The role of carbon dioxide detectors for confirmation of endotracheal tube position

Clinics in Perinatology
Jonathan Wyllie, Waldemar A Carlo

Abstract

There is evidence that practitioners who are responsible for airway management at newborn resuscitations may place an endotracheal tube incorrectly with confidence. Moving on to the further stages of resuscitation, without managing the airway adequately, and commencing ventilation has the potential for significant harm to the baby. Because primary confirmation is fallible, there is a need for secondary confirmation of correct endotracheal tube placement and effective airway and breathing before moving on to cardiovascular support. Symmetric chest movement, auscultation, exhaled carbon dioxide (CO(2)), and an increase in heart rate have been suggested as providing secondary confirmation. Measurement of exhaled CO(2) is accepted widely as a standard of care in adult and pediatric intensive care and in anaesthetized patients.

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Citations

Nov 14, 2013·Journal of Clinical Monitoring and Computing·Pauwel GoethalsDavid Schaner
Jun 18, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·M Escobedo
Jun 23, 2007·Resuscitation·Peter Raupp, Charles McCutcheon
Apr 18, 2006·Seminars in Fetal & Neonatal Medicine·Jonathan Wyllie
Jun 4, 2013·Respiratory Physiology & Neurobiology·Juliann M Di FioreEstelle B Gauda
Nov 3, 2010·Best Practice & Research. Clinical Anaesthesiology·Michael Clifford, Rodney W Hunt

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