Weird Situation

[deleted162650]

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Had this thing happen to me yesterday and I'm having difficulty wrapping my head around it.

Youngish, otherwise healthy female undergoing an arm procedure. Go to intubate, Grade I view, pass the tube, no end tidal and cant see any humidity on the tube. Tube comes out, DL once again, Grade I view again, pass the tube, no end tidal and can't see any humidity anywhere.

"Wait, I thought you inflated the cuff. . ."

 

[Noyac]

"Wait, I thought you inflated the cuff. . ."

That would do it.
But the attending was there in the first case so I doubt this was the issue then.

 

[deleted87051]

Had this thing happen to me yesterday and I'm having difficulty wrapping my head around it.

Youngish, otherwise healthy female undergoing an arm procedure. Go to intubate, Grade I view, pass the tube, no end tidal and cant see any humidity on the tube. Tube comes out, DL once again, Grade I view again, pass the tube, no end tidal and can't see any humidity anywhere.

I know my ETCO2 monitor is working, BP is not an issue. Able to bag the patient but nothing is coming out. Sats are ok (but was properly preoxygenated). At this point, attending takes a look with the tube in place. Clearly past the vocal cords, pilot is properly inflated, he advances the tube further and we end up with ETCO2. Rest of the case proceeds uneventfully.

Any ideas?

Why did you tube a healthy young woman for an arm procedure?

 

[Planktonmd]

Why did you tube a healthy young woman for an arm procedure?

It's probably one of those usual academic reasons like : Her next door neighbor has real bad GERD, or she had coffee with milk seven and a half hours ago!