Ann Emerg Med. 1998 May;31(5):643-6.

Glottic positioning of the endotracheal tube tip: a diagnostic dilemma.

Source

Department of Emergency Medicine, Ohio State University College of Medicine, Columbus, USA. hwerman@magnus.acs.ohio-state.edu

Abstract

Distal placement of the endotracheal tube tip in the glottic opening is rarely discussed in most emergency medicine, surgery, and prehospital medicine texts. We report three cases of glottic intubation recognized after the patients were thought to have been successfully intubated. Glottic positioning of the endotracheal tube tip went unrecognized initially because of the absence of air heard over the epigastrium, the presence of bilateral breath sounds, and acceptable readings by both pulse oximetry and capnography. Recognition of this complication is aided by the use of radiographic findings, inappropriate endotracheal tube depth, and the presence of inadequate ventilatory volumes. Potential complications of glottic intubation include dislodgement of the endotracheal tube, kinking of the tube, and inadequate protection of the airway.

PMID:: 9581151; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms

Publication Types

Case Reports

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Labome Researcher Resource - ExactAntigen/Labome

Libraries

LinkOut Holdings

Supplemental Content

Related citations

Prehospital determination of tracheal tube placement in severe head injury. [Emerg Med J. 2004]
Prehospital determination of tracheal tube placement in severe head injury.
Grmec S, Mally S. Emerg Med J. 2004 Jul; 21(4):518-20.
Comparison of three different methods to confirm tracheal tube placement in emergency intubation. [Intensive Care Med. 2002]
Comparison of three different methods to confirm tracheal tube placement in emergency intubation.
Grmec S. Intensive Care Med. 2002 Jun; 28(6):701-4. Epub 2002 Apr 30.
Clinical test to confirm tracheal intubation: a new method to confirm endotracheal intubation in the absence of capnography. [Eur J Anaesthesiol. 2003]
Clinical test to confirm tracheal intubation: a new method to confirm endotracheal intubation in the absence of capnography.
Baigel G, Safranski J. Eur J Anaesthesiol. 2003 Jun; 20(6):475-7.
Review [Indirect laryngoscopy : Alternatives to securing the airway]. [Anaesthesist. 2010]
Review [Indirect laryngoscopy : Alternatives to securing the airway].
Noppens RR, Werner C, Piepho T. Anaesthesist. 2010 Feb; 59(2):149-61.
Review Confirmation of airway placement. [Prehosp Emerg Care. 1999]
Review Confirmation of airway placement.
Falk JL, Sayre MR. Prehosp Emerg Care. 1999 Oct-Dec; 3(4):273-8.

See reviews... See all...

Cited by 1 PubMed Central article

Review Carbon dioxide kinetics and capnography during critical care. [Crit Care. 2000]
Review Carbon dioxide kinetics and capnography during critical care.
Anderson CT, Breen PH. Crit Care. 2000; 4(4):207-15. Epub 2000 Jul 12.

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Glottic positioning of the endotracheal tube tip: a diagnostic dilemma.
Glottic positioning of the endotracheal tube tip: a diagnostic dilemma.
Ann Emerg Med. 1998 May ;31(5):643-6.

PubMed
Strong ion gap: a methodology for exploring unexplained anions.
Strong ion gap: a methodology for exploring unexplained anions.
J Crit Care. 1995 Jun ;10(2):51-5.

PubMed
Effectiveness of betamethasone in management of severe infections. A double-blin...
Effectiveness of betamethasone in management of severe infections. A double-blind study.
N Engl J Med. 1971 Jun 3 ;284(22):1248-50.

PubMed
Effectiveness and cost of selective decontamination of the digestive tract in cr...
Effectiveness and cost of selective decontamination of the digestive tract in critically ill intubated patients. A randomized, double-blind, placebo-controlled, multicenter trial.
Am J Respir Crit Care Med. 1998 Sep ;158(3):908-16.

PubMed
The diagnosis of head injury requires a classification based on computed axial t...
The diagnosis of head injury requires a classification based on computed axial tomography.
J Neurotrauma. 1992 Mar ;9 Suppl 1:S287-92.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Display Settings:

Send to: