collection
https://read.qxmd.com/read/25174290/cricothyrotomy-performed-with-the-melker%C3%A2-set-or-the-quicktrach%C3%A2-kit-procedure-times-learning-curves-and-operators-preference
#21
JOURNAL ARTICLE
C E Buonopane, V Pasta, D Sottile, L Del Vecchio, A Maturo, R Merola, A Panunzi, P Urciuoli, V D'Orazi
BACKGROUND: Cricothyroidotomy is a surgical airway technique in which an airway device is inserted into the trachea through an incision made at the cricothyroid membrane. It is used for the management of the "difficult airways" and may be a lifesaving procedure in "can't intubate, can't oxygenate" situations. However, many healthcare professionals working in emergency settings have little of no experience with this procedure. Achievement of theoretical and practical knowledge of different cricothyrotomy techniques is therefore a fundamental prerequisite for those healthcare professionals...
July 2014: Il Giornale di Chirurgia
https://read.qxmd.com/read/20363528/emergency-department-management-of-the-airway-in-obese-adults
#22
REVIEW
James Dargin, Ron Medzon
Airway management in obese adults can be challenging, and much of the literature on this subject focuses on elective surgical cases, rather than acutely ill patients. In this article, we review the emergency department evaluation of the airway in obesity, discussing anatomy, physiology, and pharmacology. In addition, we describe techniques and devices used to improve intubating conditions in the obese patient. After our review of the relevant literature, we conclude that research in this particular area of acute care remains in its infancy...
August 2010: Annals of Emergency Medicine
https://read.qxmd.com/read/21107105/prehospital-rapid-sequence-intubation-improves-functional-outcome-for-patients-with-severe-traumatic-brain-injury-a-randomized-controlled-trial
#23
RANDOMIZED CONTROLLED TRIAL
Stephen A Bernard, Vina Nguyen, Peter Cameron, Kevin Masci, Mark Fitzgerald, David J Cooper, Tony Walker, B Paramed Std, Paul Myles, Lynne Murray, David, Taylor, Karen Smith, Ian Patrick, John Edington, Andrew Bacon, Jeffrey V Rosenfeld, Rodney Judson
OBJECTIVE: To determine whether paramedic rapid sequence intubation in patients with severe traumatic brain injury (TBI) improves neurologic outcomes at 6 months compared with intubation in the hospital. BACKGROUND: Severe TBI is associated with a high rate of mortality and long-term morbidity. Comatose patients with TBI routinely undergo endo-tracheal intubation to protect the airway, prevent hypoxia, and control ventilation. In many places, paramedics perform intubation prior to hospital arrival...
December 2010: Annals of Surgery
https://read.qxmd.com/read/21846380/succinylcholine-versus-rocuronium-for-rapid-sequence-intubation-in-intensive-care-a-prospective-randomized-controlled-trial
#24
RANDOMIZED CONTROLLED TRIAL
Stephan C Marsch, Luzius Steiner, Evelyne Bucher, Hans Pargger, Martin Schumann, Timothy Aebi, Patrick R Hunziker, Martin Siegemund
INTRODUCTION: Succinylcholine and rocuronium are widely used to facilitate rapid sequence induction (RSI) intubation in intensive care. Concerns relate to the side effects of succinylcholine and to slower onset and inferior intubation conditions associated with rocuronium. So far, succinylcholine and rocuronium have not been compared in an adequately powered randomized trial in intensive care. Accordingly, the aim of the present study was to compare the incidence of hypoxemia after rocuronium or succinylcholine in critically ill patients requiring an emergent RSI...
