Special Communication| Volume 25, ISSUE 1, P40-42, January 2006

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Unusual placement of an endotracheal tube in a patient with blunt traumatic airway injuries

      Unfortunately, even today, confirming endotracheal tube (ETT) position after emergent intubation remains an inexact science. All the standard techniques, such as auscultation of bilateral breath sounds, absence of breath sounds in the epigastric area, visible equal chest wall expansion, mist in the ETT tube, direct view of the ETT passing through the vocal cords, appropriate oxygen saturations, and proper color change from the disposable CO2 detector are at times, imprecise, impractical, or misleading.
      • Birmingham PK
      • Cheney FW
      • Ward RJ
      Esophageal intubation: a review of detection techniques.
      • Li J
      Capnography alone is imperfect for endotracheal tube placement confirmation during emergency intubation.
      With these limitations, however, the airway is thought to be properly secured and the patient properly ventilated if adequate oxygen saturation and CO2 color detection are achieved and the ETT is secured at a reasonable depth in the trachea.
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