Tracheal intubation to secure a patients airway is a fundamental skill in anaesthesia practice. Confirmation of endotracheal intubation in neonates is a very difficult task and it is also one of the most important parts of anesthesia. Accidentally placing the tracheal tube in the oesophagus happens to every experienced anaesthesiologist. Delay in diagnosis and corrective action can lead to hypoxic damage.We present a case of jejunal atresia posted for emergency surgery, in which endotracheal placement of tube was confirmed by endobronchial intubation, in the absence of ETCO2 (end tidal carbondioxide) monitoring We conclude by saying that confirmation of endotracheal intubation by endobronchial intubation is a rapid and reliable method with no expertise needed, when no ETCO2 monitoring is available.
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