Duotubes

Duotubes

How to place a duo-tube
 
If your patient is a trauma or blue (EEA history) patient, you must start by ruling out facial fractures on imaging. Trauma patients must have at least a negative CTH (look at bone window yourself), ideally a negative CT Max Face (though this is not always standard ordered and doesn't need to be if there are no facial fx on a regular CTH)
All EEA patients are disqualified from having a DT placed by anyone except ENT under drect visualization (jump to step 4)
Orders: Duo-Nebhoff tube.
Step 1: Very nicely ask an ICU nurse to do it
Step 2: Ask Duo-tube team to do it: call ‭(412) 647-0487‬
Step 3: Try it yourself
Step 4: Consult ENT