I can't imagine there is a medical director out there who would allow this to occur.
I think there's probably some that don't know it's occurring.
Again, do these outnumber the number of patients harmed from misplaced and inappropriate ETTs? Put another way, "is the juice worth the squeeze" in our current practice? Because changing education and experience requirements is proving to be a glacial process.Sure, asthmatics, COPD'ers, obese pts, burns, etc...anyone where the pressure required to ventilate them is likely to result in more air entering the esophagus than the trachea.