{"@type": "dcat:Dataset", "accessLevel": "public", "bureauCode": ["009:25"], "contactPoint": {"@type": "vcard:Contact", "fn": "NIH", "hasEmail": "mailto:info@nih.gov"}, "description": "Objective:\n          To determine the clinical usefulness of immediate (stat) chest\n\t\t\t\tradiographs after endotracheal intubation when performed by experienced\n\t\t\t\tcritical care personnel.\n        \n        \n          Patients and methods:\n          This was a prospective study. Endotracheal intubations in an\n\t\t\t\t11-bed intensive care unit and a nine-bed intermediate intensive care unit were\n\t\t\t\tincluded. After intubations were performed by an experienced critical care\n\t\t\t\toperator, that individual recorded demographic and procedural data, and\n\t\t\t\tpredicted radiographic findings on a data collection sheet. Experience at\n\t\t\t\tintubation was stratified into four levels of lifetime experience: fewer than\n\t\t\t\t10 procedures, 10-20 procedures, 20-50 procedures, and more than 50 procedures.\n\t\t\t\tRadiographic findings evaluated included endotracheal tube position and\n\t\t\t\tprocedure-related complications. The postintubation chest radiograph was then\n\t\t\t\treviewed and the actual findings were also recorded.\n        \n        \n          Results:\n          A total of 101 evaluable intubations were recorded, two of which\n\t\t\t\twere predicted to show tube malposition. Actual radiographic findings revealed\n\t\t\t\t10 malpositions, three of which were too high and seven were too low (one at\n\t\t\t\tthe level of the carina). A single witnessed aspiration that occurred during\n\t\t\t\tintubation was not radiographically apparent until 24 h later. Only the tube\n\t\t\t\tpositioned at the carina was felt to be of acute clinical significance or to\n\t\t\t\tplace the patient at any acute risk.\n        \n        \n          Conclusions:\n          The incidence of endotracheal tube malposition after intubation\n\t\t\t\twas underestimated. However, when performed by experienced critical care\n\t\t\t\tpersonnel, acutely significant malpositions were rare (one out of 101\n\t\t\t\tintubations). We conclude that, in the absence of specific pulmonary\n\t\t\t\tcomplications, endotracheal intubations performed by experienced operators may\n\t\t\t\tbe followed by routine, rather than 'stat' chest radiographs.", "distribution": [{"@type": "dcat:Distribution", "description": "Visit the original government dataset for complete information, documentation, and data access.", "downloadURL": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC29036/", "mediaType": "text/html", "title": "Official Government Data Source"}], "identifier": "https://healthdata.gov/api/views/dy7y-hmfm", "issued": "2025-07-13", "keyword": ["endotracheal-intubation", "icu-patients", "nih", "postintubation-radiography", "tube-placement"], "landingPage": "https://healthdata.gov/d/dy7y-hmfm", "modified": "2025-09-06", "programCode": ["009:034"], "publisher": {"@type": "org:Organization", "name": "National Institutes of Health"}, "theme": ["NIH"], "title": "Utility of postintubation chest radiographs in the intensive care\n\t\t  unit"}