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1718 papers 1000+ followers Airway Interventions & Management in Emergencies AIME for airway success aimeairway.ca
https://read.qxmd.com/read/30732981/clinical-practice-guideline-for-emergency-department-procedural-sedation-with-propofol-2018-update
#1
Kelsey A Miller, Gary Andolfatto, James R Miner, John H Burton, Baruch S Krauss
We update an evidence-based clinical practice guideline for the administration of propofol for emergency department procedural sedation. Both the unique considerations of using this drug in the pediatric population and the substantial new research warrant revision of the 2007 advisory. We discuss the indications, contraindications, personnel requirements, monitoring, dosing, coadministered medications, and adverse events for propofol sedation.
February 4, 2019: Annals of Emergency Medicine
https://read.qxmd.com/read/30874471/bolus-dose-epinephrine-improves-blood-pressure-but-is-associated-with-increased-mortality-in-critical-care-transport
#2
Francis Xavier Guyette, Christian Martin-Gill, Gabriela Galli, Neal McQuaid, Jonathan Elmer
INTRODUCTION: Hypotension in the prehospital environment is common and linked to dose-dependent mortality. Bolus dose epinephrine (BDE) may reverse hypotension. We tested if BDE use to treat profound hypotension is associated with 24-hour survival. METHODS: We performed a retrospective case-cohort study of critical care transport patients with systolic blood pressure (SBP) <70 mmHg from January 2011 to January 2017. To account for baseline differences between treated and untreated patients, we used nearest neighbor matching to estimate the average treatment effect of BDE on 24-hour survival...
March 15, 2019: Prehospital Emergency Care
https://read.qxmd.com/read/30849477/french-guidelines-of-paediatric-airway-management-job-done
#3
EDITORIAL
Thomas Engelhardt
No abstract text is available yet for this article.
March 5, 2019: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/30855385/implications-of-facial-fracture-in-airway-management-of-the-adult-population-what-is-the-most-effective-management-strategy
#4
Thuy-My T Le, Nicholas C Oleck, Wajiha Khan, Jordan N Halsey, Farrah C Liu, Ian C Hoppe, Edward S Lee, Mark S Granick
PURPOSE: Facial fractures are a harbinger when it comes to airway management. Facial fractures can cause airway obstruction or preclude the use of intubation. We aim to examine the etiologies, types of facial fractures, and the risk factors that may lead to requirement of an advance airway. METHODS: A retrospective chart review was performed of all facial fractures in the adult population in a level 1 trauma center in an urban environment (University Hospital in Newark, NJ)...
April 2019: Annals of Plastic Surgery
https://read.qxmd.com/read/30861424/the-pediatric-airway-historical-concepts-new-findings-and-what-matters
#5
REVIEW
Tariq M Wani, Bruno Bissonnette, Thomas Engelhardt, Basharat Buchh, Hassan Arnous, Faris AlGhamdi, Joseph D Tobias
New observations from novel imaging techniques regarding the anatomy, dimensions, and shape of the pediatric airway have emerged and provide insight for potential changes in the clinical management of the airway in infants and children. These new findings are challenging the historical concepts of a funnel-shaped upper airway with the cricoid ring as the narrowest dimension. Although these tenets have been accepted and used to guide clinical practice in airway management, there are limited clinical investigations in children to support the validity of these concepts...
March 3, 2019: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/30811470/regurgitation-and-pulmonary-aspiration-during-cardio-pulmonary-resuscitation-cpr-with-a-laryngeal-tube-a-pilot-crossover-human-cadaver-study
#6
Kurt Ruetzler, Steve Leung, Mark Chmiela, Eva Rivas, Lukasz Szarpak, Sandeep Khanna, Guangmei Mao, Richard L Drake, Daniel I Sessler, Alparslan Turan
BACKGROUND: High-quality chest compressions are imperative for Cardio-Pulmonary-Resuscitation (CPR). International CPR guidelines advocate, that chest compressions should not be interrupted for ventilation once a patient's trachea is intubated or a supraglottic-airway-device positioned. Supraglottic-airway-devices offer limited protection against pulmonary aspiration. Simultaneous chest compressions and positive pressure ventilation both increase intrathoracic pressure and potentially enhances the risk of pulmonary aspiration...
2019: PloS One
https://read.qxmd.com/read/30819293/meta-analysis-of-post-intubation-hypotension-a-plea-to-consider-circulation-first-in-hypovolemic-patients
#7
Paula Ferrada, Ramiro Manzano-Nunez, Valeria Lopez-Castilla, Claudia Orlas, Alberto F García, Carlos A Ordonez, Joseph J Dubose
Hypovolemic patients can develop postintubation hypotension (PIH). Our objective is to review the literature regarding PIH and the association with mortality. We searched MEDLINE from inception to February 2018. A meta-analysis was performed to assess the effect of PIH on mortality. The results of the meta-analysis were reported in forest plots of the estimated effects of the included studies with a 95 per cent confidence interval. Heterogeneity was evaluated using the I ² test, which corresponded to low ( I ² < 25%), medium ( I ² = 25-75%), and high ( I ² > 75%) heterogeneity...
