Deterioration after intubation: Difference between revisions

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*D - Displacement (flexion pushes in, exten pulls it out)
==Diagnosis==
*O - Obstruction of tube
*D - Displaced ETT
*P - [[PTX]]
*O - Obstructed ETT
*E - Equipment failure
*P - [[Pneumothorax]]
*E - Equipment failure (ventilator malfunction or disconnect)
 
==Management==
*When in doubt, disconnect the pt from the ventilator and begin bag ventilation
**Eliminates the vent circuit as source of the problem
**Helps gauge lung compliance
*Airway
**Is the tube still in?  Is it patent?
*Breathing
**Is the chest rising? Breath sounds equal b/l? Pneumothorax?
 
==Source==
*EMRA Critical Care Handbook


==See Also==
==See Also==

Revision as of 17:21, 12 April 2013

Diagnosis

  • D - Displaced ETT
  • O - Obstructed ETT
  • P - Pneumothorax
  • E - Equipment failure (ventilator malfunction or disconnect)

Management

  • When in doubt, disconnect the pt from the ventilator and begin bag ventilation
    • Eliminates the vent circuit as source of the problem
    • Helps gauge lung compliance
  • Airway
    • Is the tube still in? Is it patent?
  • Breathing
    • Is the chest rising? Breath sounds equal b/l? Pneumothorax?

Source

  • EMRA Critical Care Handbook

See Also