Assessment and Management of Pediatric Trauma
Module 2: Pediatric Airway and Breathing
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ETT Position Confirmation by CO2 Colorimetry

Colorimetric exhaled CO2 detector device fits between the endotracheal tube and the breathing circuit and changes color (from purple to yellow) with detection of exhaled CO2

  • Purple: No exhaled CO2 detected
  • Yellow: Exhaled CO2 detected

“Gold is good” is a useful way to remember the desired color change.

Test for 6 consecutive breaths after intubation to wash out CO2 present in the stomach after bag-mask ventilation.

Note: Exhaled CO2 will not detect or rule out intubation of mainstem bronchus. This can be detected on auscultation, with a chest xray or a fiberoptic scope.

purple
gold
Module 2: Pediatric Airway and Breathing