Problem
What type of artificial tracheal airway should be used for the following clinical situations? Please include all appropriate choices with an explanation.
a) Patient in cardiac arrest
b) Patient with severe OSA who doesn't tolerate CPAP
c) 3-year-old with epiglottis
d) Patients with thick necks
e) Patient with dysphagia and chronic aspiration
Mr. Kee is intubated with a 7.5 ETT and has been placed on a ventilator. The low exhaled volume alarm is sounding and Mr. Kee is phonating. His RR is 32, HR 122, and the pulse ox is 89%.
You measure the cuff pressure to be 30 and the pilot balloon and tube are intact.
What is the next best course of action to remedy the situation?