2018
End-Tidal Carbon Dioxide Use for Tracheal Intubation
Langhan ML, Emerson BL, Nett S, Pinto M, Harwayne-Gidansky I, Rehder KJ, Krawiec C, Meyer K, Giuliano JS, Owen EB, Tarquinio KM, Sanders RC, Shepherd M, Bysani GK, Shenoi AN, Napolitano N, Gangadharan S, Parsons SJ, Simon DW, Nadkarni VM, Nishisaki A. End-Tidal Carbon Dioxide Use for Tracheal Intubation. Pediatric Critical Care Medicine 2018, 19: 98-105. PMID: 29140968, DOI: 10.1097/pcc.0000000000001372.Peer-Reviewed Original ResearchConceptsCapnography useTracheal intubationCardiac arrestEmergency departmentEsophageal intubationOxygen desaturationWaveform capnographyAdverse tracheal intubation-associated eventsMulticenter retrospective cohort studyNational Emergency Airway RegistryTracheal intubation-associated eventsEnd-tidal carbon dioxide measurementPrimary tracheal intubationsRetrospective cohort studyUse of capnographyTracheal intubation procedureQuality improvement initiativesAirway RegistryCohort studyProvider characteristicsSafety outcomesIntubationIntubation procedureCapnographyImprovement initiatives
2017
Capnography Use During Intubation and Cardiopulmonary Resuscitation in the Pediatric Emergency Department
Bullock A, Dodington JM, Donoghue AJ, Langhan ML. Capnography Use During Intubation and Cardiopulmonary Resuscitation in the Pediatric Emergency Department. Pediatric Emergency Care 2017, 33: 457-461. PMID: 27455341, PMCID: PMC5259553, DOI: 10.1097/pec.0000000000000813.Peer-Reviewed Original ResearchConceptsCapnography useEmergency departmentHospital emergency departmentCardiopulmonary resuscitationSpontaneous circulationAHA recommendationsAcademic children's hospital emergency departmentChildren's hospital emergency departmentAmerican Heart Association guidelinesImplementation of capnographyIll pediatric patientsHeart Association guidelinesRetrospective chart reviewUse of capnographyPediatric emergency departmentChart reviewAdverse eventsPatient characteristicsPediatric patientsIntubated patientsEndotracheal intubationTraumatic causesAssociation guidelinesIll childrenPatients
2012
Improving Detection by Pediatric Residents of Endotracheal Tube Dislodgement with Capnography: A Randomized Controlled Trial
Langhan ML, Auerbach M, Smith AN, Chen L. Improving Detection by Pediatric Residents of Endotracheal Tube Dislodgement with Capnography: A Randomized Controlled Trial. The Journal Of Pediatrics 2012, 160: 1009-1014.e1. PMID: 22244462, DOI: 10.1016/j.jpeds.2011.12.012.Peer-Reviewed Original ResearchMeSH KeywordsCapnographyChildClinical CompetenceForeign-Body MigrationHumansInternship and ResidencyIntubation, IntratrachealOximetryPatient SimulationReproducibility of ResultsTracheaConceptsPediatric residentsEndotracheal tubeIntervention groupPulse oximetryStandard monitoringPercent of subjectsEndotracheal tube dislodgementSecondary outcomesControlled TrialsPrimary outcomeIntubated patientsTube dislodgementClinical experienceControl groupCapnographyPatient safetyDislodgementDidactic sessionsPostgraduate yearPatient simulatorOximetrySubjectsOutcomesGroupResidents
2011
A Randomized Controlled Trial of Capnography in the Correction of Simulated Endotracheal Tube Dislodgement
Langhan ML, Ching K, Northrup V, Alletag M, Kadia P, Santucci K, Chen L. A Randomized Controlled Trial of Capnography in the Correction of Simulated Endotracheal Tube Dislodgement. Academic Emergency Medicine 2011, 18: 590-596. PMID: 21676056, PMCID: PMC3117244, DOI: 10.1111/j.1553-2712.2011.01090.x.Peer-Reviewed Original ResearchMeSH KeywordsCapnographyComputer SimulationEmergency Medical ServicesEquipment FailureHumansInfantIntubation, IntratrachealOximetryTransportation of PatientsConceptsEndotracheal tubePulse oximetryStandard monitoringAddition of capnographyStandard monitoring groupPercent of subjectsEndotracheal tube dislodgementLife-threatening consequencesCapnography groupIntubated babiesSecondary outcomesPrimary outcomeAirway problemsControlled TrialsIntubated patientsMedian timeTube dislodgementPhysical examinationInterfacility transportPrehospital providersCapnographyPatientsDislodgementOximetryMonitoring groupAvailability and clinical utilization of capnography in the prehospital setting.
Langhan M. Availability and clinical utilization of capnography in the prehospital setting. Connecticut Medicine 2011, 75: 197-201. PMID: 21560724.Peer-Reviewed Original ResearchMeSH KeywordsAmbulancesCapnographyConnecticutEmergency Medical ServicesHumansIntubation, IntratrachealMonitoring, PhysiologicSurveys and QuestionnairesConceptsPrehospital providersMonitoring of patientsMeasures of ventilationIll patientsNonintubated patientsEndotracheal intubationPrehospital settingCardiopulmonary resuscitationClinical scenariosClinical situationsWeb-based surveyCapnographyClinical utilizationPatientsMajority of respondentsVentilationObjective measuresProvidersIntubationAirwayResuscitationPerfusionCare
2008
Current Utilization of Continuous End-Tidal Carbon Dioxide Monitoring in Pediatric Emergency Departments
Langhan ML, Chen L. Current Utilization of Continuous End-Tidal Carbon Dioxide Monitoring in Pediatric Emergency Departments. Pediatric Emergency Care 2008, 24: 211-213. PMID: 18431217, DOI: 10.1097/pec.0b013e31816a8d31.Peer-Reviewed Original ResearchMeSH KeywordsCapnographyCarbon DioxideData CollectionEmergency Service, HospitalHumansIntubation, IntratrachealMonitoring, PhysiologicPediatricsPhysician ExecutivesUnited StatesConceptsPediatric emergency departmentEnd-tidal carbon dioxide monitoringETCO2 monitoringEmergency departmentPercent of respondentsCarbon dioxide monitoringEndotracheal tube confirmationContinuous ETCO2 monitoringContinuous End-Tidal Carbon Dioxide MonitoringPediatric emergency medicine fellowship programsAcid-base disturbancesTube confirmationIntubated patientsNonintubated patientsModerate sedationEmergency settingCommon reasonWeb-based survey