August 16, 2011: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/25348885/a-comparison-of-video-laryngoscopy-to-direct-laryngoscopy-for-the-emergency-intubation-of-trauma-patients
#25
COMPARATIVE STUDY
Maria Michailidou, Terence O'Keeffe, Jarrod M Mosier, Randall S Friese, Bellal Joseph, Peter Rhee, John C Sakles
BACKGROUND: Direct laryngoscopy (DL) has long been the gold standard for tracheal intubation in emergency and trauma patients. Video laryngoscopy (VL) is increasingly used in many settings and the purpose of this study was to compare its effectiveness to direct laryngoscopy in trauma patients. Our hypothesis was that the success rate of VL would be higher than that of DL. METHODS: Data were collected prospectively on all trauma patients, from January 2008 to June 2011, who were intubated emergently in an academic level I trauma center...
March 2015: World Journal of Surgery
https://read.qxmd.com/read/25370783/the-can-t-intubate-can-t-oxygenate-scenario-in-pediatric-anesthesia-a-comparison-of-the-melker-cricothyroidotomy-kit-with-a-scalpel-bougie-technique
#26
COMPARATIVE STUDY
Sarah L Prunty, Alberto Aranda-Palacios, Andy M Heard, Gordon Chapman, Anoop Ramgolam, Mary Hegarty, Shyan Vijayasekaran, Britta S von Ungern-Sternberg
BACKGROUND: While the majority of pediatric intubations are uncomplicated, the 'Can't intubate, Can't Oxygenate' scenario (CICO) does occur. With limited management guidelines available, CICO is still a challenge even to experienced pediatric anesthetists. OBJECTIVES: To compare the COOK Melker cricothyroidotomy kit (CM) with a scalpel bougie (SB) technique for success rate and complication rate in a tracheotomy on a cadaveric 'infant airway' animal model. METHODS: Two experienced proceduralists repeatedly attempted tracheotomy in eight rabbits, alternately using CM and SB (4 fr) technique...
April 2015: Paediatric Anaesthesia
https://read.qxmd.com/read/25485097/difficult-mask-ventilation-in-general-surgical-population-observation-of-risk-factors-and-predictors
#27
JOURNAL ARTICLE
Davide Cattano, Peter V Killoran, Chunyan Cai, Anastasia D Katsiampoura, Ruggero M Corso, Carin A Hagberg
BACKGROUND: There are few predictors of difficult mask ventilation and a simple, objective, predictive system to identify patients at risk of difficult mask ventilation does not currently exist. We present a retrospective - subgroup analysis aimed at identifying predictive factors for difficult mask ventilation (DMV) in patients undergoing pre-operative airway assessment before elective surgery at a major teaching hospital. METHODS: Data for this retrospective analysis were derived from a database of airway assessments, management plans, and outcomes that were collected prospectively from August 2008 to May 2010 at a Level 1 academic trauma center...
2014: F1000Research
https://read.qxmd.com/read/25479112/comparison-of-video-laryngoscopy-versus-direct-laryngoscopy-during-urgent-endotracheal-intubation-a-randomized-controlled-trial
#28
RANDOMIZED CONTROLLED TRIAL
Michael J Silverberg, Nan Li, Samuel O Acquah, Pierre D Kory
OBJECTIVES: In the critically ill undergoing urgent endotracheal intubation by direct laryngoscopy, multiple attempts are often required with a higher complication rate due to the urgency, uncontrolled setting, comorbidities, and variability in expertise of operators. We hypothesized that Glidescope video laryngoscopy would be superior to direct laryngoscopy during urgent endotracheal intubation. DESIGN: Single-center prospective randomized controlled trial. SETTING: Beth Israel Medical Center, an 856-bed urban teaching hospital with a 16-bed closed medical ICU...
March 2015: Critical Care Medicine
https://read.qxmd.com/read/25511477/the-myth-of-the-difficult-airway-airway-management-revisited
#29
EDITORIAL
J M Huitink, R A Bouwman
No abstract text is available yet for this article.
March 2015: Anaesthesia
https://read.qxmd.com/read/25498851/the-c-mac%C3%A2-video-laryngoscope-is-superior-to-the-direct-laryngoscope-for-the-rescue-of-failed-first-attempt-intubations-in-the-emergency-department
#30
COMPARATIVE STUDY
John C Sakles, Jarrod M Mosier, Asad E Patanwala, John M Dicken, Leah Kalin, Parisa P Javedani
OBJECTIVE: To compare the effectiveness of the C-MAC® video laryngoscope (CMAC) to the direct laryngoscope (DL) when used to rescue a failed first attempt intubation in the emergency department (ED). METHODS: Data were prospectively collected on all patients intubated in an academic ED center over a five-year period from February 1, 2009 to January 31, 2014 when both the CMAC and the DL were available. Following each intubation the operator completed a continuous quality improvement (CQI) form documenting patient, operator and intubation characteristics...
March 2015: Journal of Emergency Medicine
https://read.qxmd.com/read/25541431/video-laryngoscopy-versus-direct-laryngoscopy-for-tracheal-intubation-during-in-hospital-cardiopulmonary-resuscitation
#31
COMPARATIVE STUDY
Dong Hyun Lee, Myongja Han, Ji Young An, Ji Young Jung, Younsuck Koh, Chae-Man Lim, Jin Won Huh, Sang-Bum Hong
AIM: Tracheal intubation during cardiopulmonary resuscitation (CPR) is a high-risk procedure. Here, we investigated the efficacy of video laryngoscopy for tracheal intubation during CPR. METHODS: Data regarding tracheal intubation during CPR from in-hospital cardiac arrests occurring between January 2011 and December 2013 (n=229) were prospectively collected and retrospectively analyzed. RESULTS: The initial laryngoscopy method was video laryngoscopy in 121 patients (52...
April 2015: Resuscitation
https://read.qxmd.com/read/25537734/transtracheal-ultrasound-for-verification-of-endotracheal-tube-placement-a-systematic-review-and-meta-analysis
#32
REVIEW
Saurabh Kumar Das, Nang Sujali Choupoo, Rudrashish Haldar, Amitabh Lahkar
PURPOSE: Early confirmation of endotracheal tube placement is of paramount importance to prevent hypoxia and its catastrophic consequences. Despite certain limitations, capnography is considered the gold standard to evaluate the proper placement of an endotracheal tube. Ultrasound is a novel tool with some definitive advantages over capnography. It enables a real-time view and can be performed quickly; furthermore, it is independent of pulmonary blood flow and does not require lung ventilation...
April 2015: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/25552546/repeated-attempts-at-tracheal-intubation-by-a-single-intubator-associated-with-decreased-success-rates-in-emergency-departments-an-analysis-of-a-multicentre-prospective-observational-study
#33
MULTICENTER STUDY
Tadahiro Goto, Hiroko Watase, Hiroshi Morita, Hideya Nagai, Calvin A Brown, David F M Brown, Kohei Hasegawa
OBJECTIVE: To determine whether the success rate of repeated attempts at tracheal intubation by a single intubator was lower than those by alternate intubators in the emergency department (ED). METHODS: An analysis of data from a multicentre prospective registry (Japanese Emergency Airway Network Registry) of 13 academic and community EDs in Japan between April 2010 and August 2012. We included all adult and paediatric patients who underwent repeated attempts at tracheal intubation in the ED...
October 2015: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/25568981/single-induction-dose-of-etomidate-versus-other-induction-agents-for-endotracheal-intubation-in-critically-ill-patients
#34
REVIEW
Eric A Bruder, Ian M Ball, Stacy Ridi, William Pickett, Corinne Hohl
BACKGROUND: The use of etomidate for emergency airway interventions in critically ill patients is very common. In one large registry trial, etomidate was the most commonly used agent for this indication. Etomidate is known to suppress adrenal gland function, but it remains unclear whether or not this adrenal gland dysfunction affects mortality. OBJECTIVES: The primary objective was to assess, in populations of critically ill patients, whether a single induction dose of etomidate for emergency airway intervention affects mortality...
