A.What is the immediate first step in managing this patient? (1 mark)
B.How will you confirm tube displacement? (1 mark)
B.What is your management if tube displacement confirmed? (1 mark)
Call for Help
Apply high flow oxygen
Check Capnography (ETCO2) if not, put it on
Call for Difficult airway trolley
Attach water circuits
is ETc02 trace a normal square wave?
is water circuit moving with spontaneous respirations?
is chest moving up and down and easy to ventilate?
Check tracheal tube at teeth has TT been pushed or fallen out?
Remove the tracheal tube and call for a senior anesthetist
ventilate with 100% oxygen using bag and facemask with Guedel airway and two hands on the mask
Consider LMA/i-gel/Pro seal LMA, await senior help
oral intubation if you have the skill
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