keyword
https://read.qxmd.com/read/38535030/trends-in-preoperative-airway-assessment
#1
REVIEW
Ioan Florin Marchis, Matei Florin Negrut, Cristina Maria Blebea, Mirela Crihan, Alexandru Leonard Alexa, Caius Mihai Breazu
Airway management is a vital part of anesthesia practices, intensive care units, and emergency departments, and a proper pre-operative assessment can guide clinicians' plans for securing an airway. Complex airway assessment has recently been at the forefront of anesthesia research, with a substantial increase in annual publications during the last 20 years. In this paper, we provide an extensive overview of the literature connected with pre-operative airway evaluation procedures, ranging from essential bedside physical examinations to advanced imaging techniques such as ultrasound (US), radiography, computed tomography (CT), and magnetic resonance imaging (MRI)...
March 13, 2024: Diagnostics
https://read.qxmd.com/read/38534164/conservative-airway-management-successful-in-majority-of-infants-with-pierre-robin-sequence-at-queensland-children-s-hospital-a-retrospective-review
#2
JOURNAL ARTICLE
Harrison Theile, Yun Phua, Stuart Bade, Susan O'Mahony, Jasneek Chawla, Sadasivam Suresh, Richard Theile
PURPOSE: Pierre-Robin Sequence (PRS) is a congenital abnormality characterized by micrognathia, glossoptosis, and variable severity upper airway obstruction. Clear management algorithms are lacking, particularly the indications for surgical versus nonsurgical intervention. The authors reviewed the management of these children in Queensland. METHODS: All children diagnosed with PRS at Queensland Children's Hospital from April 2014 to October 2019 were identified (n=45), and their charts were retrospectively reviewed...
March 27, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38533169/from-pansinusitis-to-cerebritis-due-to-eikenella-corrodens
#3
Adriana América Silva, Inês Zão, João A Louro, Eduarda Pereira, Elisabete Monteiro
Meningitis is a rare but possible complication of sinusitis. We present a case of a 21-year-old woman with a history of fever, headache and nasal obstruction who presented at the emergency department with psychomotor agitation. Orotracheal intubation and invasive mechanical ventilation were given to protect airway. Blood analysis showed leukocytosis and elevated C-reactive protein. Cerebral and maxillofacial computed tomography (CT) demonstrated pansinusitis with gas foci more prominent in the left frontal sinus with an area of ​​bone rarefaction on the posterior wall with possible communication with the cranial cavity...
February 2024: Curēus
https://read.qxmd.com/read/38531631/paramedics-success-and-complications-in-prehospital-pediatric-intubation-a-meta-analysis
#4
REVIEW
Faisal A AlGhamdi, Nasser A AlJoaib, Abdulaziz M Saati, Mishal A Abu Melha, Mohammad A Alkhofi
BACKGROUND: Prehospital pediatric intubation is a potentially life-saving procedure in which paramedics are relied upon. However, due to the anatomical nature of pediatrics and associated adverse events, it is more challenging compared to adult intubation. In this study, the knowledge and attitude of paramedics was assessed by measuring their overall success rate and associated complications. METHODS: An online search using PubMed, Scopus, Web of Science, and Cochrane CENTRAL was conducted using relevant keywords to include studies that assess success rates and associated complications...
March 27, 2024: Prehospital and Disaster Medicine
https://read.qxmd.com/read/38528277/pre-hospital-emergency-medicine-a-spectrum-of-imaging-findings
#5
REVIEW
Ryan T Whitesell, Aaron M Burnett, Sean K Johnston, Douglas H Sheafor
The goal of emergency medical services (EMS) is to provide urgent medical care and stabilization prior to patient transport to a healthcare facility for definitive treatment. The number and variety of interventions performed in the field by EMS providers continues to grow as early management of severe injuries and critical illness in the pre-hospital setting has been shown to improve patient outcomes. The sequela of many field interventions, including those associated with airway management, emergent vascular access, cardiopulmonary resuscitation (CPR), patient immobilization, and hemorrhage control may be appreciated on emergency department admission imaging...
