UMEM Educational Pearls

Category: Critical Care

Title: DOPE

Keywords: post-intubation hypoxia, pneumothorax, mechanical ventilation (PubMed Search)

Posted: 8/5/2008 by Mike Winters, MD (Updated: 12/5/2019)
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Post-intubation deterioration?  Remember DOPE

  • The pneumonic DOPE can help you remember the most common causes of post-intubation hypoxia or deterioration
  • Displacement: check the endotracheal tube for displacement (right mainstem) or dislodgement
  • Obstruction: check the ETT for obstruction (mucous plug, kink in ventilator tubing)
  • Pneumothorax - get an xray
  • Equipment failure(unusual): disconnect patient from the ventilator and bag manually