Journal of Clinical Monitoring and Computing

, Volume 21, Issue 3, pp 155–158

Use of Radio Frequency Identification (RFID) Tags in Bedside Monitoring of Endotracheal Tube Position

Article

Abstract

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.

Keywords

radio frequency identification RFID RFID tag endotracheal tube position bedside monitoring endotracheal tube 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Stauffer JL, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheotomy. Am J Med 1981; 70: 65–76PubMedCrossRefGoogle Scholar
  2. 2.
    Standards for basic anesthetic monitoring. American Society of Anesthesiologists 2005. Accessed 19-Dec-06. <http://www.asahq.org/publicationsAndServices/sgstoc.htm>
  3. 3.
    Pattnaik SK, Bodra R. Ballotability of cuff to confirm the correct intratracheal position of the endotracheal tube in the intensive care unit. European Journal of Anesthesiology 2000; 17: 587–590CrossRefGoogle Scholar
  4. 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. 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. 6.
    2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2005; 112: IV-51–IV-57Google Scholar
  7. 7.
    Brunel W, Coleman DL, Schwartz DE, Peper E, Cohen NH. Assessment of routine chest roentgenograms and the physical examination to confirm endotracheal tube position. Chest 1989; 96: 1043–1045PubMedGoogle Scholar
  8. 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. 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. 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>

Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  • Joshua Reicher
    • 1
  • Danielle Reicher
    • 1
  • Murray Reicher
    • 1
  1. 1.Health Beacons, Inc.Rancho Santa FeUSA

Personalised recommendations