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ACLS: ETT confirmation

Once a coding patient is intubated, the provider should still do an assessment of ETT positioning (do not let ongoing CPR get in the way of your assessment). This includes visualizing chest expansion bilaterally, listening over the epigastrum and bilateral lung fields.Continuous waveform capnography in addition to clinical assessment is recommended as the most reliable method of confirming and monitoring correct placement of an ETT (AHA Class 1 recommendation, LOE A).


  1. Laurie J Morrison, Charles D Deakin, Peter T Morley, Clifton W Callaway, Richard E Kerber, Steven L Kronick, Eric J Lavonas, Mark S Link, Robert W Neumar, Charles W Otto, Michael Parr, Michael Shuster, Kjetil Sunde, Mary Ann Peberdy, Wanchun Tang, Terry L Vanden Hoek, Bernd W Böttiger, Saul Drajer, Swee Han Lim, Jerry P Nolan, Advanced Life Support Chapter Collaborators Part 8: Advanced life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation: 2010, 122(16 Suppl 2);S345-421 PubMed Link