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1575 papers 1000+ followers Airway Interventions & Management in Emergencies AIME for airway success
Laurie-Anne Thion, Olivier Belze, Marc Fischler, Morgan Le Guen
No abstract text is available yet for this article.
August 2018: European Journal of Anaesthesiology
Georg M Schmölzer, Charles Christoph C Roehr
BACKGROUND: The success rate of correct endotracheal tube (ETT) placement for junior medical staff is less than 50% and accidental oesophageal intubation is common. Rapid confirmation of correct tube placement is important because tube malposition is associated with serious adverse outcomes including hypoxaemia, death, pneumothorax and right upper lobe collapse.ETT position can be confirmed using chest radiography, but this is often delayed; hence, a number of rapid point-of-care methods to confirm correct tube placement have been developed...
July 5, 2018: Cochrane Database of Systematic Reviews
Nicole R Pouppirt, Rula Nassar, Natalie Napolitano, Ursula Nawab, Akira Nishisaki, Vinay Nadkarni, Anne Ades, Elizabeth E Foglia
The effect of video laryngoscopy on adverse events during neonatal tracheal intubation is unknown. In this single site retrospective cohort study, video laryngoscopy was independently associated with decreased risk for adverse events during neonatal intubation.
July 3, 2018: Journal of Pediatrics
Bingdong Tao, Kun Liu, Dandan Wang, Yiming Liu, Hong Yin
BACKGROUND: GlideScope video laryngoscope (GS) has been widely used to facilitate tracheal intubation in adults and pediatric patients because it can improve glottic view. Several investigations performed in pediatric patients have shown that GS provides a better view of the glottis than direct laryngoscope (DL). However, to date, there are no studies assessing the use of GS in neonates. Therefore, we conducted a prospective study to compare time to intubate (TTI) when either GS or DL was used for endotracheal intubation in neonates...
July 6, 2018: Anesthesia and Analgesia
Filomena S Lombardi, Antonella Cotoia, Rocco Petta, Marcus Schultz, Gilda Cinnella, Janneke Horn
INTRODUCTION: Extubation failure (EF) refers to the inability to maintain spontaneous breathing after removal of endotracheal tube. The aim of this review is to identify the best parameter to predict EF in adult intensive care patients. EVIDENCE ACQUISITION: We searched for publications in PubMed (2000-2016). Studies of patients intubated and mechanically ventilated for more than 24 hours were included and divided in groups basing on the extubation method. 2x2 tables were performed to evaluate the sensitivity, specificity and the predictive values only for those parameters investigated in more than three studies...
July 9, 2018: Minerva Anestesiologica
Kari L Esbensen
No abstract text is available yet for this article.
August 2018: Critical Care Medicine
Tingting Wang, Shen Sun, Shaoqiang Huang
BACKGROUND: Obesity is a serious disorder and may bring about many difficulties of perioperative management. A systematic review was conducted to assess the association between obesity and difficult intubation. METHODS: We searched electronic databases for related reviews and references of meta-analyses on August 14, 2017. The databases of PubMed, Embase, and the Cochrane controlled trials register were searched compared obese with non-obese patients in which difficult intubation rate of the adult population were retrieved...
June 30, 2018: BMC Anesthesiology
Jeffrey L Jarvis, Dustin Barton, Henry Wang
BACKGROUND: We sought to characterize the number of attempts required to achieve advanced airway management (AAM) success. METHODS: Using 4 years of data from a national EMS electronic health record system, we examined the following subsets of attempted AAM: 1) cardiac arrest intubation (CA-ETI), 2) non-arrest medical intubation (MED-ETI), 3) non-arrest trauma intubation (TRA-ETI), 4) rapid-sequence intubation (RSI), 5) sedation-assisted ETI (SAI), and 6) supraglottic airway (SGA)...
July 3, 2018: Resuscitation
Yuko Ono, Takeyasu Kakamu, Hiroaki Kikuchi, Yusuke Mori, Yui Watanabe, Kazuaki Shinohara
The aim of this study was to determine complication rates and possible risk factors of expert-performed endotracheal intubation (ETI) in patients with trauma, in both the prehospital setting and the emergency department. We also investigated how the occurrence of ETI-related complications affected the survival of trauma patients. This single-center retrospective observational study included all injured patients who underwent anesthesiologist-performed ETI from 2007 to 2017. ETI-related complications were defined as hypoxemia, unrecognized esophageal intubation, regurgitation, cardiac arrest, ETI failure rescued by emergency surgical airway, dental trauma, cuff leak, and mainstem bronchus intubation...
