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J Clin Monit Comput · Oct 2013
Case ReportsAssessment and confirmation of tracheal intubation when capnography fails: a novel use for an USB camera.
- John George Karippacheril, Goneppanavar Umesh, and Shetty Nanda.
- Kasturba Medical College Manipal, Manipal University, Manipal, India.
- J Clin Monit Comput. 2013 Oct 1;27(5):531-3.
AbstractA 62 year old male with a right pyriform fossa lesion extending to the right arytenoid and obscuring the glottic inlet was planned for laser assisted excision. Direct laryngoscopic assessment after topicalization of the airway, showed a Cormack Lehane grade 3 view. We report a case where, in the absence of a fiberscope, a novel inexpensive Universal Serial Bus camera was used to obtain an optimal laryngoscopic view. This provided direct visual confirmation of tracheal intubation with a Laser Flex tube, when capnography failed to show any trace. Capnography may not be reliable as a sole indicator of confirmation of correct endotracheal tube placement. Video laryngoscopy may provide additional confirmation of endotracheal intubation.
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