January 8, 2015: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/25493156/learning-curves-for-direct-laryngoscopy-and-glidescope%C3%A2-video-laryngoscopy-in-an-emergency-medicine-residency
#35
COMPARATIVE STUDY
John C Sakles, Jarrod Mosier, Asad E Patanwala, John Dicken
INTRODUCTION: Our objective is to evaluate the resident learning curves for direct laryngoscopy (DL) and GlideScope® video laryngoscopy (GVL) over the course of an emergency medicine (EM) residency training program. METHODS: This was an analysis of intubations performed in the emergency department (ED) by EM residents over a seven-year period from July 1, 2007 to June 30, 2014 at an academic ED with 70,000 annual visits. After EM residents perform an intubation in the ED they complete a continuous quality improvement (CQI) form...
November 2014: Western Journal of Emergency Medicine
https://read.qxmd.com/read/25350689/risk-factors-for-failed-tracheal-intubation-in-pediatric-and-neonatal-critical-care-specialty-transport
#36
JOURNAL ARTICLE
Kristen A Smith, M David Gothard, Hamilton P Schwartz, John S Giuliano, Michael Forbes, Michael T Bigham
Abstract Objective. Nearly 200,000 pediatric and neonatal transports occur in the United States each year with some patients requiring tracheal intubation. First-pass intubation rates in both pediatric and adult transport literature are variable as are the factors that influence intubation success. This study sought to determine risk factors for failed tracheal intubation in neonatal and pediatric transport. Methods. A retrospective chart review was performed over a 2.5-year period. Data were collected from a hospital-based neonatal/pediatric critical care transport team that transports 2,500 patients annually, serving 12,000 square miles...
2015: Prehospital Emergency Care
https://read.qxmd.com/read/25431308/difficult-intubation-in-obese-patients-incidence-risk-factors-and-complications-in-the-operating-theatre-and-in-intensive-care-units
#37
COMPARATIVE STUDY
A De Jong, N Molinari, Y Pouzeratte, D Verzilli, G Chanques, B Jung, E Futier, P-F Perrigault, P Colson, X Capdevila, S Jaber
BACKGROUND: Intubation procedure in obese patients is a challenging issue both in the intensive care unit (ICU) and in the operating theatre (OT). The objectives of the study were (i) to compare the incidence of difficult intubation and (ii) its related complications in obese patients admitted to ICU and OT. METHODS: We conducted a multicentre prospective observational cohort study in ICU and OT in obese (BMI≥30 kg m(-2)) patients. The primary endpoint was the incidence of difficult intubation...
February 2015: British Journal of Anaesthesia
https://read.qxmd.com/read/25540067/advanced-airway-management-is-necessary-in-prehospital-trauma-patients
#38
JOURNAL ARTICLE
D J Lockey, B Healey, K Crewdson, G Chalk, A E Weaver, G E Davies
BACKGROUND: Treatment of airway compromise in trauma patients is a priority. Basic airway management is provided by all emergency personnel, but the requirement for on-scene advanced airway management is controversial. We attempted to establish the demand for on-scene advanced airway interventions. Trauma patients managed with standard UK paramedic airway interventions were assessed to determine whether airway compromise had been effectively treated or whether more advanced airway management was required...
April 2015: British Journal of Anaesthesia
https://read.qxmd.com/read/25400507/glidescope-use-improves-intubation-success-rates-an-observational-study-using-propensity-score-matching
#39
COMPARATIVE STUDY
James W Ibinson, Catalin S Ezaru, Daniel S Cormican, Michael P Mangione
BACKGROUND: Rigid video laryngoscopes are popular alternatives to direct laryngoscopy for intubation, but further large scale prospective studies comparing these devices to direct laryngoscopy in routine anesthesiology practice are needed. We hypothesized that the first pass success rate with one particular video laryngoscope, the GlideScope, would be higher than the success rate with direct laryngoscopy. METHODS: 3831 total intubation attempts were tracked in an observational study comparing first-pass success rate using a Macintosh or Miller-style laryngoscope with the GlideScope...
2014: BMC Anesthesiology
https://read.qxmd.com/read/25447559/delayed-sequence-intubation-a-prospective-observational-study
#40
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
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