Click to goto CDHA Public Site Click to goto DivEMS Dal Public Site Click to goto EHS Nova Scotia
Airway Confirmation

Date Last Search Run: Jan 14, 2025
Table last updated: May 02, 2021

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)      
2 (fair evidence exists)  
3 (weak evidence exists)      


Interventions

EDD
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Accuracy of identification of intubation success Process PH-Paramedic Jenkins W., Verdile V., Paris P. The syringe aspiration technique to verify endotracheal tube position. Am J Emerg Med 1994; 12:413-6. Medline
II Supportive (Green) Sensitivity and specificity Patient OR Sharieff GQ., Rodarte A., Wilton N., Bleyle D. The Self-inflating Bulb as an Airway Adjunct: Is It Reliable in Children Weighing Less than 20 Kilograms? Acad Emerg Med 2003; 10(4):303-308. Medline
III Supportive (Green) Accuracy of esophageal detector Process ED-MD Kapsner C., Seaberg D., Stengel C., et al. The esophageal detector device: Accuracy and reliability in difficult airway settings. Prehospital and Disaster Medicine 1996; 11:60-2. Medline

Oxymetry Monitoring
Level Direction Primary Outcome Patient/Process Setting Reference

Qualitative ETCO2 (no circulation)
Level Direction Primary Outcome Patient/Process Setting Reference
II Neutral (Yellow) Sensitivity and Specificity Process PH-Paramedic MacLeod B., Heller M., Gerard J., et al. Verification of endotracheal tube placement with colorimetic end-tidal CO2 detection. Ann Emerg Med 1991; 20:267-270. Medline
III Neutral (Yellow) ETT position Process ED-MD Bhende M., Thompson A., Cook D., et al. Validity of a disposable end-tidal CO2 detector in verifying endotracheal tube placement in infants and children. Ann Emerg Med 1992; 21:142-5. Medline

Qualitative ETCO2 (with circulation)
Level Direction Primary Outcome Patient/Process Setting Reference
II Supportive (Green) Sensitivity and Specificity Process PH-Paramedic MacLeod B., Heller M., Gerard J., et al. Verification of endotracheal tube placement with colorimetic end-tidal CO2 detection. Ann Emerg Med 1991; 20:267-270. Medline
III Supportive (Green) ETT position Process ED-MD Bhende M., Thompson A., Cook D., et al. Validity of a disposable end-tidal CO2 detector in verifying endotracheal tube placement in infants and children. Ann Emerg Med 1992; 21:142-5. Medline

Quantitative ETCO2 (no circulation)
Level Direction Primary Outcome Patient/Process Setting Reference

Quantitative ETCO2 (with circulation)
Level Direction Primary Outcome Patient/Process Setting Reference


[ PEP Database - Table of Contents ] [ Email: PEP@Dal.ca ]