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jrgAirway

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34 papers 25 to 100 followers
By Jesse Guscott McMaster Family Practice Anesthesia program director. Medical educator, ER, Anesthesia Twitter:@GuscottJesse
https://www.readbyqxmd.com/read/27785883/systematic-review-and-meta-analysis-of-first-pass-success-rates-in-emergency-department-intubation-creating-a-benchmark-for-emergency-airway-care
#1
Louise Park, Irene Zeng, Andrew Brainard
OBJECTIVE: Many EDs have begun to evaluate their airway performance. The first-pass success (FPS) rate is a commonly used marker of proficiency, and has been associated with rates of adverse events. The aim of this systematic review and meta-analysis is to quantify the ED FPS rates and summarise the rates of adverse events associated with endotracheal intubation. METHODS: A structured literature search was performed through MEDLINE and EMBASE. Research published since 2000 was included if it prospectively collected data on all patients intubated in the ED and reported the FPS rates...
October 27, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27449997/a-proposal-for-a-new-scoring-system-to-predict-difficult-ventilation-through-a-supraglottic-airway
#2
T Saito, S T H Chew, W L Liu, K K Thinn, T Asai, L K Ti
BACKGROUND: The aim of this study was to propose and validate a new clinical score to predict difficult ventilation through a supraglottic airway device. METHODS: The score was proposed from our previously reported derivation data, and we prospectively validated the score in 5532 patients from November 2013 to April 2014. Predictive accuracy of the score was compared by the area under the receiver operating characteristic (ROC) curve (AUC). We assigned point values to each of the identified four risk factors: male, age >45 yr, short thyromental distance, and limited neck movement, their sum composing the score...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27432055/ultrasonographic-identification-of-the-cricothyroid-membrane-best-evidence-techniques-and-clinical-impact
#3
M S Kristensen, W H Teoh, S S Rudolph
Inability to identify the cricothyroid membrane by inspection and palpation contributes substantially to the high failure rate of cricothyrotomy. This narrative review summarizes the current evidence for application of airway ultrasonography for identification of the cricothyroid membrane compared with the clinical techniques. We identified the best-documented techniques for bedside use, their success rates, and the necessary training for airway-ultrasound-naïve clinicians. After a short but structured training, the cricothyroid membrane can be identified using ultrasound in difficult patients by previously airway-ultrasound naïve anaesthetists with double the success rate of palpation...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26556848/difficult-airway-society-2015-guidelines-for-management-of-unanticipated-difficult-intubation-in-adults
#4
COMMENT
C Frerk, V S Mitchell, A F McNarry, C Mendonca, R Bhagrath, A Patel, E P O'Sullivan, N M Woodall, I Ahmad
These guidelines provide a strategy to manage unanticipated difficulty with tracheal intubation. They are founded on published evidence. Where evidence is lacking, they have been directed by feedback from members of the Difficult Airway Society and based on expert opinion. These guidelines have been informed by advances in the understanding of crisis management; they emphasize the recognition and declaration of difficulty during airway management. A simplified, single algorithm now covers unanticipated difficulties in both routine intubation and rapid sequence induction...
December 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27440636/surgicric-2-a-comparative-bench-study-with-two-established-emergency-cricothyroidotomy-techniques-in-a-porcine-model
#5
L Chrisman, W King, K Wimble, S Cartwright, K B Mohammed, B Patel
BACKGROUND: 'Can't Intubate, Can't Oxygenate' is a rare but life threatening event. Anaesthetists must be trained and have appropriate equipment available for this. The ideal equipment is a topic of ongoing debate. To date cricothyroidotomy training for anaesthetists has concentrated on cannula techniques. However cases reported to the NAP4 audit illustrated that they were associated with a high failure rate. A recent editorial by Kristensen and colleagues suggested all anaesthetists must master a surgical technique...
August 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26352375/emergency-cricothyrotomy-toward-a-safer-and-more-reliable-rescue-method-in-cannot-intubate-cannot-oxygenate-situation
#6
REVIEW
Takashi Asai
No abstract text is available yet for this article.
November 2015: Anesthesiology
https://www.readbyqxmd.com/read/24188608/emergent-surgical-airway-comparison-of-the-three-step-method-and-conventional-cricothyroidotomy-utilizing-high-fidelity-simulation
#7
COMPARATIVE STUDY
Jacob A Quick, Allan D MacIntyre, Stephen L Barnes
BACKGROUND: Surgical airway creation has a high potential for disaster. Conventional methods can be cumbersome and require special instruments. A simple method utilizing three steps and readily available equipment exists, but has yet to be adequately tested. OBJECTIVE: Our objective was to compare conventional cricothyroidotomy with the three-step method utilizing high-fidelity simulation. METHODS: Utilizing a high-fidelity simulator, 12 experienced flight nurses and paramedics performed both methods after a didactic lecture, simulator briefing, and demonstration of each technique...
February 2014: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27317701/prediction-in-airway-management-what-is-worthwhile-what-is-a-waste-of-time-and-what-about-the-future
#8
EDITORIAL
W H Teoh, M S Kristensen
No abstract text is available yet for this article.
