Detection of carbon dioxide in expired air after oesophageal intubation; the role of bystander mouth-to-mouth ventilation

Acta Anaesthesiol Scand. 2008 Jan;52(1):155-7. doi: 10.1111/j.1399-6576.2007.01503.x. Epub 2007 Nov 12.

Abstract

Background: The identification of a correctly placed tube during anaesthesia routinely depends on the detection of carbon dioxide (CO2) in the expired air.

Results: We describe a previously unreported cause of false-positive prediction in two patients with high initial values of CO2 in expired air after oesophageal intubation. Both patients had received bystander cardiopulmonary resuscitation with mouth-to-mouth ventilation, and the CO2 from the rescuers' expired air was trapped and subsequently detected after oesophageal intubation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged, 80 and over
  • Breath Tests*
  • Capnography*
  • Carbon Dioxide / analysis*
  • Cardiopulmonary Resuscitation*
  • Esophagus*
  • Exhalation
  • False Positive Reactions
  • Female
  • Humans
  • Intubation / methods*
  • Male
  • Medical Futility
  • Prospective Studies
  • Stomach
  • Suicide

Substances

  • Carbon Dioxide