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Does the position or patency of the endobronchial tube need to be checked regularly?

Update:12 Feb 2025

After the endobronchial tube is inserted into the patient's airway, it usually needs strict monitoring and care to ensure that it is correctly positioned and unobstructed. This is because the endobronchial tube directly affects the patient's airway patency, and any position deviation or blockage may cause serious breathing problems or even endanger life.
After intubation, the endobronchial tube may shift position due to changes in the patient's position or other factors. If the tube is not positioned correctly, it may cause incomplete airway patency, affect breathing, and even cause aspiration pneumonia or airway damage. Therefore, nursing staff need to check the position of the tube regularly to confirm that it is still in the correct airway position, especially when the patient's position changes, moves or turns over. For endobronchial tubes with air bags, the inflation status of the air bags also needs to be monitored to ensure that it can effectively close the airway and prevent air leakage.
The patency of the endobronchial tube also needs to be kept in mind at all times. If the tube is blocked, it may cause an interruption of oxygen supply, causing the patient to suffocate or hypoxia. Common causes of blockage include accumulation of secretions, blood clots or other foreign objects entering the tube. To avoid this, doctors and caregivers need to regularly clean the tubes and suction airway secretions in time to ensure that the tubes are unobstructed. For patients with long-term intubation, it is particularly important to regularly check and clean the tubes because there is a higher risk of secretions accumulating over time.
In practice, doctors and caregivers usually use specialized equipment, such as airway suction devices and endoscopes, for more detailed inspections. These devices can help observe the status of the endobronchial tube to ensure that it is not blocked or misaligned. In addition to regular inspections and cleanings, the endobronchial tubes need to be replaced in a timely manner according to the patient's condition to prevent infection or other complications caused by long-term use.
Inspection and maintenance of endobronchial tubes require great attention, especially in the early stages after intubation. Ensuring that the tubes are correctly positioned and unobstructed can not only improve treatment outcomes, but also effectively reduce the risk of complications. Regular inspection, cleaning, and replacement of endobronchial tubes are important steps to ensure patient safety and recovery.