AIME Airway

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2003 papers 1000+ followers Airway Interventions & Management in Emergencies AIME for airway success
F E Kelly, L V Duggan
No abstract text is available yet for this article.
February 25, 2020: Anaesthesia
Hong-Jie Jhou, Po-Huang Chen, Chin Lin, Li-Yu Yang, Cho-Hao Lee, Chung-Kan Peng
We conducted a systematic review and meta-analysis to assess the clinical efficacy of high-flow nasal cannula (HFNC) therapy as apneic oxygenation in critically ill patients who require endotracheal intubation in the intensive care unit (ICU). This systematic review and meta-analysis included six randomized controlled trials and a prospective study identified in PubMed, Embase, Cochrane Library, and the Web of Science until August 18, 2019. In this meta-analysis including 956 participants, HFNC was noninferior to standard of care during endotracheal intubation regarding incidence of severe hypoxemia, mean lowest oxygen saturation, and in-hospital mortality...
February 26, 2020: Scientific Reports
Jeffrey B Rubins
BACKGROUND: Combining orders for do-not-resuscitate (DNR) for cardiac arrest with do-not-intubate (DNI) orders into a DNR/DNI code status is not evidence-based practice and may violate patient autonomy and informed consent when providers discuss intubation only in the context of CPR. RESEARCH QUESTION: How often do providers refer to patients with a DNR order as "DNR/DNI" without documentation of refusal of intubation for non-arrest situations? STUDY DESIGN AND METHODS: Retrospective observational study of adults (18 years or older) hospitalized in a Level 1 trauma/academic hospital between July 2017 and June 2018 inclusive with DNR orders placed during hospitalization RESULTS: Of 422 hospitalized adults with DNR orders, 261 (61...
February 25, 2020: Chest
Ming-Zhang Zuo, Yu-Guang Huang, Wu-Hua Ma, Zhang-Gang Xue, Jia-Qiang Zhang, Ya-Hong Gong, Lu Che
Coronavirus Disease 2019 (COVID-19), caused by a novel coronavirus (SARS-CoV-2), is a highly contagious disease. It firstly appeared in Wuhan, Hubei province of China in December 2019. During the next two months, it moved rapidly throughout China and spread to multiple countries through infected persons travelling by air. Most of the infected patients have mild symptoms including fever, fatigue and cough. But in severe cases, patients can progress rapidly and develop to the acute respiratory distress syndrome, septic shock, metabolic acidosis and coagulopathy...
February 27, 2020: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
Jesse H Marymont, Jeffery Vender
No abstract text is available yet for this article.
February 25, 2020: Anesthesiology
Takashi Asai, David Hillman
No abstract text is available yet for this article.
February 25, 2020: Anesthesiology
Thomas C Sauter, Katharina Rönz, Trevor Hirschi, Beat Lehmann, Christopher Hütt, Aristomenis K Exadaktylos, Martin Müller
BACKGROUND: Guidelines recommend endotracheal intubation in trauma patients with a Glasgow coma scale (GCS) < 9 because of the loss of airway reflexes and consequential risk of airway obstruction. However, in patients with acute alcohol intoxication guidelines are not clear. Thus, we aimed to determine the proportional incidence of intubation in alcohol intoxication and compare the clinical characteristics of intubated and non-intubated patients, as well as reasons for intubation in all patients and in the subgroup of patients with reduced GCS (< 9) but without traumatic brain injury...
February 10, 2020: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Brooke Redmond, Melissa Joseph, Jessica Ray, Veronika Shabanova, Isabel T Gross, Christie Bruno, Jacob McPadden, Marc Auerbach, Lindsay Johnston
BACKGROUND: Cognitive appraisal of stress can influence performance. Increased awareness could facilitate titration to optimal stress levels. This study's primary aim was to investigate whether physiologic variables change with increasingly stressful simulations. Secondary aims include effect of stress on procedural competency and whether individuals recognize their experienced stress. METHODS: This was a single-center, mixed-method, simulation-based study. Participants completed three scenarios requiring resuscitation under increasingly stressful conditions...
February 11, 2020: Pediatric Research
Randy S Wax, Michael D Christian
A global health emergency has been declared by the World Health Organization as the 2019-nCoV outbreak spreads across the world, with confirmed patients in Canada. Patients infected with 2019-nCoV are at risk for developing respiratory failure and requiring admission to critical care units. While providing optimal treatment for these patients, careful execution of infection control measures is necessary to prevent nosocomial transmission to other patients and to healthcare workers providing care. Although the exact mechanisms of transmission are currently unclear, human-to-human transmission can occur, and the risk of airborne spread during aerosol-generating medical procedures remains a concern in specific circumstances...
February 12, 2020: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Micah T Long, Pierre D Kory, Michael T Steuerwald, Aaron M Joffe, Richard E Galgon
No abstract text is available yet for this article.
March 2020: Critical Care Medicine
Stuti Tanya, Adam Dubrowski
Pediatric intubation and airway management (PIAM) is a life-saving, emergent procedure that is performed by a variety of healthcare practitioners. Securing the pediatric airway in a time-sensitive fashion is a specialized skill that declines with lack of practice, leading to a precarious gap in clinical competency and healthcare delivery. However, current training models for PIAM, such as live animals, human cadavers, and simulators, are not adequately accessible or reliable due to their combination of high cost, unrealistic simulation, lack of standardization, and ethical concerns...