2018: Emergency Medicine International
N Chrimes, S D Marshall
No abstract text is available yet for this article.
July 11, 2018: Anaesthesia
Matthew L Friedman, Mara E Nitu
This article reviews the definition, pathophysiology, etiology, assessment, and management of acute respiratory failure in children. Acute respiratory failure is the inability of the respiratory system to maintain oxygenation or eliminate carbon dioxide. Acute respiratory failure is a common cause for admission to a pediatric intensive care unit. Most causes of acute respiratory failure can be grouped into one of three categories: lung parenchymal disease, airway obstruction, or neuromuscular dysfunction. Many patients with acute respiratory failure are managed successfully with noninvasive respiratory support; however, in severe cases, patients may require intubation and mechanical ventilation...
July 1, 2018: Pediatric Annals
Chiao Yen Shih, Chia Ming Chang
No abstract text is available yet for this article.
July 11, 2018: Anesthesia and Analgesia
Lindsay Johnston, Soo Hyun Kwon
No abstract text is available yet for this article.
June 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
Josefine S Baekgaard, Trine G Eskesen, Martin Sillesen, Lars S Rasmussen, Jacob Steinmetz
The choice of drug used to facilitate endotracheal intubation in trauma patients during rapid sequence induction (RSI) may have an impact on survival. Ketamine is commonly used in the hemodynamically unstable trauma patient although it has been associated with side effects. This review sought to investigate whether ketamine should be preferred over other induction agents for RSI in trauma patients. PubMed, Embase, and the Cochrane Library were systematically searched on September 19, 2016 for studies reporting RSI of adult trauma patients with ketamine compared with another induction agent (etomidate, propofol, thiopental, or midazolam)...
June 25, 2018: Anesthesia and Analgesia
Nicholas Kramer, David Lebowitz, Michael Walsh, Latha Ganti
Deciding on proper medication administration for the traumatic brain injury (TBI) patient undergoing intubation can be daunting and confusing. Pretreatment with lidocaine and/or vecuronium is no longer recommended; however, high-dose fentanyl can be utilized to help blunt the sympathetic stimulation of intubation. Induction with etomidate is recommended; however, ketamine can be considered in the proper patient population, such as those with hypotension. Paralysis can be performed with either succinylcholine or rocuronium, with the caveat that rocuronium can lead to delays in proper neurological examinations due to prolonged paralysis...
April 25, 2018: Curēus
F Mir, A F McNarry, T Asai
No abstract text is available yet for this article.
July 2018: British Journal of Anaesthesia
M R King, N Jagannathan
No abstract text is available yet for this article.
July 2018: British Journal of Anaesthesia
T Engelhardt, K Virag, F Veyckemans, W Habre
BACKGROUND: Critical respiratory events are common in children in the peri-anaesthetic period and are caused by airway and ventilation management difficulties. We aimed to analyse current European paediatric airway management practices and identify the incidence and potential consequences of difficult airway management. METHODS: We performed a secondary analysis of airway and ventilation management details of the European multicentre observational trial (Anaesthesia PRactice in Children Observational Trial, APRICOT) of children from birth to 15 yr of age...
July 2018: British Journal of Anaesthesia
Michael T Steuerwald, Darren A Braude, Timothy R Petersen, Kari Peterson, Michael A Torres
INTRODUCTION: There has been a shift from endotracheal intubation (ETI) toward extraglottic devices (EGDs) for prehospital airway management. A concern exists that this may lead to more frequent cases of aspiration. METHODS: This was a retrospective study using a prehospital quality assurance database. Patients were assigned to groups based on the method that ultimately managed their airways (EGD or ETI). Cases with documented blood/emesis obscuring the airway were considered inevitable aspiration cases and excluded...
July 2018: Air Medical Journal
Prakash Ranjan Mishra, Sanjeev Bhoi, Tej Prakash Sinha
Introduction: Airway and breathing management play critical role in trauma resuscitation. Early identification of esophageal intubation and detection of fatal events is critical. Authors studied the utility of integration of point-of-care ultrasound (POCUS) during different phases of rapid sequence intubation (RSI) in trauma resuscitation. Methods: It was prospective, randomized single-centered study conducted at the Emergency Department of a level one trauma center...
April 2018: Journal of Emergencies, Trauma, and Shock
2018-06-29 12:18:14
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