AIME Airway

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2151 papers 1000+ followers Airway Interventions & Management in Emergencies AIME for airway success
Christian Hassager, Susanna Price, Kurt Huber
No abstract text is available yet for this article.
April 23, 2020: European Heart Journal. Acute Cardiovascular Care
Keith Couper, Sian Taylor-Phillips, Amy Grove, Karoline Freeman, Osemeke Osokogu, Rachel Court, Amin Mehrabian, Peter T Morley, Jerry P Nolan, Jasmeet Soar, Gavin D Perkins
BACKGROUND: There may be a risk of COVID-19 transmission to rescuers delivering treatment for cardiac arrest. The aim of this review was to identify the potential risk of transmission associated with key interventions (chest compressions, defibrillation, cardiopulmonary resuscitation) to inform international treatment recommendations. METHODS: We undertook a systematic review comprising three questions: 1) aerosol generation associated with key interventions; 2) risk of airborne infection transmission associated with key interventions; and 3) the effect of different personal protective equipment strategies...
April 20, 2020: Resuscitation
Mahendra Damarla, Sandra Zaeh, Shannon Niedermeyer, Samantha Merck, Ashwini Niranjan-Azadi, Bryan Broderick, Naresh Punjabi
No abstract text is available yet for this article.
June 17, 2020: American Journal of Respiratory and Critical Care Medicine
Ahmed Hasanin, Hager Tarek, Maha M A Mostafa, Amany Arafa, Ahmed G Safina, Mona H Elsherbiny, Osama Hosny, Ahmed A Gado, Tarek Almenesey, Ghada Adel Hamden, Mohamed Mahmoud, Sarah Amin
BACKGROUND: Endotracheal intubation requires optimum position of the head and neck. In obese females, the usual ramped position might not provide adequate intubating conditions. We hypothesized that a new position, termed modified-ramped position, during induction of anesthesia would facilitate endotracheal intubation through bringing the breasts away from the laryngoscope and would also improve the laryngeal visualization. METHODS: Sixty obese female patients scheduled for general anesthesia were randomly assigned into either ramped or modified-ramped position during induction of anesthesia...
June 17, 2020: BMC Anesthesiology
Ankit Kumar Sahu, Sanjeev Bhoi, Praveen Aggarwal, Roshan Mathew, Jamshed Nayer, Amrithanand V T, Prakash Ranjan Mishra, Tej Prakash Sinha
BACKGROUND: The integration of point-of-care ultrasound in endotracheal tube placement confirmation has been focus of many recent studies. OBJECTIVES: We sought to determine the diagnostic accuracy of ultrasonography in confirmation of endotracheal intubation compared with standard confirmatory methods. METHODS: We completed an extensive search of PubMed, EMBASE, Cochrane Central, Web of Science, and bibliographies of the selected articles from inception to October 2019...
June 14, 2020: Journal of Emergency Medicine
Ryan Pedigo
There are a variety of ventilator options available to the emergency clinician, and decisions on choosing optimal settings will depend on the clinical circumstances. Understanding the latest literature in ventilator management can improve patient outcomes by ensuring optimal oxygenation and ventilation and reducing the potential for ventilator-induced lung injury. This article reviews the most appropriate ventilator settings for a variety of conditions in intubated adult patients presenting to the emergency department, and gives recommendations on monitoring the ventilated patient and making ventilator adjustments...
July 2020: Emergency Medicine Practice
Casey Carr, Courtney W Magnus, J Kate Deanehan
When pediatric patients require mechanical ventilation in the emergency department, the emergency clinician should be prepared to select initial ventilator settings and respond to an intubated patient's dynamic physiologic needs to ensure ongoing oxygenation, ventilation, and hemodynamic stability. Pressure-targeted ventilation is generally recommended in pediatric patients, with initial ventilator settings varying depending on age and the etiology of respiratory failure. This issue reviews indications for mechanical ventilation and offers recommendations for ventilator settings and dosing of analgesics, sedatives, and neuromuscular blockers, with a focus on patient populations in whom the approach to mechanical ventilation may be different...
July 2020: Pediatric Emergency Medicine Practice
Laveena Munshi, Michael Fralick, Eddy Fan
No abstract text is available yet for this article.
