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| *Immediately disconnect from ventilator (allows for expiration of stacked breaths)
| | #REDIRECT[[Deterioration after intubation]] |
| *"DOPES like DOTTS" Mnemonic
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| Troubleshoot
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| **D - Displacement of tube
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| ***Attach end-tidal CO2 to verify and check depth (cm at lip)
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| **O - Obstruction of tube/circuit
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| ***Use suction catheter to remove mucus plug, or make sure pt not biting down
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| **P - Pneumothorax
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| ***Verify via US
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| **E - Equipment failure
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| ***Connect to BVM
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| **S - Stacked breaths - Auto-PEEP especially in COPD/Asthma pts
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| ***Disconnect from ventilator
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| Fix
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| **Disconnect vent and put light pressure on pt chest
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| **Oxygen 100%
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| ***Bag and take time to evaluate your patient
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| **Tube Position & Function
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| ***Pass bougie or suction all the way through the tube, OR take a look with DL
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| **Tweak Vent Settings
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| ***Drop TV, then decrease RR, and then increase flow rate
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| ***Caution as it causes hypercapnia and resp acidosis, which is harmful in pts with increased ICP or tox ingestion
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| **Sonography
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| Auto-PEEP (Breath stacking) troubleshooting options
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| *Bronchodilators if COPD/asthma
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| *Decrease RR
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| *Decrease I:E ratio (increase expiratory time)
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| *Quicker inspiratory flow rate
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| *Decrease TV
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| *Increase sedation
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| ==See Also==
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| *[[Ventilation (Main)]]
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| [[Category:Airway/Resus]]
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| [[Category:Pulm]]
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