You are called stat to the bedside of a trach patient who wa…

You are called stat to the bedside of a trach patient who was just moved from the ICU to the step-down unit.  The patient’s nurse, a new grad, said she just capped the patient’s trach upon his arrival to the floor because she thought that was standard policy.  However, the patient is extremely agitated and doesn’t seem to be moving air.  What would be the first thing you would check?

An intubated patient was transported to CT scan and returned…

An intubated patient was transported to CT scan and returned to the ICU. After she is moved back to her bed, an inline, mainstream ETCO2 detector starts to alarm and note that the EtCO2 reading is 0 mmHg.  The SpO2 reading is 65%.  Exhaled tidal volumes on the ventilator have dropped drastically and you note an audible gurgling sound coming from the patient’s mouth.  What do you think has most likely happened?