What to consider if a patient deteriorates after endotracheal intubation

What to consider if a patient deteriorates after endotracheal intubation? 

If an intubated patient’s condition deteriorates after endotracheal intubation, consider DOPE:

  • • isplacement of the endotracheal tube—no longer in the trachea
  • • bstruction of the tube—perhaps by mucus
  • • neumothorax
  • • quipment failure—perhaps the ventilator is malfunctioning, or perhaps you are not actually delivering 100% oxygen as you thought

Sources

American Heart Association: 2010 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 14: Pediatric Advanced Life Support. Circulation 2010;122(18):880.

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