Friday January 5, 2007
Scenario; You intubated a patient during cardiac arrest but Easy cap (CO2 detector) failed to change color. Should you re-intubate the patient?
Answer: NO
During cardiac arrest, cardiac output is dependent on CPR and exhaled CO2 level is insufficient to produce color change despite endotracheal tube is in right position. In cardiac arrest, CO2 detector is not a reliable mean of confirming tracheal intubation.
1 Comments:
Thats a bad question! Technically you need to bag 5-6 times for color change if still no color change should reconfirm tube placement. Especially you are in ICU setting where patients hasn't been down for a long time!
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