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 tub es and in 50 adult patients who underwent tracheal and oesophageal int ubation with uncut tracheal tubes. We could not configure the SCOTI re liably with cut tracheal tubes. In the clinical study using uncut tube s the SCOTI identified all oesophageal intubations, but was only able to identify 84% (95% CI: 73.8-94.2%) of tracheal intubations. We recom mend caution in using this device and further independent evaluation t o determine its reliability.