July 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27268499/the-diagnostic-validity-of-clinical-airway-assessments-for-predicting-difficult-laryngoscopy-using-a-grey-zone-approach
#9
Jeong Jin Min, Gahyun Kim, Eunhee Kim, Jong-Hwan Lee
OBJECTIVES: The diagnostic validity of clinical airway assessment tests for predicting difficult laryngoscopy in patients requiring endotracheal intubation were evaluated using receiver operating characteristic (ROC) curve analysis and a grey zone approach. METHODS: In this prospective observational study, patients were evaluated during a pre-anaesthetic visit. Predictive airway assessment tests (i.e. Modified Mallampati [MMT] classification; upper lip bite test [ULBT]; mouth opening; sternomental distance; thyromental distance [TMD]; neck circumference; neck mobility; height to thyromental distance [HT/TMD]; neck circumference-to-thyromental distance [NC/TMD]) were performed on each patient and LEMON, Naguib, and MACOCHA scores were also calculated...
August 2016: Journal of International Medical Research
https://www.readbyqxmd.com/read/27292101/airway-management-in-a-patient-with-nuchal-interspinous-and-flavum-ligament-rupture-by-a-sickle-a-case-report
#10
Kotaro Sorimachi, Yuko Ono, Hideo Kobayashi, Kazuyuki Watanabe, Kazuaki Shinohara, Koji Otani
BACKGROUND: Penetrating neck injury is an important trauma subset but is relatively rare, especially when involving the posterior cervical column. Rupture of the neck restraints, including the interspinous and flavum ligaments, can create serious cervical instability that requires special consideration when managing the airway. However, no detailed information regarding airway management in patients with profound posterior neck muscle laceration and direct cervical ligament disruption by an edged weapon is yet available in the literature...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27207773/need-to-consider-human-factors-when-determining-first-line-technique-for-emergency-front-of-neck-access
#11
EDITORIAL
A Timmermann, N Chrimes, C A Hagberg
No abstract text is available yet for this article.
July 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26836712/first-pass-success-without-hypoxemia-is-increased-with-the-use-of-apneic-oxygenation-during-rapid-sequence-intubation-in-the-emergency-department
#12
John C Sakles, Jarrod M Mosier, Asad E Patanwala, Brittany Arcaris, John M Dicken
OBJECTIVES: The objective was to determine the effect of apneic oxygenation (AP OX) on first pass success without hypoxemia (FPS-H) in adult patients undergoing rapid sequence intubation (RSI) in the emergency department (ED). METHODS: Continuous quality improvement data were prospectively collected on all patients intubated in an academic ED from July 1, 2013, to June 30, 2015. During this period the use of AP OX was introduced and encouraged for all patients undergoing RSI in the ED...
June 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/26850232/direct-versus-video-laryngoscopy-using-the-c-mac-for-tracheal-intubation-in-the-emergency-department-a-randomized-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Brian E Driver, Matthew E Prekker, Johanna C Moore, Alexandra L Schick, Robert F Reardon, James R Miner
BACKGROUND: Direct laryngoscopy (DL) has long been the most common approach for emergency endotracheal intubation, although the use of video laryngoscopy (VL) is becoming more widespread. Current observational data suggest that VL has higher first-pass success, although randomized trials are lacking. OBJECTIVES: The objective was to compare first-pass success in patients undergoing emergency intubation with DL or VL using a C-MAC device. METHODS: This was an open-label, prospective, randomized, controlled trial in an academic emergency department of patients undergoing emergency intubation with a plan of DL for the first attempt...
April 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/26990429/comparing-emergency-intubation-with-direct-and-video-laryngoscopy
#14
LETTER
Fu-Shan Xue, Gao-Pu Liu, Chao Sun, Rui-Ping Li
No abstract text is available yet for this article.
June 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27163866/techniques-for-improving-video-laryngoscopy-with-a-hyperangulated-blade
#15
Michael P Phelan, Jatin Dhimar
No abstract text is available yet for this article.
August 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27168526/percutaneous-cricothyroid-jet-ventilation-using-repetitive-airway-obstruction-a-quick-and-simple-way-to-ventilate-the-impossible-airway
#16
Mark Hauswald, Erik K Hauswald
No abstract text is available yet for this article.
September 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27149883/deficiencies-in-locating-the-cricothyroid-membrane-by-palpation-we-can-t-and-the-surgeons-can-t-so-what-now-for-the-emergency-surgical-airway
#17
EDITORIAL
J Adam Law
No abstract text is available yet for this article.
July 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27147544/airway-management-in-the-critically-ill-the-same-but-different
#18
EDITORIAL
A Higgs, T M Cook, B A McGrath
No abstract text is available yet for this article.
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27140684/the-myth-of-rescue-reversal-in-can-t-intubate-can-t-ventilate-scenarios
#19
Mohamed Naguib, Lara Brewer, Cristen LaPierre, Aaron F Kopman, Ken B Johnson
BACKGROUND: An unanticipated difficult airway during induction of anesthesia can be a vexing problem. In the setting of can't intubate, can't ventilate (CICV), rapid recovery of spontaneous ventilation is a reasonable goal. The urgency of restoring ventilation is a function of how quickly a patient's hemoglobin oxygen saturation decreases versus how much time is required for the effects of induction drugs to dissipate, namely the duration of unresponsiveness, ventilatory depression, and neuromuscular blockade...
July 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27095241/paediatric-difficult-airway-management-what-every-anaesthetist-should-know
#20
EDITORIAL
N Jagannathan, L Sohn, J E Fiadjoe
No abstract text is available yet for this article.
September 2016: British Journal of Anaesthesia
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