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AIME Airway

Airway Interventions & Management in Emergencies AIME for airway success aimeairway.ca

https://read.qxmd.com/read/39293918/peri-intubation-push-dose-vasopressors-in-critical-care-transport
#1
JOURNAL ARTICLE
Alissa M Bates, Alyson M Esteves, Kalle J Fjeld, Ryan J Ding, Jeremy M Singleton, Matthew A Roginski
OBJECTIVE: Push-dose vasopressors are commonly administered to attenuate peri-intubation hypotension. The aim of this study was to describe the current use of push-dose vasopressors in critical care transport. METHODS: This was a retrospective chart review of adult patients (≥ 18 years) intubated between January 2017 and May 2023 who received push-dose vasopressors. The outcomes were incidence of push-dose vasopressor administration and the frequency of initiation or an increase in continuous vasopressor infusion...
2024: Air Medical Journal
https://read.qxmd.com/read/39293919/the-impact-of-location-and-asset-type-on-the-success-of-advanced-airway-management-in-a-critical-care-transport-environment
#2
JOURNAL ARTICLE
Winny Li, Mahvareh Ahghari, Johannes von Vopelius-Feldt, Brodie Nolan
OBJECTIVE: Advanced airway management (AAM) is a critical component of prehospital critical care. Airway management in flight can be more challenging because of spatial, ergonomic, and environmental factors. This study examines the frequency of in-flight intubation (IFI), first-pass success (FPS) rates, and definitive airway sans hypoxia/hypotension on first attempt (DASH-1A) across different locations of airway management. METHODS: We conducted a retrospective database analysis of all patients transported between January 2016 and July 2021 who received AAM from a single air medical service...
2024: Air Medical Journal
https://read.qxmd.com/read/39293920/simulation-based-learning-to-assess-and-improve-critical-care-transport-team-members-knowledge-of-pediatric-intubation-a-quality-improvement-project
#3
JOURNAL ARTICLE
Andrea Campbell, Judy Ascenzi, Deborah W Busch, Christopher Baker
OBJECTIVE: The care of critically ill neonatal and pediatric patients requiring transport is optimized by using specialty transport teams. Research demonstrates that training is best accomplished through routine simulation. At the project site, no simulation-based learning is provided to critical care transport team members. This project aimed to implement a simulation-based learning program to improve the knowledge and self-competency of neonatal and pediatric critical care transport team members...
2024: Air Medical Journal
https://read.qxmd.com/read/39293921/flexible-fiber-optic-scope-use-in-retrieval-medicine-a-case-series
#4
JOURNAL ARTICLE
Thomas Brown, Oliver Cook, Clare Hayes-Bradley
OBJECTIVE: The use of flexible fiber-optic scopes is increasing across critical care specialities, but there is limited literature on their use in retrieval medicine. This study aims to describe a case series in which flexible fiber-optic scopes were used by New South Wales Ambulance Aeromedical Operations critical care teams. METHODS: A retrospective case series was performed in our service from January 1, 2019, to December 31, 2021. We searched our electronic medical retrieval database for the terms "aScope," "Awake Fibreoptic Intubation (AFOI)," "Fibreoptic Intubation (FOI)," and "Nasal Endotracheal Tube (ETT)" to identify when a flexible fiber-optic scope was used...
2024: Air Medical Journal
https://read.qxmd.com/read/39499620/prehospital-trauma-compendium-traumatic-pneumothorax-care-a-position-statement-and-resource-document-of-naemsp
#5
JOURNAL ARTICLE
John W Lyng, Caitlin Ward, Matthew Angelidis, Amelia Breyre, Ross Donaldson, Kenji Inaba, Maria J Mandt, Nichole Bosson
Emergency Medical Services (EMS) clinicians manage patients with traumatic pneumothoraces. These may be simple pneumothoraces that are less clinically impactful, or tension pneumothoraces that disturb perfusion, lead to shock, and impart significant risk for morbidity and mortality. Needle thoracostomy is the most common EMS treatment of tension pneumothorax, but despite the potentially life-saving value of needle thoracostomy, reports indicate frequent misapplication of the procedure as well as low rates of successful decompression...
November 5, 2024: Prehospital Emergency Care
https://read.qxmd.com/read/39546437/correlation-between-etco-2-and-pco-2-in-patients-undergoing-critical-care-transport
#6
JOURNAL ARTICLE
Christian Martin-Gill, Bradley J Wheeler, Francis X Guyette, Sarah E Wheeler
OBJECTIVES: End-tidal carbon dioxide (EtCO2 ) monitoring is widely used as a surrogate for the partial pressure of carbon dioxide (PCO2 ) in critically ill patients receiving manual or mechanical ventilation in prehospital, emergency, and critical care settings. Specific targets for ETCO2 are a key component of Emergency Medical Services (EMS) protocols, especially for specific patient groups such as those with traumatic brain injury. However, the correlation between EtCO2 and venous or arterial PCO2 is uncertain...
