Rowley said
> You should not be intubating in any position where you cannot accurately
decide on
> correct intubation. There is no substitute for seeing the tube pass
through the cords, and I
> do not agree with the 'position statement'. (regarding ETCo2 confirmation
of ET placement I presume).
I'm surprised at his in a way, I thought you would be an advocate. I agree
that seeing the tube through the cords is a pretty powerful way of knowing
it is there (though senior anaesthetists have told me that it is still
possible to be mistaken). However, many of my RSIs are in trauma patients in
the neutral C-spine postion.About a third of these are grade 3 views so
seeing th tube go through the cords is not possible. What then? I must admit
that I am very happy to see the capnograph respond in these situations.
Simon
Simon Carley
SpR in Emergency Medicine
Manchester Royal Infirmary
England
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Evidence based Emergency Medicine
http://www.bestbets.org
----- Original Message -----
From: Rowley Cottingham <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, September 28, 2001 8:49 AM
Subject: Re: EtOH and ETCO2
> > Does anyone use salivary EtOH (+/- other drugs) testing in their
> > departments? And if so, what make, are they any good (evidence?), how
> > much, and where from?!
>
> I have a policy of not testing for ethanol. It is splendidly pointless. I
use urinary testing for
> other drugs.
>
> > And regarding the position statement in September's EMJ, outside the
> > resus room, what ETCO2 monitor/sampler do you use? Do any of you use
> > the disposable ones - and again if so, what make, are they any good,
> > how much, and where from?
> You should not be intubating in any position where you cannot accurately
decide on
> correct intubation. There is no substitute for seeing the tube pass
through the cords, and I
> do not agree with the 'position statement'.
>
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
> http://www.emergencyunit.com
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