Just a quick poll as to how many of you actually use an esophageal sthethoscope for all/most of your cases. Afetr you vote then let me know why you do/don't. Thanks.
Jul 19, '03
Absolutely. If I don't use an esophogeal, I use a precordial stethescope. I had a case of a asthmatic pt who was in the process of developing an upper airway obstruction about 30 min into LMA case being maintained on Sevo. I heard the obstruction with the precordial stethescope developing before any significant change in the ETCO2. After several interventions including positive pressure ventilation, repositioning of the LMA (ensuring the tip was not occluding the epiglottis into the trachea), and a beta 2 agonist inhaler tx, I ended up using Succ to paralyse the pt. I advocate using either the esophegeal or precordial stethescope on every pt.
Last edit by rexhuber on Jul 19, '03