What should be assessed immediately after intubation?

After intubation, the most critical assessment is the verification of proper tube placement and effective ventilation, which is indicated by the presence of bilateral breath sounds and chest rise. Following intubation, it is essential to confirm that the endotracheal tube is correctly positioned within the trachea, as incorrect placement can lead to inadequate ventilation and oxygenation. Listening for breath sounds over both lungs ensures that air is moving freely through both bronchi and there is no obstruction or accidental placement of the tube in the esophagus. Additionally, observing the rise and fall of the chest provides physical confirmation that the lungs are being adequately ventilated.

While other assessments like heart rate and blood pressure, skin color and temperature, or neurological status are important in the overall patient evaluation, they are secondary to ensuring that ventilation is being properly maintained immediately after intubation. Validation of lung sounds and chest movement directly confirms the effectiveness of the intubation procedure itself, making it the priority at this stage.