February 1, 2019: American Surgeon
https://read.qxmd.com/read/30808241/push-dose-epinephrine-use-in-the-management-of-hypotension-during-critical-care-transport
#8
Philip Stuart Nawrocki, Matthew Poremba, Benjamin James Lawner
INTRODUCTION: Hypotension is a critical event during the transport of critically ill patients. Push dose vasopressor use, though widely adopted by anesthesiologists, has only recently found use in the field of emergency medicine and may have utility in the management of out-of-hospital hypotension. This study aimed to characterize the hemodynamic effects and adverse events that occur following push dose epinephrine (PDE) administration by critical care transport (CCT) providers to correct documented hypotension...
February 26, 2019: Prehospital Emergency Care
https://read.qxmd.com/read/30819338/recent-recommendations-and-emerging-science-in-neonatal-resuscitation
#9
REVIEW
Marilyn B Escobedo, Birju A Shah, Clara Song, Abhishek Makkar, Edgardo Szyld
The Neonatal Resuscitation Program, initially an expertise- and consensus-based approach, has evolved into an evidence-based algorithm. Ventilation remains the key component of successful resuscitation of neonates. Recent changes in recommendations include management of cord clamping, multiple methods to prevent hypothermia, rescinding of mandatory intubation and suction of the nonvigorous meconium-stained infant, electrocardiographic monitoring, and establishing an airway for ventilation before initiation of chest compressions...
April 2019: Pediatric Clinics of North America
https://read.qxmd.com/read/30819685/pre-hospital-advanced-airway-management-for-adults-with-out-of-hospital-cardiac-arrest-nationwide-cohort-study
#10
Junichi Izawa, Sho Komukai, Koichiro Gibo, Masashi Okubo, Kosuke Kiyohara, Chika Nishiyama, Takeyuki Kiguchi, Tasuku Matsuyama, Takashi Kawamura, Taku Iwami, Clifton W Callaway, Tetsuhisa Kitamura
OBJECTIVE: To determine survival associated with advanced airway management (AAM) compared with no AAM for adults with out-of-hospital cardiac arrest. DESIGN: Cohort study between January 2014 and December 2016. SETTING: Nationwide, population based registry in Japan (All-Japan Utstein Registry). PARTICIPANTS: Consecutive adult patients with out-of-hospital cardiac arrest, separated into two sub-cohorts by their first documented electrocardiographic rhythm: shockable (ventricular fibrillation or pulseless ventricular tachycardia) and non-shockable (pulseless electrical activity or asystole)...
February 28, 2019: BMJ: British Medical Journal
https://read.qxmd.com/read/30826068/emergency-department-management-of-out-of-hospital-laryngeal-tubes
#11
Brian E Driver, Sarah K Scharber, Gabriella B Horton, Darren A Braude, Nicholas S Simpson, Robert F Reardon
STUDY OBJECTIVE: Laryngeal tubes are commonly used by emergency medical services (EMS) personnel for out-of-hospital advanced airway management. The emergency department (ED) management of EMS-placed laryngeal tubes is unknown. We seek to describe ED airway management techniques, success, and complications of patients receiving EMS laryngeal tubes. METHODS: Using a keyword text search of ED notes, we identified patients who arrived at our ED with a laryngeal tube from 2010 through 2017...
February 27, 2019: Annals of Emergency Medicine
https://read.qxmd.com/read/30826211/inclined-position-is-associated-with-improved-first-pass-success-and-laryngoscopic-view-in-prehospital-endotracheal-intubations
#12
David L Murphy, Thomas D Rea, Andrew M McCoy, Michael R Sayre, Carol E Fahrenbruch, Lihua Yin, Benjamin A Tonelli, Aaron M Joffe, Steven H Mitchell
PURPOSE: In hospital-based studies, patients intubated by physicians while in an inclined position compared to supine position had a higher rate of first pass success and lower rate of peri-intubation complications. We evaluated the impact of patient positioning on prehospital endotracheal intubation in an EMS system with rapid sequence induction capability. We hypothesized that patients in the inclined position would have a higher first-pass success rate. METHODS: Prehospital endotracheal intubation cases performed by paramedics between 2012 and 2017 were prospectively collected in airway registries maintained by a metropolitan EMS system...
