Why does oesophageal intubation still go unrecognised? Lessons for prevention from the coroner’s court

Anaesthesia ◽  
2021 ◽  
Author(s):  
J. J. Pandit ◽  
P. Young ◽  
M. Davies
Keyword(s):  
Oesophageal Intubation

scholarly journals Failure of simulation training to change residents’ management of oesophageal intubation †

2003 ◽  
Vol 91 (3) ◽  
pp. 312-318 ◽  
Author(s):  
M.A. Olympio ◽  
R. Whelan ◽  
R.P.A. Ford ◽  
I.C.M. Saunders
Keyword(s):  
Simulation Training ◽  
Oesophageal Intubation

Rapid detection of oesophageal intubation: take care when using colorimetric capnometry

2002 ◽  
Vol 46 (4) ◽  
pp. 455-457 ◽  
Author(s):  
S. A. Puntervoll ◽  
E. Søreide ◽  
W. Jacewicz ◽  
E. Bjelland
Keyword(s):  
Rapid Detection ◽  
Oesophageal Intubation

scholarly journals A Simple Technique for Diagnosing Oesophageal Intubation

1989 ◽  
Vol 17 (1) ◽  
pp. 39-43 ◽  
Author(s):  
M. Kalpokas ◽  
W. J. Russell
Keyword(s):  
Endotracheal Tube ◽  
Nasogastric Tube ◽  
Simple Technique ◽  
Morbidity And Mortality ◽  
Endotracheal Tubes ◽  
Gastric Contents ◽  
Oesophageal Intubation ◽  
Continuous Suction

Undiagnosed oesophageal intubation during anaesthesia is a major cause of anaesthetic-related morbidity and mortality. A test was devised and evaluated to distinguish between placing an endotracheal tube in the trachea and in the oesophagus. The test involves threading a lubricated nasogastric tube through the endotracheal tube, applying continuous suction to the nasogastric tube and then attempting to withdraw the nasogastric tube. Four aspects distinguish an endotracheal tube in the trachea from one in the oesophagus: 1. the length of nasogastric tube inserted and the feel of the final obstruction to further insertion, 2. the ability to maintain unobstructed suction through the nasogastric tube, 3. the ease of withdrawal of the nasogastric tube during continuous suction, 4. the nature of any aspirate (i.e. mucus or gastric contents). An evaluation was performed on twenty patients in whom both the trachea and oesophagus were intubated simultaneously. In all twenty cases, each of the two endotracheal tubes was correctly identified as being either tracheal or oesophageal. The ability to maintain suction and the ease of withdrawal most clearly distinguished between the two positions.

scholarly journals A Method of Detecting Oesophageal Intubation or Confirming Tracheal Intubation

1988 ◽  
Vol 16 (3) ◽  
pp. 299-301 ◽  
Author(s):  
J. J. O'Leary ◽  
B. J. Pollard ◽  
M. J. Ryan
Keyword(s):  
Tracheal Intubation ◽  
Endotracheal Tube ◽  
Original Position ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff ◽  
Incorrect Answer ◽  
Marked Resistance ◽  
Oesophageal Intubation

A method of testing the location of an endotracheal tube, in the trachea or oesophagus, was subjected to trial. The test involves drawing back on the plunger of a 50 ml syringe connected with airtight fittings to the endotracheal tube connector, with the endotracheal tube cuff deflated. The ability to withdraw 30 ml of air confirms tracheal intubation. When marked resistance to withdrawal of the plunger occurs and on release the plunger rebounds to its original position the oesophagus has been intubated. The method was 100% accurate in fifty intubations, 25 tracheal and 25 oesophageal. The technique has been in routine use by one author for several years without giving an incorrect answer and enthusiastic use by other authors is producing the same result.

scholarly journals A SIMPLE AND SAFE METHOD OF OESOPHAGEAL INTUBATION

BMJ ◽  
1930 ◽  
Vol 1 (3609) ◽  
pp. 440-441
Author(s):  
C. Yorke
Keyword(s):  
Safe Method ◽  
Oesophageal Intubation
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