An evaluation of the SCOTI device.
The Sonomatic Confirmation of Tracheal Intubation (SCOTI, Penlon, UK) device was evaluated in the laboratory with cut and uncut tracheal tubes and in 50 adult patients who underwent tracheal and oesophageal intubation with uncut tracheal tubes. We could not configure the SCOTI reliably with cut tracheal tubes. In the clinical study using uncut tubes the SCOTI identified all oesophageal intubations, but was only able to identify 84% (95% CI: 73.8-94.2%) of tracheal intubations. We recommend caution in using this device and further independent evaluation to determine its reliability.
Haridas
R P
RP
Department of Anaesthetics, Faculty of Medicine, University of Natal, Durban, South Africa.
Chesshire
N J
NJ
Rocke
D A
DA
D000328:Adult; D000776:Anesthesiology / Q000295:instrumentation*; D004947:Esophagus; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity