Q: What could be "one good way" to minimize the complication on exchange of Endotracheal tube (ETT) ?  


Answer: 

At least one study shows that use of video laryngoscopy  decrease the number of attempts of ETT exchange on first try. It includes life threatening complications as severe hypoxemia, esophageal intubation, arrhythmia etc.


 Reference: 

 Mort TC, Braffett BH. Conventional Versus Video Laryngoscopy for Tracheal Tube Exchange: Glottic Visualization, Success Rates, Complications, and Rescue Alternatives in the High-Risk Difficult Airway Patient. Anesth Analg 2015; 121:440.