Novisen Posted August 9, 2007 Share Posted August 9, 2007 Look down and see if the tube is i right place. Aortic rupture can give 0 mmhg on ETCO2. If you can´t see reintubate. Link to comment Share on other sites More sharing options...
MplsMedic Posted September 15, 2007 Share Posted September 15, 2007 DON'T pull the tube. Yes, there might be a cuff leak or some other equipment malfunction, but I would take a look down with the laryngoscope to see exactly where my tube was. You can always reconfirm, or pull and reintubate. At least with the tube still in there, you have some sort of landmark (i.e. esophagus or trachea). This can be a sticky situation if your partner is "SURE" the tube is in the trachea (happened to me, tube was in the belly). Be sure to repeat all of your confirmatory steps if you ever think that the tube may have moved. What were lung sounds like? ALWAYS recheck when the pt is moved as well... Other than that, I don't know... Link to comment Share on other sites More sharing options...
flightmedic46 Posted October 3, 2007 Share Posted October 3, 2007 A positive wave form on capnography is a better indicator than a numerical reading in cardiac arrest situation. Also have seen this situation where the tube was not advanced far enough and setting just anterior of the vocal cords and the cuff would not seal. Link to comment Share on other sites More sharing options...
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