November 25, 2024: Prehospital Emergency Care
https://read.qxmd.com/read/39632032/comparing-air-medical-personnel-intubation-success-rates-using-direct-channeled-video-assisted-and-unchanneled-video-assisted-laryngoscopy
#7
COMPARATIVE STUDY
Christopher L Hunter, Linh Nguyen, Linda Papa
OBJECTIVE: The aim of this study was to determine the first-pass intubation success rates of air medical providers using direct laryngoscopy, channeled blade video laryngoscopy, and nonchanneled blade video laryngoscopy. METHODS: This was a retrospective cohort study of the Orlando Health Air Care Team (ACT) airway quality registry over a 5-year period. The ACT had 3 approved approaches for endotracheal intubation: direct laryngoscopy, the King Vision (Ambu, Ballerup Denmark) channeled blade laryngoscope, or the C-MAC (Karl-Storz, Tuttlingen Germany) (nonchanneled) laryngoscope...
2024: Air Medical Journal
https://read.qxmd.com/read/39632039/acute-respiratory-distress-syndrome-updates-for-critical-care-transport
#8
REVIEW
Matthew A Roginski, Patricia Ruth A Atchinson, Alyson M Esteves, Skyler A Lentz, Kalle J Fjeld, Jacob M Markwood, Michael J Lauria, Brittney Bernardoni
No abstract text is available yet for this article.
2024: Air Medical Journal
https://read.qxmd.com/read/39786721/prehospital-endotracheal-intubation-success-rates-for-critical-care-nurses-versus-paramedics
#9
JOURNAL ARTICLE
Nicholas H George, Jacob B Cihla, Francis X Guyette, Sriram Ramgopal, Christian Martin-Gill
OBJECTIVES: Prehospital endotracheal intubation (ETI) is a lifesaving procedure with known complications. To reduce ETI-associated morbidity and mortality, organizations prioritize first-pass success (FPS). However, there are few data evaluating the association of FPS with clinician licensure. METHODS: We performed a retrospective chart review of all paramedic and nurse ETI attempts by a multi-state air and ground critical care transport service between January 1, 2008, and December 31, 2023...
January 23, 2025: Prehospital Emergency Care
https://read.qxmd.com/read/39853165/non-invasive-ventilation-as-a-pre-oxygenation-strategy-during-in-flight-rapid-sequence-intubation-a-case-report
#10
JOURNAL ARTICLE
Erin Vidal, Robert Simonson
Non-invasive ventilation has been used as a pre-oxygenation strategy for rapid sequence intubation in the emergency department and the intensive care unit, yet, limited research has examined its use in the transport setting. These case reports discuss the use of non-invasive ventilation via a Hamilton T1 ventilator (Hamilton Medical) during transport by an air medical crew for pre-oxygenation before intubation in two cases. In both cases, a non-invasive, bilevel-positive airway pressure mode with a backup rate was used to achieve adequate airway pressures while allowing for a two-handed seal by one EMS clinician as the other prepared the equipment and medications...
January 24, 2025: Prehospital Emergency Care
https://read.qxmd.com/read/39888614/adverse-prehospital-events-and-outcomes-after-traumatic-brain-injury
#11
JOURNAL ARTICLE
Amelia W Maiga, Hsing-Hua Sylvia Lin, Stephen R Wisniewski, Joshua B Brown, Ernest E Moore, Martin A Schreiber, Bellal Joseph, Chad T Wilson, Bryan A Cotton, Daniel G Ostermayer, Brian G Harbrecht, Mayur B Patel, Jason L Sperry, Francis X Guyette, Henry E Wang
IMPORTANCE: While national guidelines recommend avoidance of hypoxia, hypotension, and hypocarbia in the prehospital care of traumatic brain injury (TBI), limited data validate the association of these adverse physiologic events with TBI outcomes. OBJECTIVE: To validate the associations of prehospital hypoxia, hypotension, and hypocarbia with TBI outcomes in a US national trauma network. DESIGN, SETTING, AND PARTICIPANTS: This cohort study examined data from 8 level I trauma centers and their affiliated ground and air emergency medical services (EMS) agencies in the Linking Investigations in Trauma and Emergency Services (LITES) Network from January 1, 2017, to June 30, 2021...
January 2, 2025: JAMA Network Open
https://read.qxmd.com/read/38953177/early-supraglottic-airway-versus-facemask-ventilation-before-tracheal-intubation-to-facilitate-ventilation-in-high-risk-patients-a-prospective-randomised-trial
#12
RANDOMIZED CONTROLLED TRIAL
J Ross Renew, Eslam A Fouda, Dylan M Mordecai, Ashley N Huxhold, Ilana I Logvinov, Michael G Heckman, Klaus D Torp
No abstract text is available yet for this article.
September 1, 2024: European Journal of Anaesthesiology
https://read.qxmd.com/read/38976261/video-laryngoscopy-for-surgical-endotracheal-intubation
#13
LETTER
Kurt Ruetzler, Nikolaos Skubas, Daniel I Sessler
No abstract text is available yet for this article.
August 6, 2024: JAMA
https://read.qxmd.com/read/38987667/comparison-between-head-rotation-and-standard-techniques-for-i-gel%C3%A2-insertion-a-randomized-controlled-trial
#14
RANDOMIZED CONTROLLED TRIAL
Seohee Lee, Karam Nam, Sang Joon Park, Jae-Woo Ju, Youn Joung Cho, Yunseok Jeon
BACKGROUND: This study evaluated the effect of head rotation on the first-attempt success rate of i-gel insertion, aiming to alleviate the effect of gravity on the tongue and reduce resistance between the device and the tongue. METHODS: Adult surgical patients were randomized to standard and head rotation technique groups. In the head rotation technique group, patients' heads were maximally rotated to the left before i-gel insertion. The primary endpoint was the first-attempt success rate...
July 10, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38989863/universal-paediatric-videolaryngoscopy-and-glottic-view-grading-a-prospective-observational-study
#15
JOURNAL ARTICLE
Phillip B Sasu, Nelly Gutsche, Rilana Kramer, Katharina Röher, Eva M Zeidler, Tanja Peters, Vera Köhl, Linda Krause, Christian Zöllner, Thorsten Dohrmann, Martin Petzoldt
BACKGROUND: Although videolaryngoscopy has been proposed as a default technique for tracheal intubation in children, published evidence on universal videolaryngoscopy implementation programmes is scarce. We aimed to determine if universal, first-choice videolaryngoscopy reduces the incidence of restricted glottic views and to determine the diagnostic performance of the Cormack and Lehane classification to discriminate between easy and difficult videolaryngoscopic tracheal intubations in children...
July 11, 2024: Anaesthesia
https://read.qxmd.com/read/39002074/does-delayed-sequence-intubation-with-ketamine-decrease-the-incidence-of-peri-intubation-hypoxemia-in-trauma-patients
#16
EDITORIAL
Alex Love, Ali Briggs, Gavin Greenfield, Heather Hurdle
No abstract text is available yet for this article.
September 2024: CJEM
https://read.qxmd.com/read/39020308/evaluation-of-preoperative-difficult-airway-prediction-methods-for-adult-patients-without-obvious-airway-abnormalities-a-systematic-review-and-meta-analysis
#17
JOURNAL ARTICLE
Zhichen Wang, Yile Jin, Yueying Zheng, Hanjian Chen, Jingyi Feng, Jing Sun
BACKGROUND: This systematic review aims to assist clinical decision-making in selecting appropriate preoperative prediction methods for difficult tracheal intubation by identifying and synthesizing literature on these methods in adult patients undergoing all types of surgery. METHODS: A systematic review and meta-analysis were conducted following PRISMA guidelines. Comprehensive electronic searches across multiple databases were completed on March 28, 2023. Two researchers independently screened, selected studies, and extracted data...
July 17, 2024: BMC Anesthesiology
https://read.qxmd.com/read/39025954/continuous-improvement-of-non-emergent-neonatal-intubations-in-a-level-iv-nicu
#18
JOURNAL ARTICLE
Rebecca Shay, Blair W Weikel, Melanie Mascorro, Emma Harding, Lauren Beard, Theresa Grover, James S Barry
OBJECTIVE: We sought to improve practices and outcomes related to non-emergent neonatal intubations in a level IV academic Neonatal Intensive Care Unit. STUDY DESIGN: A multidisciplinary team created guidelines for non-emergent neonatal intubations. In period 1, premedication practices were standardized. In period 2, paralytic use and video laryngoscope use were recommended. Premedication and video laryngoscopy practices were assessed along with number of intubation attempts and frequency of bradycardia and desaturation...
July 18, 2024: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/39028251/perceived-versus-actual-time-of-prehospital-intubation-by-paramedics
#19
JOURNAL ARTICLE
Daniel Shou, Matthew Levy, Ruben Troncoso, Becca Scharf, Asa Margolis, Eric Garfinkel
INTRODUCTION: Situational awareness is essential during emergent procedures such as endotracheal intubation. Previous studies suggest that time distortion can occur during intubation. However, only in-hospital intubations performed by physicians have been studied. We aimed to determine whether time distortion affected paramedics performing intubation by examining the perceived vs actual total laryngoscopy time, defined as time elapsed from the laryngoscope blade entering the mouth until the endotracheal tube balloon passes the vocal cords...
July 2024: Western Journal of Emergency Medicine
https://read.qxmd.com/read/39070859/bed-up-head-elevated-position-versus-supine-sniffing-position-in-patients-undergoing-rapid-sequence-intubation-using-direct-laryngoscopy-in-the-emergency-department-a-randomized-controlled-trial
#20
JOURNAL ARTICLE
Admala Anudeep Reddy, S Manu Ayyan, D Anandhi, Ezhilkugan Ganessane, V T Amrithanand
INTRODUCTION: The objective of this study is to compare bed-up-head-elevated (BUHE) position with supine sniffing position (SSP) in patients undergoing rapid sequence intubation (RSI) using direct laryngoscopy in the emergency department (ED). METHODS: This single-center randomized controlled superiority trial was carried out from September 2021 to December 2022 in an academic emergency medicine department. The patients undergoing RSI in ED were grouped into two arms, namely BUHE position and SSP...
2024: Journal of Emergencies, Trauma, and Shock
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