Use of Radio Frequency Identification (RFID) Tags in Bedside Monitoring of Endotracheal Tube Position
Improper positioning of the endotracheal tube during intubation poses a serious health risk to patients. In one prospective study of 219 critically ill patients, 14% required endotracheal tube repositioning after intubation [Brunel et al. Chest 1989; 96: 1043–1045] While a variety of techniques are used to confirm proper tube placement, a chest X-ray is usually employed for definitive verification. Radio frequency identification (RFID) technology, in which an RFID reader emits and receives a signal from an RFID tag, may be useful in evaluating endotracheal tube position. RFID technology has already been approved for use in humans as a safe and effective tool in a variety of applications. The use of handheld RFID detectors and RFID tag-labeled endotracheal tubes could allow for easy and accurate bedside monitoring of endotracheal tube position, once initial proper placement is confirmed.
Keywordsradio frequency identification RFID RFID tag endotracheal tube position bedside monitoring endotracheal tube
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- 2.Standards for basic anesthetic monitoring. American Society of Anesthesiologists 2005. Accessed 19-Dec-06. <http://www.asahq.org/publicationsAndServices/sgstoc.htm>
- 4.Gottfried JL, Staudinger T, Knapp S, Burgmann H, Laczika KF, Zimmerl M, Hörmann M, Frass MRM. Assessment of the proper depth of endotracheal tube placement with the trachlight. J Clin Anesthesia 1998; 5: 389–393Google Scholar
- 5.Ashton RW, Burkle CM. Endotracheal intubation by direct laryngoscopy. American Thoracic Society 2004. Accessed 19-Dec-06. <http://www.thoracic.org/sections/clinical-information/index.html>
- 6.2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2005; 112: IV-51–IV-57Google Scholar
- 8.“Frequently Asked Questions: General RFID Information.” RFID Journal: The World’s RFID Authority. Accessed 18-Dec-06. <http://www.rfidjournal.com/faq/16/49>
- 9.“Frequently Asked Questions: RFID Technology.” RFID Journal: The World’s RFID Authority. Accessed 18-Dec-06. <http://www.rfidjournal.com/faq/17/58>
- 10.Sec. 880.6300, Implantable radiofrequency transponder system for patient identification and health information. U.S. Food and Drug Administration: Department Of Health and Human Services. Accessed 19-Dec-06. <http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?FR=880.6300>