A neonate having congenital diaphragmatic hernia developed respiratory distress. Breath sounds were decreased on the left side. After bag and mask ventilation. ET tube was put and the maximal cardiac impulse shifted to the right side. What should be the next step in management ?
The tube is inseed into the nose or mouth and slid into the stomach. The formula is then put into the tube and flows through it into the stomach. A nasogastric tube with a guide wire is a soft silicone tube that may be left in place for up to a month. Reference: GHAI Essential pediatrics, 8th edition
Confirm the position of endotracheal tube by x-ray chest
Remove tube & Reattempt intubation
Naso gastric tube inseion
Chest x-ray
New born infants