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Post-intubation deterioration? Remember DOPE
- The pneumonic DOPE can help you remember the most common causes of post-intubation hypoxia or deterioration
- Displacement: check the endotracheal tube for displacement (right mainstem) or dislodgement
- Obstruction: check the ETT for obstruction (mucous plug, kink in ventilator tubing)
- Pneumothorax - get an xray
- Equipment failure(unusual): disconnect patient from the ventilator and bag manually