Chart

Ten tests of correct tube placement: if in doubt, take it out!
Test	Result	Significance	Reliability/Action
Look with laryngoscope Listen/feel Tap sternum Inflate with self- inflating bag Inflate with self- inflating bag Pass catheter down tube Look Look Listen with stethoscope Listen with stethoscope	Tube between cords Breathing through tube Puff of air from tracheal tube Chest rises and falls Gurgling noise Patient coughs (if not paralysed) Patient remains pink after intubation Patient becomes cyanosed after intubation Air entry at apices, axillae and bases Air entry over stomach	Correct tracheal intubation Correct tracheal intubation Correct tracheal intubation Correct tracheal intubation Oesophageal intubation Correct tracheal intubation Correct tracheal intubation Oesophageal intubation very likely Correct tracheal intubation Oesophageal intubation very likely	Certain Probable Probable Probable REMOVE TUBE Probable Probable REMOVE TUBE Probable REMOVE TUBE