Larson S R, Sutton T, Koch S, Butler B D
Department of Anesthesiology, University of Texas Medical School, Houston 77030.
Aviat Space Environ Med. 1993 Dec;64(12):1133-4.
Emergency intubation in a hyperbaric chamber can be complicated by the confined space, inadequate lighting and high levels of background noise. Inadvertent esophageal intubation may be difficult to recognize in these conditions. In more controlled settings such as the operating room, the detection of end-tidal carbon dioxide is the standard procedure for verifying proper placement of the endotracheal tube. Within a hyperbaric chamber, a capnograph may not be readily available for this purpose. We present a case report describing the use of a simple disposable colorimetric carbon dioxide detector for rapid verification of endotracheal tube position following emergency intubation in a hyperbaric chamber.
高压氧舱内的紧急插管可能会因空间狭小、照明不足和背景噪音大而变得复杂。在这些情况下,可能难以识别意外的食管插管。在手术室等更可控的环境中,检测呼气末二氧化碳是验证气管内导管正确位置的标准程序。在高压氧舱内,可能无法随时使用二氧化碳监测仪来进行此操作。我们报告一例病例,描述了在高压氧舱紧急插管后,使用一种简单的一次性比色二氧化碳探测器快速验证气管内导管位置的情况。