What is a complication of intubation that nurses must be aware of?

One significant complication of intubation that nurses must be aware of is pneumothorax. This condition occurs when air leaks into the space between the lung and the chest wall, which can happen if the endotracheal tube is improperly placed or if there is trauma to the lung during the intubation process. It can lead to impaired gas exchange and, if not recognized and treated promptly, can result in respiratory distress or failure.

During intubation, the risk of causing damage to the surrounding structures, including the pleura, increases, especially in emergency situations where the procedure may be performed quickly or with less than optimal conditions. Awareness of the potential for pneumothorax is vital for nurses, as they need to monitor for signs such as sudden changes in respiratory effort, decreased breath sounds on one side, or increased respiratory distress following intubation. Recognizing these signs early can lead to timely intervention and management of this potentially life-threatening condition.