eb1040

I read it as At The Lip. In some places there is a joke about ATT or At the Tooth but you might have to be from there to see the humor. This is why it is good not to use abbreviations between different agencies. This little piece of information could be a headache in a pt like this where airway is important especially as the lip swells. Guess we'll have to see see how the author of this senario meant it. Is there a place for introductions? I don't want to sidetrack a good discussion. I think I am only allowed 2 posts and this is it for the night.

"He has a #7.5 ETT at 22cm ATL and his EtCo2 is 28mmHg They are unable to measure the cuff pressure." Unable as in not able to measure it due to lack of a manometer or the pressure is variable? Pilot balloon inflated? With more air did the leak cease or what it like going into nowhere? The cuff could be sitting on top of the cords. CXR? 22 cm ATL is also a little high for a man unless he has a short neck. Burn patients should also be measured at the teeth or gums for ET tube placement to account for swelling and fluid therapy. That lip could expand easily another 3 cm in a very quick time displacing the tube. How much fluid has been initiated? Parkland Forumula? LR? . Dry dressings in place? Any silvadene applied? Sulfa allergy checked?