June 19, 2020: Lancet Respiratory Medicine
Anna Coppo, Giacomo Bellani, Dario Winterton, Michela Di Pierro, Alessandro Soria, Paola Faverio, Matteo Cairo, Silvia Mori, Grazia Messinesi, Ernesto Contro, Paolo Bonfanti, Annalisa Benini, Maria Grazia Valsecchi, Laura Antolini, Giuseppe Foti
BACKGROUND: The COVID-19 pandemic is challenging advanced health systems, which are dealing with an overwhelming number of patients in need of intensive care for respiratory failure, often requiring intubation. Prone positioning in intubated patients is known to reduce mortality in moderate-to-severe acute respiratory distress syndrome. We aimed to investigate feasibility and effect on gas exchange of prone positioning in awake, non-intubated patients with COVID-19-related pneumonia. METHODS: In this prospective, feasibility, cohort study, patients aged 18-75 years with a confirmed diagnosis of COVID-19-related pneumonia receiving supplemental oxygen or non-invasive continuous positive airway pressure were recruited from San Gerardo Hospital, Monza, Italy...
June 19, 2020: Lancet Respiratory Medicine
Alexis Tabah, Mahesh Ramanan, Kevin B Laupland, Niccolò Buetti, Andrea Cortegiani, Johannes Mellinghoff, Andrew Conway Morris, Luigi Camporota, Nathalie Zappella, Muhammed Elhadi, Pedro Povoa, Karin Amrein, Gabriela Vidal, Lennie Derde, Matteo Bassetti, Guy Francois, Nathalie Ssi Yan Kai, Jan J De Waele
PURPOSE: To survey healthcare workers (HCW) on availability and use of personal protective equipment (PPE) caring for COVID-19 patients in the intensive care unit (ICU). MATERIALS AND METHOD: A web-based survey distributed worldwide in April 2020. RESULTS: We received 2711 responses from 1797 (67%) physicians, 744 (27%) nurses, and 170 (6%) Allied HCW. For routine care, most (1557, 58%) reportedly used FFP2/N95 masks, waterproof long sleeve gowns (1623; 67%), and face shields/visors (1574; 62%)...
June 13, 2020: Journal of Critical Care
Xiaoyang Zhou, Shengmi Yao, Pingping Dong, Bixin Chen, Zhaojun Xu, Hua Wang
BACKGROUND: Respiratory support has been increasingly used after extubation for the prevention of re-intubation and improvement of prognosis in critically ill medical patients. However, the optimal respiratory support method is still under debate. This network meta-analysis (NMA) aims to evaluate the comparative effectiveness of various respiratory support methods used for preventive purposes after scheduled extubation in critically ill medical patients. METHODS: A systematic database search was performed from inception to December 19, 2019, for randomized controlled trials (RCTs) that compared a preventive use of different respiratory support methods, including conventional oxygen therapy (COT), noninvasive ventilation (NIV), high-flow oxygen therapy (HFOT), and combinational use of HFOT and NIV (HFOT+NIV), after planned extubation in adult critically ill medical patients...
June 22, 2020: Critical Care: the Official Journal of the Critical Care Forum
Nicholas Pokrajac, Emily Sbiroli, Kathryn A Hollenbach, Michael A Kohn, Edwin Contreras, Matthew Murray
OBJECTIVES: Cardiac arrest is a significant complication of emergent endotracheal intubation (ETI) within the pediatric population. No studies have evaluated risk factors for peri-intubation cardiac arrest (PICA) in a pediatric emergency department (ED) setting. This study identified risk factors for PICA among patients undergoing emergent ETI in a pediatric ED. METHODS: We performed a nested case-control study within the cohort of children who underwent emergent ETI in our pediatric ED during a 9-year period...
June 22, 2020: Pediatric Emergency Care
K El-Boghdadly, I Ahmad
No abstract text is available yet for this article.
June 25, 2020: Anaesthesia
Vivian Ip, Christopher Tham
No abstract text is available yet for this article.
