What does the acronym DOPE help to remember in airway management?

The acronym DOPE is a useful mnemonic in airway management that specifically focuses on identifying potential issues that can arise during intubation or when a patient is on a ventilator.

The correct expansion—Displacement, Obstruction, Pneumothorax, Equipment failure—covers critical factors that can compromise airway effectiveness.

• Displacement refers to the possibility that an endotracheal tube may have shifted from its proper position, often occurring after patient movement or during transport. Recognizing this helps in ensuring that the airway is still secure and effective.

• Obstruction highlights the need to ensure that the airway is clear, as blockages can occur from secretions, blood, or even the tube itself. Identifying and addressing obstruction is vital to maintain proper ventilation.

• Pneumothorax indicates a potential lung collapse, which can happen particularly in patients receiving positive pressure ventilation. Recognizing signs of pneumothorax is crucial for timely intervention and ensuring that air is effectively moving into the lungs.

• Equipment failure serves as a reminder to check and confirm that all apparatus—like bags, valves, and the ventilator—are functioning correctly. Problems with equipment can lead to severe complications if not identified promptly.

In practice, the DOPE criteria