Realtime Digital Tri-Auscultation for Neonatal Intubation

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Realtime Digital Tri-Auscultation for Neonatal Intubation

Senior Design Showcase project, Wentworth Institute of Technology, College of Engineering and Computer Science, Department of Biomedical Engineering, 2020

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title: Realtime Digital Tri-Auscultation for Neonatal Intubation

creator: Sean Lawlor, Matthew Croson

subject: Neonatal intubation, mechanical ventilation, endotracheal tube, NICU, ETT, esophageal intubation

description: Infants born prematurely or without a heartbeat are admitted to the neonatal intensive care unit (NICU) for immediate lifesaving intervention. Ventilation assistance is one of the most typical emergency actions taken in these situations. First, positive pressure ventilation via a self-inflating bag and mask is applied; however, it is common procedure for endotracheal intubation to be implemented if long term ventilation assistance or surgery is necessary. The small size and fragile nature of newborns makes the endotracheal tube placement a difficult procedure for a neonatal physician to master; only approximately 68% of fellows can intubate on their first attempt. A successful attempt is defined by the tracheal trajectory of the tube, but an unsuccessful and inadvertent esophageal intubation is as frequent as it is harmful to the patient. Intubation can also be unsuccessful when the tube is inserted too far and forks into the left or right-side bronchus. Even the best intubation indicator has false positives, and those that produce more consistent results such as CO2 readings require collection and processing time. The proposed innovation uses three digital stethoscopes providing real time feedback of an infant’s stomach, left and right lungs, and an algorithm to use these signals and output the ETT’s anatomical position.

publisher: The Douglas D. Schumann Library and Learning Commons, Wentworth Institute of Technology

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date: 2020

type: Poster

format: .pdf

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language: eng

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rights: https://rightsstatements.org/vocab/InC/1.0/

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Realtime Digital Tri-Auscultation for Neonatal Intubation

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Realtime Digital Tri-Auscultation for Neonatal Intubation

sTETH-X

20.BME.09 Poster