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Abstract

BACKGROUND

ENDOTRACHEAL INTUBATION IS USUALLY DONE AS A PART OF EMERGENCY MANAGEMENT OF PATIENTS WITH A THREATENED AIRWAY AND GENERAL ANAESTHSIA, IN ORDER TO ENSURE PATENCY OF THE AIRWAY AS WELL AS PROPER VENTILATION. POSITIONING AN ET TUBE CORRECTLY IS OF PARAMOUNT IMPORTANCE IN ORDER TO PREVENT HYPOVENTILATION, INAPPROPRIATE VENTILATION AND ALSO COLLAPSE OF LUNG DUE TO MALPOSITIONING OF ET TUBE.

ETT POSITION IS USUALLY ASSESSED USING FRONTAL CHEST RADIOGRAPH. THE POSITION OF THE ETT IS DEPENDENT ON THE POSITION OF THE HEAD & NECK. THE MANDIBLE CAN BE USED FOR ASSESSMENT OF WHETHER THE NECK IS IN A NEUTRAL OR FLEXED OR EXTENDED POSITION. ETT POSITIONING VARIES FROM PATIENT TO PATIENT DEPENDING UPON AGE OF THE PATIENT ALSO.

CASE DESCRIPTION

A 1 YEAR 10 MONTHS OLD FEMALE CHILD PRESENTED WITH THE COMPLAINTS OF FEVER SINCE 2 DAYS, 2 EPISODES OF CONVULSIONS, GTCS TYPE OF SEIZURES WITH UP ROLLING OF EYES, ENTIRE EPISODE LASTING FOR 2 MINUTES, ASSOCIATED WITH POST ICTAL DROWSINESS. CHILD IS A KNOWN CASE OF GLOBAL DEVELOPMENTAL DELAY AND WAS PREVIOUSLY ADMITTED TO HOSPITAL WITH SIMILAR COMPLAINTS. ON EXAMINATION SHE WAS FOUND TO HAVE HYPOTONIA OF ALL 4 LIMBS AND DROWSINESS.

CONCLUSION:

ETT POSITIOING SHOULD ALWAYS BE ASSESSED USING A FRONTAL CHEST XRAY IN ORDER TO ENSURE PROPER POSITIONING AND AVOID MALPOSITION.

Conflict of Interest

NONE

Word Count

552

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