with ultrasonography (US). A 5 to 10\u2009mm measurement was considered as the optimal distance, and the position was classified into three categories: correct, high, and deep.<\/jats:p><jats:p>\n            Results\u2003Among 91 measurements performed on 63 intubated patients with US, 73 (80%) were within the 5 to 10\u2009mm range (correct position). Of these, 61 (92.4%) were determined to be between T1 and 3 vertebrae in CXR. There was no significant difference between the two methods, and the US had an excellent ability to distinguish the correct position of the ETT. The distance measured by the US for the ETT tip to be located between the T1 and T3 vertebrae on CXR should range between 6.17 and 9.0\u2009mm.<\/jats:p><jats:p>\n            Conclusion\u2003This study showed that the US by an experienced neonatologist is an easy and feasible alternative to determine the position of the ETT in the neonatal intensive care unit.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-2181-7354","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T23:05:56Z","timestamp":1695769556000},"page":"e2886-e2892","source":"Crossref","is-referenced-by-count":5,"special_numbering":"S","title":["Point-of-Care Ultrasound for the Tip of the Endotracheal Tube: A Neonatologist Perspective"],"prefix":"10.1055","volume":"41","author":[{"given":"Ozlem","family":"Sahin","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevinc","family":"Tasar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derya","family":"Colak","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Funda","family":"Yavanoglu Atay","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Guran","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilke","family":"Mungan Akin","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1111\/apa.15097","article-title":"Role of ultrasonography in the assessment of correct endotracheal tube placement in neonates","volume":"109","author":"C S Descamps","year":"2020","journal-title":"Acta Paediatr"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"886450","DOI":"10.3389\/fped.2022.886450","article-title":"Sonographic evaluation of the endotracheal tube position in the neonatal population: a comprehensive review and 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Anat"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1007\/s13312-019-1533-3","article-title":"Normative data of optimally placed endotracheal tube by point-of-care ultrasound in neonates","volume":"56","author":"P Singh","year":"2019","journal-title":"Indian Pediatr"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1002\/jum.16067","article-title":"Ultrasonography for determining endotracheal tube tip position in very low birth weight infants","volume":"42","author":"E Dincer","year":"2023","journal-title":"J Ultrasound Med"}],"container-title":["American Journal of 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