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| • |
Tracheal
intubation in unconscious patients should be attempted only by
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healthcare providers experienced in performing
this skill.
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| • |
Emergency
responders must confirm tracheal tube
position by using
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nonphysical
examination techniques. These include esophageal detector
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devices,
qualitative end-tidal CO2 indicators, and capnographic and
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capnometric
devices.
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| • |
Growing
evidence suggests that tracheal tube dislodgments after a
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successful
tracheal tube insertion may be
occurring at much higher
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rates
than previously suspected.
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Emphasis should be placed on securing the tube carefully with a tie
or
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tape.Monitors
for oxygen saturation and
end-tidal CO2 levels can detect
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tube
dislodgments.
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The
best technique, however, to
prevent, detect, and correct tube
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dislodgment
is the constant vigilance of care
providers.
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