• Middle East J Anaesthesiol · Jun 1998

    Aspirated air capnography with esophageal detector device to confirm tracheal intubation in rapid sequence induction.

    • M Ghabash, P Choueiry, and M Matta.
    • Department of Anesthesia, H. Hospital for the Rosary Sisters, Beirut, Lebanon.
    • Middle East J Anaesthesiol. 1998 Jun 1;14(5):381-6.

    AbstractVerification of the proper placement of a tracheal tube by capnography in rapid sequence induction can lead to aspiration if the patient is ventilated with the tube in the esophagus. In this study we have associated the capnography with the esophageal detector device as modified by Nunn. In 49 patients, two endotracheal tubes were introduced, one in the esophagus and the other in the trachea. An anesthesiologist, unaware of which tube is in the trachea, squeezed the bulb of the esophageal detector device, attached it to the sidestream of the capnography and the endotracheal tubes, then released it. No reinflation of the bulb was seen with the esophageal tube. Two types of reinflation were seen with the tracheal tube: slow (6 cases), all were obese, and instant (43 cases) in the remaining patients. The air aspirated from the respiratory tract by the bulb was analyzed by the capnograph; CO2 was detected from all the tracheal tubes but not from the esophageal ones. We concluded that the esophageal detector device and capnography used as described in our study is a simple reliable test to confirm the proper placement of a tracheal tube before starting ventilation in rapid sequence induction.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…