If breath sounds are not heard over the left lung after intubation, the most likely cause is which of the following?

a. An endotracheal tube that is not inserted far enough
b. Cuff not inflated enough
c. Left mainstem intubation
d. Right mainstem intubation


ANS: D
A common problem with endotracheal tubes is that they are either inserted too far or migrate too far into the trachea, so the cuff might obstruct a bronchus or only one lung might be ventilated. Right mainstem intubation is most common, especially in children, because not only is the angle of take-off of the right main bronchus less than that of the left, but the distance between the glottis and carina is quite small.

Health Professions

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