ETT is not useful for:
Ans. (a) PneumothoraxRef: Miller's Anaesthesia 7h ed. / 288ETT is Endotracheal Tube Toilet* It involves clearance of airway secretions, and is a normal process needed for the preservation of airway patency and the prevention of respiratory tract infection.* Impaired clearance of airway secretions like in patients with depressed level of consciousness can result in atelectasis and pneumonia, and may contribute to respiratory failure.* The primary indications for tracheal suctioning is to remove secretions in order to enhance oxygenation or to obtain samples of lower respiratory tract secretions for diagnostic tests. In the end, perform tracheal suctioning after endotracheal intubation to clear the airway of aspirated material or secretions or to enhance oxygenation in a tracheostomy patient with respiratory insufficiency.* Perform bronchopulmonary toilet when secretions are visible in the endotracheal tube or at the orifice of the tracheostomy tube. Perform tracheal suctioning when the patient has coarse rales, rhonchi, or tubular breath sounds; acute or worsening dyspnea; or arterial oxygen desaturation.
Pneumothorax
Pulmonary toilet
Obstruction
Decreased level of consciousness
Local and Regional Anesthesia