Deterioration after intubation: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
*D - Displaced ETT | *DOPE<ref>EMRA Critical Care Handbook</ref><ref>Monica E. Kleinman et al. Pediatric Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. AAP. 2010. http://pediatrics.aappublications.org/content/126/5/e1361.full</ref> | ||
*O - Obstructed ETT | **D - Displaced ETT | ||
*P - [[Pneumothorax]] | **O - Obstructed ETT | ||
*E - Equipment failure (ventilator malfunction or disconnect) | **P - [[Pneumothorax]] | ||
**E - Equipment failure (ventilator malfunction or disconnect) | |||
==Management== | ==Management== | ||
*When in doubt, disconnect the pt from the ventilator and begin bag ventilation | *When in doubt, disconnect the pt from the ventilator and begin bag ventilation | ||
**Eliminates the vent circuit as source of the problem | **Eliminates the vent ('''E''') circuit as source of the problem | ||
**Helps gauge lung compliance | **Helps gauge lung compliance | ||
*Airway | *Airway | ||
**Is the tube still in? | **Is the tube still in? ('''D''') | ||
**Is it patent? ('''O''') | |||
**Auscultate and/or CXR | |||
*Breathing | *Breathing | ||
**Is the chest rising? Breath sounds equal b/l? | **Is the chest rising? Breath sounds equal b/l? ('''P''') | ||
==Origin== | |||
*EM Crit Blog Response<ref>http://emcrit.org/blogpost/origins-of-the-dope-mnemonic/</ref> | |||
==References== | ==References== | ||
<references/> | |||
==See Also== | ==See Also== | ||
Revision as of 23:46, 8 April 2015
Diagnosis
- DOPE[1][2]
- 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 (E) circuit as source of the problem
- Helps gauge lung compliance
- Airway
- Is the tube still in? (D)
- Is it patent? (O)
- Auscultate and/or CXR
- Breathing
- Is the chest rising? Breath sounds equal b/l? (P)
Origin
- EM Crit Blog Response[3]
References
- ↑ EMRA Critical Care Handbook
- ↑ Monica E. Kleinman et al. Pediatric Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. AAP. 2010. http://pediatrics.aappublications.org/content/126/5/e1361.full
- ↑ http://emcrit.org/blogpost/origins-of-the-dope-mnemonic/