March 26, 2024: Emergency Radiology
https://read.qxmd.com/read/38525360/prehospital-mass-casualty-incident-triage-simulation-builds-knowledge-and-confidence-in-medical-trainees
#6
JOURNAL ARTICLE
Elaine Yu, Christanne Coffey
BACKGROUND: Mass casualty incident (MCI) triage simulation is an increasingly useful tool for teaching triage systems to medical students, trainees, and hospital staff. MCI simulation in the prehospital setting has not yet been studied in this population. OBJECTIVES/AIMS: We aimed to assess the effectiveness of a prehospital MCI simulation in medical students, residents, and fellows. Our primary outcome was knowledge of the components of the triage algorithms used in MCI response...
April 2024: AEM Education and Training
https://read.qxmd.com/read/38522733/resuscitation-un-wanted-does-anyone-care-a-retrospective-real-data-analysis
#7
JOURNAL ARTICLE
Dennis Rupp, Nils Heuser, Martin Christian Sassen, Susanne Betz, Christian Volberg, Susanne Glass
BACKGROUND AND OBJECTIVES: In case of out-of-hospital cardiac arrest (OHCA) personnel of the emergency medical services (EMS) are regularly confronted with advanced directives (AD) and do-not-attempt-resuscitation (DNACPR) orders. The authors conducted a retrospective analysis of EMS operation protocols to examine the prevalence of DNACPR in case of OHCA and the influence of a presented DNACPR on CPR-duration, performed Advanced-Life-Support (ALS) measures and decision making. MATERIALS AND METHODS: Retrospective analysis of prehospital medical documentation of all resuscitation incidents in a German county with 250,000 inhabitants from 1 January 2016 to 31 December 2022...
March 22, 2024: Resuscitation
https://read.qxmd.com/read/38518545/advances-in-pediatric-emergency-from-2023
#8
REVIEW
Joshua S Easter, Emily Rose
Most children receive emergency care by general emergency physicians and not in designated children's hospitals. There are unique considerations in the care of children that differ from the care of adults. Many management principles can be extrapolated from adult studies, but the unique pathophysiology of pediatric disease requires specialized attention and management updates. This article highlights ten impactful articles from the year 2023 whose findings can improve the care of children in the Emergency Department (ED)...
March 15, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38510737/modified-cadaver-technique-to-simulate-contaminated-airway-scenarios-to-train-medical-providers-in-suction-assisted-laryngoscopy-and-airway-decontamination
#9
JOURNAL ARTICLE
Kathryn Chadason, Christopher Root, Jess Boyle, Jonathan St George, James Ducanto
Simulation training plays a vital role in modern medical education, fostering safe skill development. Task-trainer manikin and cadaveric airway management training (CAMT) offer realistic airway management practice. Simulation allows learners the opportunity to manage high-risk, low-frequency scenarios, including difficult airways and massive airway contamination, common in emergent airway management. The suction-assisted laryngoscopy and airway decontamination (SALAD) technique was developed to address massive airway contamination...
February 2024: AEM Education and Training
https://read.qxmd.com/read/38509586/managing-a-difficult-airway-due-to-supraglottic-masses-successful-videolaryngoscopic-intubation-after-induction-of-general-anesthesia
#10
JOURNAL ARTICLE
Hye-Won Jeong, Eun-Jin Song, Eun-A Jang, Joungmin Kim
BACKGROUND: While awake, flexible bronchoscopic intubation has long been considered the gold standard for managing anticipated difficult airways, the videolaryngoscope has emerged as a viable alternative. In addition, the decision to perform awake intubation or to proceed with airway management after induction of general anesthesia should be grounded in a comprehensive assessment of risks and benefits. CASE PRESENTATION: A 41-year old female patient was scheduled for excision of bilateral, mobile, and pedunculated masses on both aryepiglottic folds, which covered almost the entire upper part of the glottis...
March 20, 2024: Perioperative Medicine
https://read.qxmd.com/read/38509186/in-hospital-mortality-after-prehospital-endotracheal-intubation-versus-alternative-methods-of-airway-management-in-trauma-patients-a-cohort-study-from-the-traumaregister-dgu%C3%A2
#11
JOURNAL ARTICLE
Moritz Weigeldt, Stefan Schulz-Drost, Dirk Stengel, Rolf Lefering, Sascha Treskatsch, Christian Berger
PURPOSE: Prehospital airway management in trauma is a key component of care and is associated with particular risks. Endotracheal intubation (ETI) is the gold standard, while extraglottic airway devices (EGAs) are recommended alternatives. There is limited evidence comparing their effectiveness. In this retrospective analysis from the TraumaRegister DGU®, we compared ETI with EGA in prehospital airway management regarding in-hospital mortality in patients with trauma. METHODS: We included cases only from German hospitals with a minimum Abbreviated Injury Scale score ≥ 2 and age ≥ 16 years...
March 20, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38495117/pharmacological-interventions-for-the-treatment-of-obstructive-sleep-apnea-syndrome
#12
JOURNAL ARTICLE
Jin Liu, Xiaolan Yang, Guangcai Li, Peijun Liu
Obstructive Sleep Apnea Syndrome (OSAS) affects 13-33% of males and 6-9% of females globally and poses significant treatment challenges, including poor adherence to Continuous Positive Airway Pressure (CPAP) and residual excessive sleepiness (RES). This review aims to elucidate the emerging interest in pharmacological treatments for OSAS, focusing on recent advancements in this area. A thorough analysis of extensive clinical trials involving various drugs, including selective dopamine reuptake inhibitors, selective norepinephrine inhibitors, combined antimuscarinic agents, and orexin agonists, was conducted...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38492133/mesenchymal-stem-cell-derived-extracellular-vesicle-therapy-for-asthma-in-murine-models-a-systematic-review-and-meta-analysis
#13
REVIEW
Shahryar Rajai Firouzabadi, Ida Mohammadi, Kiana Ghafourian, Arda Kiani, Seyed Mahmoud Hashemi
BACKGROUND: Asthma is a common disease, and among the most predominant causes of the years lived with disability. Mesenchymal stem cell-derived extracellular vesicles (MSC-EVs) have emerged as a promising avenue for asthma management. The objective of this study is to perform a systematic review and meta-analysis of pre-clinical studies investigating the therapeutic use of MSC-EVs in murine models of asthma. METHODS: A systematic search of electronic databases was performed...
March 16, 2024: Stem cell reviews and reports
https://read.qxmd.com/read/38490790/ketamine-efficacy-for-management-of-status-epilepticus-considerations-for-prehospital-clinicians
#14
REVIEW
Nikhil C Williams, Lindsey A Morgan, Jonathan Friedman, Jeffrey Siegler
Current first-line therapies for seizure management recommend benzodiazepines, which target gamma-aminobutyric acid type A channels to stop the seizure activity. However, seizures may be refractory to traditional first-line therapies, transitioning into status epilepticus and becoming resistant to gamma-aminobutyric acid type A augmenting drugs. Although there are other antiseizure medications available for clinicians to use in the intensive care unit, these options can be less readily available outside of the intensive care unit and entirely absent in the prehospital setting...
2024: Air Medical Journal
https://read.qxmd.com/read/38486140/emergency-airway-management-in-resource-limited-setting
#15
REVIEW
Gbolahan Olatunji, Emmanuel Kokori, Nicholas Aderinto, Mohammed Alsabri Hussein Alsabri
BACKGROUND: Emergency airway management in resource-limited settings presents multifaceted challenges due to shortages in essential medical resources, healthcare professionals, and infrastructure. METHODS: We conducted a literature search using keywords "Emergency Airway Management" "Low Resource" "Africa" "Asia" from databases such as Pubmed, and Google Scholar, from where we extracted relevant literature for our study. FINDINGS: These limitations resulted in delayed interventions, suboptimal care, and higher complication rates during intubation procedures...
March 14, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38485262/the-current-trend-of-emergency-airway-management-a-clinical-review
#16
JOURNAL ARTICLE
Sangun Nah, Yonghee Lee, Sol Ji Choi, Jeongwoo Lee, Soyun Hwang, Seongmi Lim, Inhye Lee, Young Soon Cho, Hyun Soo Chung
Airway management is a fundamental and intricate process that involves a sequence of integrated tasks. Situations requiring emergency airway management may occur in emergency department, intensive care units, and various other spaces. Emergency airway management can face a variety of challenges during preparation, intubation, and post-intubation, and may result in significant complications for the patients. Therefore, many countries are establishing step-by-step systemization and detailed guidelines, and updating the content based on the latest research...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38479127/decision-for-early-tracheostomy-in-respiratory-failure-of-a-paralyzed-myasthenia-gravis-patient-with-sepsis-induced-pneumonia-a-case-report
#17
Resiana Karnina, Adhrie Sugiarto, Rudyanto Sedono, Dita Aditianingsih, Sidharta Kusuma Manggala, Dis Bima Purwaamidjaja
INTRODUCTION: The neuromuscular condition myasthenia gravis (MG) can make treating sepsis-induced pneumonia more challenging. Since these patients risk respiratory failure, decisions about airway treatment, including tracheostomy, can be difficult. We report a case of a patient with sepsis and concurrent MG who underwent an early tracheostomy due to acute respiratory failure. PRESENTATION OF CASE: A 44-year-old woman with a history of MG presented to the emergency department with a stiff tongue, hypersalivation, limb paralysis and a phlegmy cough causing severe respiratory distress, aggravated by community-acquired pneumonia...
March 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38476916/clinical-application-of-a-connection-device-consisting-of-a-bag-valve-mask-and-nebulizer-in-first-aid-two-case-reports
#18
Ting-Ting Wang, Yu-Ting Hou, Yingzhen Yang, Bin Mei, Xue-Sheng Liu, Yao Lu, Shan-Gui Chen
In clinical practice, several emergencies may threaten the life of patients, and these emergencies can be unpredictable and challenging. During the coronavirus disease 2019 pandemic, in January 2023, a patient developed respiratory distress caused by coronavirus, but was unable to access respiratory support due to shortages of medical resources, intensive care unit beds and ventilators. The medical staff quickly created a portable high-flow atomized oxygen therapy apparatus consisting of a simple breathing bag connected to a nebulizer to provide breathing support...
April 2024: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/38476297/early-emergency-medicine-milestone-assessment-for-predicting-first-year-resident-performance
#19
JOURNAL ARTICLE
Rochelle L Versalle, Brett R Todd, Nai-Wei Chen, Danielle E Turner-Lawrence
INTRODUCTION: The Accreditation Council for Graduate Medical Education (ACGME) requires emergency medicine (EM) residency training programs to monitor residents' progress using standardized milestones. The first assessment of PGY 1 resident milestones occurs midway through the first year and could miss initial deficiencies. Early assessment of PGY 1 EM resident milestones has potential to identify at-risk residents prior to standard midyear evaluations. We developed an orientation syllabus for PGY 1 residents followed by a milestone assessment...
2024: MedEdPORTAL Publications
https://read.qxmd.com/read/38468667/traumatic-penetrating-head-injury-by-crossbow-projectiles-a-case-report-and-literature-review
#20
Moath Abdullah Khayat, Hassan Khayat, Mohamed Rashed Alhantoobi, Majid Aljoghaiman, Doron D Sommer, Almunder Algird, Daipayan Guha
BACKGROUND: Low-energy penetrating head injuries caused by arrows are relatively uncommon. The objective of this report is to describe a case presentation and management of self-inflicted intracranial injury using a crossbow and to provide a relevant literature review. CASE REPORT: A 31-year-old man with a previous psychiatric history sustained a self-inflicted injury using a crossbow that he bought from a department store. The patient arrived neurologically intact at the hospital, fully awake and oriented...
2024: Surgical Neurology International
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