January 8, 2020: Curēus
Martina Mudri, Andrew Williams, Fran Priestap, Jacob Davidson, Neil Merritt
PURPOSE: Rapid sequence intubation (RSI) drugs, such as propofol, affect clinical outcomes, but this has not been examined in the pediatric population. This descriptive study compares the outcomes associated with intubation drugs used in pediatric traumatic brain injury (TBI) patients. METHODS: A retrospective chart review and descriptive analysis of intubated TBI patients, ages 0-17, admitted to Children's Hospital London Health Sciences Centre (LHSC) from January 2006-December 2016 was performed...
January 31, 2020: Journal of Pediatric Surgery
Andrew H Merelman
Despite its value in emergency airway management, the endotracheal tube introducer, commonly known as the bougie, has traditionally been a point of disagreement between providers. It is typically viewed as a "rescue" device and not a primary airway tool. However, its value as a primary device during plan A has recently been recognized. Two studies have shown increased first-pass success using a bougie on the initial attempt. Additionally, bougie use on every intubation increases provider comfort with the device so that, on a truly difficult intubation, the skills and mechanics are instilled...
January 2020: Air Medical Journal
K Kirby, J Brandling, M Robinson, M Thomas, S Voss, J Benger
AIMS: To explore EMS experiences of participating in a large trial of airway management during out-of-hospital cardiac arrest (AIRWAYS-2), specifically to explore: 1. Any changes in views and practice as a result of trial participation. 2. Experiences of trial training. 3. Experiences of enrolling critically unwell patients without consent. 4. Barriers and facilitators for out-of-hospital trial participation. METHODS: An online questionnaire was distributed to 1523 EMS providers who participated in the trial...
February 8, 2020: Resuscitation
Dipayan Chaudhuri, Kirles Bishay, Parul Tandon, Vatsal Trivedi, Paul D James, Erin M Kelly, Kednapa Thavorn, Kwadwo Kyeremanteng
Background and Aim: Prophylactic endotracheal intubation for airway protection prior to endoscopy for the management of severe upper gastrointestinal bleeding (UGIB) is controversial. The aim of this meta-analysis is to examine the clinical outcomes and costs related to prophylactic endotracheal intubation compared to no intubation in UGIB. Methods: EMBASE, MEDLINE, and the Cochrane Central Register of Controlled Trials were used to identify studies through June 2017...
February 2020: JGH open: an open access journal of gastroenterology and hepatology
Audrey De Jong, Amélie Rollé, François-Régis Souche, Olfa Yengui, Daniel Verzilli, Gérald Chanques, David Nocca, Emmanuel Futier, Samir Jaber
The obese patient is at risk of perioperative complications including difficult airway access (intubation, difficult or impossible ventilation), and postextubation acute respiratory failure due to the formation of atelectases or to airway obstruction. The association of obstructive sleep apnoea syndrome (OSA) with obesity is very common, and induces a high risk of per and postoperative complications. Preoperative OSA screening is crucial in the obese patient, as well as its specific management: use of continuous positive pre-, per- and postoperative pressure...
February 14, 2020: Anaesthesia, Critical Care & Pain Medicine
Tatsuma Fukuda, Hiroshi Sekiguchi, Takayuki Taira, Naoki Hashizume, Yusuke Kitamura, Taizo Terada, Naoko Ohashi-Fukuda, Ichiro Kukita
BACKGROUND: There is a knowledge gap about advanced airway management (AAM) after pediatric out-of-hospital cardiac arrest (OHCA) in the prehospital setting. We assessed which AAM strategy would be associated with an increased chance of survival after pediatric OHCA. METHODS: A nationwide population-based observational study was conducted using the Japanese government-led registry data of OHCA. Pediatric OHCA patients (aged 1-17 years) who received prehospital AAM via endotracheal intubation (ETI) or supraglottic airway (SGA) insertion by emergency medical service (EMS) personnel from 2011 to 2017 were included...
February 15, 2020: Resuscitation
Ian L Hudson, Megan B Blackburn, Amanda M Staudt, Kathy L Ryan, Elizabeth A Mann-Salinas
INTRODUCTION: Airway compromise is the second leading cause of potentially survivable death on the battlefield. The purpose of this study was to better understand wartime prehospital airway patients. MATERIALS AND METHODS: The Role 2 Database (R2D) was retrospectively reviewed for adult patients injured in Afghanistan between February 2008 and September 2014. Of primary interest were prehospital airway interventions and mortality. Prehospital combat mortality index (CMI-PH), hemodynamic interventions, injury mechanism, and demographic data were also included in various statistical analyses...
January 7, 2020: Military Medicine
Andrew S Fredericks, Matthew P Bunker, Louise A Gliga, Callie G Ebeling, Jenny Rb Ringqvist, Hooman Heravi, James Manley, Jason Valladares, Bryan T Romito
Objective: To review the theoretical benefits of airway pressure release ventilation (APRV), summarize the evidence for its use in clinical practice, and discuss different titration strategies. Data Source: Published randomized controlled trials in humans, observational human studies, animal studies, review articles, ventilator textbooks, and editorials. Data Summary: Airway pressure release ventilation optimizes alveolar recruitment, reduces airway pressures, allows for spontaneous breathing, and offers many hemodynamic benefits...
2020: Clinical Medicine Insights. Circulatory, Respiratory and Pulmonary Medicine
Jean-Damien Ricard, Baptiste Gaborieau, Juliette Bernier, Camille Le Breton, Jonathan Messika
No abstract text is available yet for this article.
December 2019: Annals of Translational Medicine
2020-02-12 14:20:34
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