Published in:
01-10-2013 | Original Research
Assessment and confirmation of tracheal intubation when capnography fails: a novel use for an USB camera
Authors:
John George Karippacheril, Goneppanavar Umesh, Shetty Nanda
Published in:
Journal of Clinical Monitoring and Computing
|
Issue 5/2013
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Abstract
A 62 year old male with a right pyriform fossa lesion extending to the right arytenoid and obscuring the glottic inlet was planned for laser assisted excision. Direct laryngoscopic assessment after topicalization of the airway, showed a Cormack Lehane grade 3 view. We report a case where, in the absence of a fiberscope, a novel inexpensive Universal Serial Bus camera was used to obtain an optimal laryngoscopic view. This provided direct visual confirmation of tracheal intubation with a Laser Flex tube, when capnography failed to show any trace. Capnography may not be reliable as a sole indicator of confirmation of correct endotracheal tube placement. Video laryngoscopy may provide additional confirmation of endotracheal intubation.