When checking placement after insertion -
When to proceed to check X-ray? - cont.
Difficulty obtaining aspirate
 
  • Turn patient onto side if possible
    •  
  • Try injecting 10-20ml of air into tube and wait for 15 minutes then try again
    •  
    THIS IS NOT THE "WHOOSH" TEST. DO NOT USE THE "WHOOSH" TEST
    AT ANY TIME
  • The Whoosh test is an old test, where air is injected into the tube and
  • auscultation performed to listen for exit sound
  • The NPSA issued an alert in 2005, stating this test should no longer be
  • used, as it is not an accurate method of checking tube placement (1)
    •  
  • Advance tube 5-10cm and try again
    •  
  • If no aspirate is obtained in any of these situations - proceed to X-ray
    • 1. National Patient Safety Agency (NPSA). Patient Safety Alert 05