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