February 25, 2019: American Journal of Emergency Medicine
https://read.qxmd.com/read/30774229/assessment-of-awake-i-gel%C3%A2-insertion-for-fiberoptic-guided-intubation-in-patients-with-predicted-difficult-airway-a-prospective-observational-study
#13
Julian Arevalo Ludeña, Jose Juan Arcas Bellas, Rafael Alvarez Rementeria, Luis Enrique Muñoz Alameda
Background and Aims: Orotracheal intubation (OTI) with fiberoptic bronchoscope (FOB) in spontaneous ventilation is one of the main techniques for patients with predicted difficult airway. Latest generation supraglottic airway devices have been designed to allow OTI through them. We assessed the safety and effectiveness of FOB-guided OTI through i-gel™ device which was inserted in spontaneously breathing patients with predicted difficult airway. Material and Methods: Eighty-five patients with difficult airway predictors were included...
October 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/30774244/low-cost-teaching-aid-a-modification-of-macintosh-blade-into-a-video-laryngoscope-for-teaching-laryngoscopy-and-intubation
#14
Anil K Narayan, A L Janardhan, Avinash Prakash, Sarasa K Sahoo
No abstract text is available yet for this article.
October 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/30777368/a-randomised-comparison-of-c-mac%C3%A2-and-king-vision%C3%A2-videolaryngoscopes-with-direct-laryngoscopy-in-180-obstetric-patients
#15
I Blajic, I Hodzovic, M Lucovnik, D Mekis, V Novak-Jankovic, T Stopar Pintaric
BACKGROUND: Current evidence suggests that there is uncertainty about which videolaryngoscope performs best in obstetric anaesthesia. The aim of this study was to compare C-MAC and King Vision® videolaryngoscopes and direct laryngoscopy for tracheal intubation of patients undergoing caesarean section. METHODS: One hundred and eighty women were randomly assigned. The primary outcome was the time to tracheal intubation. Secondary outcomes were the time to the best laryngeal view, grade of Cormack and Lehane view, overall and first-pass success, intubation difficulty, the number of intubation attempts and optimisation manoeuvres; and complications...
December 29, 2018: International Journal of Obstetric Anesthesia
https://read.qxmd.com/read/30779528/bag-mask-ventilation-during-tracheal-intubation-of-critically-ill-adults
#16
Jonathan D Casey, David R Janz, Derek W Russell, Derek J Vonderhaar, Aaron M Joffe, Kevin M Dischert, Ryan M Brown, Aline N Zouk, Swati Gulati, Brent E Heideman, Michael G Lester, Alexandra H Toporek, Itay Bentov, Wesley H Self, Todd W Rice, Matthew W Semler
BACKGROUND: Hypoxemia is the most common complication during tracheal intubation of critically ill adults and may increase the risk of cardiac arrest and death. Whether positive-pressure ventilation with a bag-mask device (bag-mask ventilation) during tracheal intubation of critically ill adults prevents hypoxemia without increasing the risk of aspiration remains controversial. METHODS: In a multicenter, randomized trial conducted in seven intensive care units in the United States, we randomly assigned adults undergoing tracheal intubation to receive either ventilation with a bag-mask device or no ventilation between induction and laryngoscopy...
February 18, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30789105/the-bougie-and-first-pass-success-in-the-emergency-department-journal-club-review
#17
Emily W Stewart, Kerry P Spearing, Riyad B Abu-Laban
CLINICAL QUESTION: Is bougie use associated with increased first-pass success in emergency department (ED) intubations?Article chosen: Driver et al. The Bougie and First-Pass Success in the Emergency Department. Annals of Emerg Med 2017;70(4):473-478. OBJECTIVE: To compare data and assess whether bougie use is independently associated with first-pass success in ED intubations.
February 21, 2019: CJEM
https://read.qxmd.com/read/30789409/video-laryngoscopy-positives-negatives-and-defining-the-difficult-intubation
#18
Sara E Meitzen, Jonathan L Benumof
No abstract text is available yet for this article.
March 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/30796059/incidence-impact-and-indicators-of-difficult-intubations-in-the-neonatal-intensive-care-unit-a-report-from-the-national-emergency-airway-registry-for-neonates
#19
Taylor Sawyer, Elizabeth E Foglia, Anne Ades, Ahmed Moussa, Natalie Napolitano, Kristen Glass, Lindsay Johnston, Philipp Jung, Neetu Singh, Bin Huey Quek, James Barry, Jeanne Zenge, Stephen D DeMeo, Brianna Brei, Jeanne Krick, Jae H Kim, Vinay Nadkarni, Akira Nishisaki
OBJECTIVE: To determine the incidence, indicators and clinical impact of difficult tracheal intubations in the neonatal intensive care unit (NICU). DESIGN: Retrospective review of prospectively collected data on intubations performed in the NICU from the National Emergency Airway Registry for Neonates. SETTING: Ten academic NICUs. PATIENTS: Neonates intubated in the NICU at each of the sites between October 2014 and March 2017...
February 22, 2019: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://read.qxmd.com/read/30796061/intubation-difficulty-in-neonatology-are-you-experienced
#20
EDITORIAL
Colm Patrick Finbarr O'Donnell
No abstract text is available yet for this article.
February 22, 2019: Archives of Disease in Childhood. Fetal and Neonatal Edition
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