What to consider if a patient deteriorates after endotracheal intubation?
If an intubated patient’s condition deteriorates after endotracheal intubation, consider DOPE:
- • D isplacement of the endotracheal tube—no longer in the trachea
- • O bstruction of the tube—perhaps by mucus
- • P neumothorax
- • E quipment failure—perhaps the ventilator is malfunctioning, or perhaps you are not actually delivering 100% oxygen as you thought
American Heart Association: 2010 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 14: Pediatric Advanced Life Support. Circulation 2010;122(18):880.