Deterioration after intubation: Difference between revisions

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**Is the chest rising? Breath sounds equal b/l? Pneumothorax?
**Is the chest rising? Breath sounds equal b/l? Pneumothorax?


==Source==
==References==
*EMRA Critical Care Handbook
*EMRA Critical Care Handbook



Revision as of 22:39, 8 April 2015

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?

References

  • EMRA Critical Care Handbook

See Also