A surgical resident has asked that you assist in an elective tracheotomy procedure on an orally intubated patient. Which of the following would be an appropriate action?
a. Remove the oral tube just before trache-ostomy tube insertion.
b. Remove the oral tube before the trache-otomy is performed.
c. Pull the oral tube only after the trache-ostomy tube is placed.
d. Withdraw the oral tube 2 to 3 in while the incision is made.
ANS: D
After dissection to the anterior tracheal wall, the endotracheal tube is retracted to keep the tip of the tube inside the larynx.
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