alexa Use of the esophageal stethoscope in pediatric transports.
Medicine

Medicine

Emergency Medicine: Open Access

Author(s): Bugnitz M, Mantz D

Abstract Share this page

Abstract INTRODUCTION: Monitoring cardiac and respiratory function during helicopter transports can be difficult, so the authors devised a study of the esophageal stethoscope for pediatric patients. SETTING: The study was conducted at Pediflite in Tennessee, which transports between 250 to 300 pediatric patients every year. MATERIALS AND METHODS: A disposable esophageal stethoscope was used as an adjunct to other monitoring systems in intubated patients. Prior to transport, the stethoscope was placed orally by the respiratory therapist and advanced to the point where heart sounds are heard best, at which point breath sounds can also be heard clearly. The device's ear piece easily fit under the crew member's headphones, which block helicopter noise. Three sizes of stethoscope are available: a 6 French for patients 1 day to 4 years old, a 9 French for those 4 to 12 years old, and an 18 French for patients 12 years of age or older. RESULTS: The esophageal stethoscope was used in 55 patients ranging in age from newborn to 18 years. Eighteen of 55 (33\%) had multiple trauma or closed head injury, and 14 of 55 (25\%) suffered respiratory failure. The esophageal stethoscope proved to be easy to place, had a low risk of complications and allowed continuous access to breath sounds. In addition, the ability to hear heart tones was minimally affected by noise or vibration. CONCLUSION: Due to its ability to continuously monitor breath sounds, endotracheal tube obstruction or displacement can be rapidly detected by the esophageal stethoscope. Also, if there is failure of the cardiopulmonary monitor, heart sounds can be continuously monitored. The esophageal stethoscope is a simple but potentially valuable tool in pediatric and neonatal transports for monitoring respiratory and cardiac status. This article was published in Air Med J and referenced in Emergency Medicine: Open Access

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords