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Delayed sequence intubation

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https://www.readbyqxmd.com/read/27692755/apnea-after-low-dose-ketamine-sedation-during-attempted-delayed-sequence-intubation
#1
Brian E Driver, Robert F Reardon
Some patients are agitated and unable to tolerate conventional preoxygenation methods, including face mask oxygen or noninvasive positive-pressure ventilation. Sedation with ketamine for preoxygenation, also known as delayed sequence intubation, is a technique that can be used to achieve preoxygenation in this patient population. No complications of delayed sequence intubation have previously been reported. A 60-year-old woman presented with acute hypoxic respiratory failure. Despite application of high-flow oxygen (60 L/min) with a nonrebreather face mask, her oxygen saturation remained at 93%...
September 27, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27316915/french-intensive-care-society-international-congress-r%C3%A3-animation-2016
#2
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27043650/neurological-development-of-children-with-isolated-robin-sequence-treated-with-nasopharyngeal-intubation-in-early-infancy
#3
Tatiane Romanini Rodrigues Alencar, Ilza Lazarini Marques, Alvaro Bertucci, Rosana Prado-Oliveira
The study assessed the neurodevelopment of children with isolated Robin sequence (IRS) and evaluated if children treated exclusively with nasopharyngeal intubation (NPI) present delay in neurological development. The prospective and cross-sectional study was conducted at the Hospital for Rehabilitation of Craniofacial Anomalies, Brazil. Children with IRS were divided into two groups according to the type of treatment in early infancy: 38 were treated with NPI (more severe cases) and 24 with postural treatment (less severe cases)...
April 4, 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/26911672/delayed-sequence-intubation-is-it-ready-for-prime-time
#4
John A Taylor, Corinne Michele Hohl
Clinical question Does delayed sequence intubation (DSI) improve preoxygenation and safety when intubating otherwise uncooperative patients? Article chosen Weingart SD, Trueger S, Wong N, et al. Delayed sequence intubation: a prospective observational study. Ann Emerg Med 2015;65(4):349-55. doi:10.1016/j.annemergmed.2014.09.025 OBJECTIVE: To investigate whether the administration of ketamine 3 minutes prior to the administration of a muscle relaxant allows for optimal preoxygenation in uncooperative patients undergoing intubation...
February 25, 2016: CJEM
https://www.readbyqxmd.com/read/26864322/complex-clinical-and-microbiological-effects-on-legionnaires-disease-outcone-a-retrospective-cohort-study
#5
Ariela Levcovich, Tsilia Lazarovitch, Jacob Moran-Gilad, Chava Peretz, Eugenia Yakunin, Lea Valinsky, Miriam Weinberger
BACKGROUND: Legionnaires' disease (LD) is associated with high mortality rates and poses a diagnostic and therapeutic challenge. Use of the rapid urinary antigen test (UAT) has been linked to improved outcome. We examined the association between the method of diagnosis (UAT or culture) and various clinical and microbiological characteristics and outcome of LD. METHODS: Consecutive patients with pneumonia and confirmation of Legionella infection by a positive UAT and/or a positive culture admitted between the years 2006-2012 to a university hospital were retrospectively studied...
February 10, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/26707248/delayed-sequence-intubation-with-ketamine-in-2-critically-ill-children
#6
Michael J Miescier, Robert J Bryant, Douglas S Nelson
No abstract text is available yet for this article.
June 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25904182/failure-of-high-flow-nasal-cannula-and-delayed-intubation-a-new-harmful-sequence
#7
LETTER
Antonio M Esquinas, Rachael Parke, Alex H Gifford
No abstract text is available yet for this article.
June 2015: Intensive Care Medicine
https://www.readbyqxmd.com/read/25797938/impact-of-rocuronium-and-succinylcholine-on-sedation-initiation-after-rapid-sequence-intubation
#8
Eric G Johnson, Alex Meier, Alicia Shirakbari, Kyle Weant, Stephanie Baker Justice
BACKGROUND: Rapid sequence intubation (RSI) involves a rapidly acting sedative plus a neuromuscular blocking agent (NMBA) to facilitate endotracheal intubation. Rocuronium and succinylcholine are NMBAs commonly used in RSI with drastically different durations of action. OBJECTIVES: Evaluate whether patients receiving RSI with a longer-acting NMBA had a greater delay in sedation or analgesia than patients that received a short-acting NMBA. METHODS: This was a retrospective review of patients presenting to the emergency department requiring endotracheal intubation...
July 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25772267/adverse-airway-events-in-parturient-compared-with-non-parturient-patients-is-there-a-difference-results-from-a-quality-management-project
#9
Sebastian Heinrich, Andrea Irouschek, Johannes Prottengeier, Andreas Ackermann, Joachim Schmidt
AIM: The fear of airway problems often leads to prolonged attempts to obtain neuroaxial (spinal anesthesia or epidural anesthesia) anesthesia in obstetric anesthesia. The aim of this institutional quality management study was to revisit existing anesthesia care in the obstetric department, focusing on the frequency of delayed or failed neuroaxial anesthesia as well as the risk of airway problems in parturient and non-obstetric patients. METHODS: The clinical records from 8 consecutive years (2005-2013) were analyzed retrospectively...
July 2015: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/25733113/preoxygenation-reduces-desaturation-events-and-improves-intubation-success
#10
Daniel P Davis, Justin Lemieux, John Serra, William Koenig, Steve A Aguilar
OBJECTIVE: Oxygen desaturation occurs frequently in the course of prehospital rapid sequence intubation (RSI) and is associated with increased morbidity and mortality. Preoxygenation with positive pressure ventilation by bag valve mask may delay the onset of desaturation. The purpose of this study was to evaluate implementation of a targeted preoxygenation protocol including the use of positive pressure ventilation on desaturation events and intubation success during air medical RSI. METHODS: The RSI air medical program airway training model was modified to target an oxygen saturation as measured by pulse oximetry value of ≥ 93% before initial laryngoscopy...
March 2015: Air Medical Journal
https://www.readbyqxmd.com/read/25447559/delayed-sequence-intubation-a-prospective-observational-study
#11
MULTICENTER STUDY
Scott D Weingart, N Seth Trueger, Nelson Wong, Joseph Scofi, Neil Singh, Soren S Rudolph
STUDY OBJECTIVE: We investigate a new technique for the emergency airway management of patients with altered mental status preventing adequate preoxygenation. METHODS: This was a prospective, observational, multicenter study of patients whose medical condition led them to impede optimal preintubation preparation because of delirium. A convenience sample of emergency department and ICU patients was enrolled. Patients received a dissociative dose of ketamine, allowing preoxygenation with high-flow nonrebreather mask or noninvasive positive pressure ventilation (NIPPV)...
April 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25040541/a-systematic-review-and-meta-regression-analysis-of-mivacurium-for-tracheal-intubation
#12
REVIEW
L E H Vanlinthout, S H Mesfin, N Hens, B F Vanacker, E N Robertson, L H D J Booij
We systematically reviewed factors associated with intubation conditions in randomised controlled trials of mivacurium, using random-effects meta-regression analysis. We included 29 studies of 1050 healthy participants. Four factors explained 72.9% of the variation in the probability of excellent intubation conditions: mivacurium dose, 24.4%; opioid use, 29.9%; time to intubation and age together, 18.6%. The odds ratio (95% CI) for excellent intubation was 3.14 (1.65-5.73) for doubling the mivacurium dose, 5...
December 2014: Anaesthesia
https://www.readbyqxmd.com/read/24169577/microbiome-assembly-across-multiple-body-sites-in-low-birthweight-infants
#13
Elizabeth K Costello, Erica M Carlisle, Elisabeth M Bik, Michael J Morowitz, David A Relman
UNLABELLED: The purpose of this study was to evaluate the composition and richness of bacterial communities associated with low-birthweight (LBW) infants in relation to host body site, individual, and age. Bacterial 16S rRNA genes from saliva samples, skin swabs, and stool samples collected on postnatal days 8, 10, 12, 15, 18, and 21 from six LBW (five premature) infants were amplified, pyrosequenced, and analyzed within a comparative framework that included analogous data from normal-birthweight (NBW) infants and healthy adults...
October 29, 2013: MBio
https://www.readbyqxmd.com/read/23997874/prospective-comparison-of-live-evaluation-and-video-review-in-the-evaluation-of-operator-performance-in-a-pediatric-emergency-airway-simulation
#14
Joseph B House, Suzanne Dooley-Hash, Terry Kowalenko, Athina Sikavitsas, Desiree M Seeyave, John G Younger, Stanley J Hamstra, Michele M Nypaver
INTRODUCTION: Real-time assessment of operator performance during procedural simulation is a common practice that requires undivided attention by 1 or more reviewers, potentially over many repetitions of the same case. OBJECTIVE: To determine whether reviewers display better interrater agreement of procedural competency when observing recorded, rather than live, performance; and to develop an assessment tool for pediatric rapid sequence intubation (pRSI). METHODS: A framework of a previously established Objective Structured Assessment of Technical Skills (OSATS) tool was modified for pRSI...
September 2012: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/23634566/videolaryngoscopic-endotracheal-intubation-glidescope-of-morbidly-obese-patients-in-semi-erect-position-a-comparison-with-rapid-sequence-induction-in-supine-position
#15
RANDOMIZED CONTROLLED TRIAL
Deepak Gupta, Konstantin Rusin
BACKGROUND: In regards to peri-anesthetic morbidity considerations, morbidly obese patients often have full stomach for extended periods secondary to delayed gastric emptying. Additionally, they may have difficulty lying supine because of multiple reasons. STUDY OBJECTIVES: The purpose of the study was to compare endotracheal intubation of morbidly obese patients placed in semi-erect position with the rapid sequence induction in the supine position using GlideScope video laryngoscopy...
October 2012: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/23139098/effect-of-paralytic-type-on-time-to-post-intubation-sedative-use-in-the-emergency-department
#16
John M Watt, Albert Amini, Brittany R Traylor, Richard Amini, John C Sakles, Asad E Patanwala
OBJECTIVE: To determine the difference between rocuronium and succinylcholine with regard to post-intubation sedative initiation in the emergency department. METHDS: This was a retrospective cohort study conducted in a tertiary care emergency department (ED) in the USA. Consecutive adult patients intubated in the ED using succinylcholine or rocuronium for paralysis were included. Data collected included patient demographics, vital signs, medications used post-intubation and times of drug administration...
November 2013: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/22606403/the-risk-of-regurgitation-and-pulmonary-aspiration-in-a-patient-after-gastric-banding
#17
Abdulvahab Thekkethodika
Laparoscopic gastric banding is a popular surgical treatment performed to control morbid obesity all over the world. Regurgitation of food material from stomach is very common in these patients. Remnants of food material may risk the airway for pulmonary aspiration. This case experience shows that despite the extended fasting period, airway is not protected from the risk of aspiration. Delayed gastric emptying and altered gastroesophageal motility keep the food materials in the stomach and precipitate regurgitation...
2012: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/22555127/delayed-posthypoxic-leukoencephalopathy-following-a-morphine-overdose
#18
R Salazar, J Dubow
We describe one patient and review the literature to define delayed posthypoxic leukoencephalopathy, its etiology, pathophysiology and prognosis. We present a 54-year-old man with confusion and diffuse rigidity following a morphine overdose that had required intubation three weeks previously. A brain CT scan showed bilateral globi pallidi hypodensities and diffusion-weighted brain MRI (DWI) was consistent with acute cerebral anoxia. On day 20 after the initial presentation, the patient insidiously progressed to a state of "akinetic mutism"...
July 2012: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/22313514/drug-administration-sequence-of-target-controlled-propofol-and-remifentanil-influences-the-onset-of-rocuronium-a-double-blind-randomized-trial
#19
RANDOMIZED CONTROLLED TRIAL
H S Na, J W Hwang, S H Park, A Y Oh, H P Park, Y T Jeon, S H Do
BACKGROUND: Remifentanil is known to cause bradycardia and hypotension, as well as the decreases of cardiac output (CO). We hypothesized that hemodynamic suppression by remifentanil would affect the onset time of rocuronium. This study investigated whether the onset of rocuronium was influenced by the drug-administration sequence during induction of anesthesia with target-controlled infusion of propofol and remifentanil. METHODS: Healthy adult patients (n = 126) undergoing elective surgery under general anesthesia were randomized into two groups according to drug-administration sequence...
May 2012: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/21802193/instrumental-delivery-clinical-practice-guidelines-from-the-french-college-of-gynaecologists-and-obstetricians
#20
REVIEW
Christophe Vayssière, Gael Beucher, Olivier Dupuis, Olivia Feraud, Caroline Simon-Toulza, Loïc Sentilhes, Emmanuelle Meunier, Olivier Parant, Thomas Schmitz, Didier Riethmuller, Olivier Baud, Fabienne Galley-Raulin, Pierre Diemunsch, Fabrice Pierre, Jean-Patrick Schaal, Alain Fournié, Jean François Oury
Routine use of a partograph is associated with a reduction in the use of forceps, but is not associated with a reduction in the use of vacuum extraction (Level A). Early artificial rupture of the membranes, associated with oxytocin perfusion, does not reduce the number of operative vaginal deliveries (Level A), but does increase the rate of fetal heart rate abnormalities (Level B). Early correction of lack of progress in dilatation by oxytocin perfusion can reduce the number of operative vaginal deliveries (Level B)...
November 2011: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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