June 15, 2020: Anesthesia and Analgesia
Michael D April, Allyson Arana, Steven G Schauer, William T Davis, Joshua J Oliver, Andrea Fantegrossi, Shane M Summers, Joseph K Maddry, Ron M Walls, Calvin A Brown
BACKGROUND: The hemodynamic impact of induction agents is a critically important consideration in emergency intubations. We assessed the relationship between peri-intubation hypotension and the use of ketamine versus etomidate as an induction agent for emergency department (ED) intubation. METHODS: We analyzed ED intubation data for patients aged >14 years from the National Emergency Airway Registry performed in 25 EDs during 2016-2018. We excluded patients with pre-intubation hypotension (systolic blood pressure <100 mm Hg) or cardiac arrest prior to intubation...
June 26, 2020: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Christopher Groombridge, Amit Maini, Alexander Olaussen, Yen Kim, Mark Fitzgerald, Biswadev Mitra, De Villiers Smit
BACKGROUND: Endotracheal intubation (ETI) is a commonly performed but potentially high-risk procedure in the emergency department (ED). Requiring more than one attempt at intubation has been shown to increase adverse events and interventions improving first-attempt success rate should be identified to make ETI in the ED safer. We introduced and examined the effect of a targeted bundle of airway initiatives on first-attempt success and adverse events associated with ETI. METHODS: This prospective, interventional cohort study was conducted over a 2-year period at an Australian Major Trauma Centre...
June 17, 2020: Emergency Medicine Journal: EMJ
J P Simpson, D N Wong, L Verco, R Carter, M Dzidowski, P Y Chan
The COVID-19 pandemic has led to the production of novel devices intended to protect airway managers during the aerosol-generating procedure of tracheal intubation. Using an in-situ simulation model, we evaluated laryngoscopist exposure of airborne particles sized 0.3 - 5.0 microns using five aerosol containment devices (aerosol box; sealed box with and without suction; vertical drape; and horizontal drape) compared with no aerosol containment device. Nebulised saline was used as the aerosol-generating model for 300 seconds, at which point, the devices were removed to assess particle spread...
June 19, 2020: Anaesthesia
Skyler Lentz, Alexandra Grossman, Alex Koyfman, Brit Long
BACKGROUND: Successful airway management is critical to the practice of emergency medicine. Emergency physicians must be ready to optimize and prepare for airway management in critically ill patients with a wide range of physiologic challenges. Challenges in airway management commonly encountered in the emergency department are discussed using a pearl and pitfall discussion in this first part of a 2-part series. OBJECTIVE: This narrative review presents an evidence-based approach to airway and patient management during endotracheal intubation in challenging cases that are commonly encountered in the emergency department...
May 12, 2020: Journal of Emergency Medicine
Curran Hunter Daigle, John E Fiadjoe, Elizabeth K Laverriere, Benjamin B Bruins, Justin L Lockman, Justine Shults, Conrad Krawiec, Ilana Harwayne-Gidansky, Christopher Page-Goertz, Jamie Furlong-Dillard, Vinay M Nadkarni, Akira Nishisaki
OBJECTIVES: Bag-mask ventilation is commonly used prior to tracheal intubation; however, the epidemiology, risk factors, and clinical implications of difficult bag-mask ventilation among critically ill children are not well studied. This study aims to describe prevalence and risk factors for pediatric difficult bag-mask ventilation as well as its association with adverse tracheal intubation-associated events and oxygen desaturation in PICU patients. DESIGN: A retrospective review of prospectively collected observational data from a multicenter tracheal intubation database (National Emergency Airway Registry for Children) from January 2013 to December 2018...
June 25, 2020: Critical Care Medicine
C Lyons, M Callaghan
Apnoeic oxygenation refers to oxygenation in the absence of any patient or ventilator effort to move the lungs. This phenomenon was first described in humans in the mid-20th century but has seen renewed interest in the last decade following the demonstration of apnoeic oxygenation with low-flow, and subsequently high-flow, nasal oxygen. This narrative review summarises our understanding of apnoeic oxygenation in the paediatric population. We examine the evidence supporting oxygenation via tracheal tube, modified laryngoscopes and nasal cannulae...
June 27, 2020: Anaesthesia
2020-06-29 15:12:52
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