S1 Ep55: Unintended oesophageal intubation. LISTENER NOTE - guidance has since changed.

from Anaesthesia on Air · host Royal College of Anaesthetists

Recorded 1st December 2021In this episode Dr Ashwini Keshkamat talks to Dr David Bogod about unintended oesophageal intubation. The guidance regarding unintended oesophageal intubation that Ashwini and David discuss has since changed. 'Sustained exhaled CO2' has replaced 'no trace = wrong place'. Click the link for further information about the guidance and the criteria for sustained exhaled CO2, which are: "A level that rises with exhalation and falls during inspiration; Consistent or increasing in amplitude over at least seven breaths; Having a peak amplitude >1 kPa (7.5 mm Hg) above baseline; Being clinically appropriate. If these criteria are not met, teams are obliged to exclude oesophageal intubation."

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