Endotracheal Tube Placement (Intubation) | TMC Practice Question

Ready to learn about Endotracheal Tube Placement? What is the correct place to insert an ET Tube? Watch the video to find out!

➡️ A 43-year-old female patient in the emergency department was just orally intubated with an endotracheal tube. Which of the following would you INITIALLY recommend in order to confirm that the tube is in the proper position?
A. Auscultate the patient’s chest and abdomen
B. Perform a STAT chest x-ray
C. Use capnography to verify exhaled CO2
D. Observe chest wall movement

For the TMC Exam, you must know how to confirm that the ET tube is in the proper position. This question is kind of tricky because the answer choices are all correct methods of confirming tube placement. The key word in the question is the word: Initially.

Because, the question requires that you know which one to perform FIRST. So immediately after intubation, the first thing you should do is auscultate the lungs in order to listen for bilateral breath sounds. You should also auscultate the abdomen as well and there should be no air movement, otherwise, you can suspect that the tube is in the esophagus instead of the trachea. All of the answer choices are appropriate and should be performed, just know that auscultation is what should be performed FIRST.

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Medicine and Respiratory Therapy are continuously changing practices. The information in this video is for educational and entertainment purposes only. For medical advice, please consult with a physician or qualified medical professional.

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⏰TIMESTAMPS
0:00 - Intro
0:24 - Practice Question
1:00 - Explanation
2:03 - Correct Answer

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[louluminar]

We use a capnography device attached to the ambu bag to confim placement then auscultate for equal breath sounds

[dailydoseofmedicinee]

Prior to intubation, the patient is typically sedated or not conscious due to illness or injury, which allows the mouth and airway to relax. The patient is typically flat on their back and the person inserting the tube is standing at the head of the bed, looking at the patient's feet.

[DoldierMedia]

C. at the hospital I work at and in my personal experience. The patient will typically have multiple breaths before there is even a chance to hear the breath sounds. But the tmc has its own weird standards.

[kentouch]

I'm confused. The kettering Book says to check for bilateral chest rise on inspiration, then auscultate. Now RT ZONE says auscultate first. Which one is it?

[rebecavega]

it should be examining the movement of the chest wall