AIME Airway

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1903 papers 1000+ followers Airway Interventions & Management in Emergencies AIME for airway success
N Chrimes, W P L Bradley, J J Gatward, A D Weatherall
No abstract text is available yet for this article.
April 2019: Anaesthesia
Amy H Kaji, Carolyn Shover, Jennifer Lee, Lisa Yee, Daniel J Pallin, Michael D April, Jestin N Carlson, Andrea Fantegrossi, Calvin A Brown
OBJECTIVE: With respect to first-attempt intubation success, the pediatric literature demonstrates either clinical equipoise or superiority of direct laryngoscopy (DL) when compared to video laryngoscopy (VL). Furthermore, it is unknown how VL compares to DL, when DL is "augmented" by maneuvers, such as optimal external laryngeal manipulation (OELM), upright or ramped positioning, or the use of the bougie. The objective of our study was to compare first-attempt success between VL and all DL, including "augmented DL" for pediatric intubations...
October 16, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Young Suk Kwon, Choung Ah Lee, Sunghoon Park, Sang Ook Ha, Yun Su Sim, Moon Seong Baek
Few data are available regarding factors that impact cricothyrotomy use and outcome in general hospital setting. The aim of the present study was to determine the incidence and outcomes of the patients underwent cricothyrotomy in a "cannot intubate, cannot oxygenate" (CICO) situation at university hospitals in Korea.This was a retrospective review of the electronic medical records of consecutive patients who underwent cricothyrotomy during a CICO situation between March, 2007, and October, 2018, at 2 university hospitals in Korea...
October 2019: Medicine (Baltimore)
Anthony M-H Ho, Glenio B Mizubuti
Prophylactic administration of a vasopressor to mitigate the hypotensive effect of propofol (and/or other co-induction agents) during sedation/anesthesia immediately prior to tracheal intubation in frail patients in the intensive care unit and emergency and operating rooms appears to be not an uncommon practice. We submit that this practice is unnecessary and potentially harmful. Despite restoring the blood pressure, phenylephrine, for instance, may have an additive or synergistic effect with propofol in reducing the cardiac output and, ultimately, organ perfusion...
September 12, 2019: Journal of Critical Care
Luca Cabrini, Giovanni Landoni, Martina Baiardo Redaelli, Omar Saleh, Carmine D Votta, Evgeny Fominskiy, Alessandro Putzu, Cézar Daniel Snak de Souza, Massimo Antonelli, Rinaldo Bellomo, Paolo Pelosi, Alberto Zangrillo
In the publication of this article [1], there was an error in a contributors Family Name. This has now been updated in the original article.
October 21, 2019: Critical Care: the Official Journal of the Critical Care Forum
Maryam Y Naim, Shairbanu S Zinna
No abstract text is available yet for this article.
October 19, 2019: Resuscitation
Ahmed Taha, Eneko Larumbe-Zabala, Ashraf Abugroun, Assad Mohammedzein, M Tarek Naguib, Manish Patel
Rationale: Although noninvasive positive pressure ventilation (NIPPV) is increasingly used in acute respiratory distress syndrome (ARDS) to avoid invasive mechanical ventilation (IMV), the data supporting its benefit for this indication are lacking. Objectives: To analyze the all-cause in-hospital mortality rate and length of stay (LOS) for ARDS patients who received NIPPV in the United States (US) compared to those who were initially intubated. Our secondary outcome of interest was to determine the predicting factors for NIPPV failure...
2019: Critical Care Research and Practice
Mohammed Ismail Nizami, Ashima Sharma, Kavitha Jayaram
Introduction: Noninvasive ventilation (NIV) has revolutionized the initial respiratory support provided to a patient in respiratory distress presenting to emergency department. Standardization of NIV practices and safety has always been a matter of concern and debate in emergency medicine. In this study, we tried to assess the clinical outcome of NIV in respiratory failures of varied etiologies. Materials and methods: This study was conducted from August 2017 to August 2018 at our emergency department which is a tertiary care teaching institute...
September 2019: Indian Journal of Critical Care Medicine
Souvik Maitra, Sulagna Bhattacharjee, Anirban Som
Background: Role of noninvasive ventilation (NIV) following extubation in patients with acute respiratory failure is debatable. NIV may provide benefit in post surgical patients, but its role in nonsurgical patients is controversial. Materials and methods: PubMed and Cochrane Central Register of Controlled Trials (CENTRAL) were searched (from 1946 to 20th November 2017) to identify prospective randomized controlled trials, where postextubation NIV has been compared with standard oxygen therapy in adult patients with acute respiratory failure...
September 2019: Indian Journal of Critical Care Medicine
Sheila Nainan Myatra, Jeson Rajan Doctor
No abstract text is available yet for this article.
October 2019: Indian Journal of Anaesthesia
Anita Saran, Nandini M Dave, Priyanka P Karnik
Background and Aims: Neonatal endotracheal intubation is challenging due to the miniature anatomy, which is distinct from adults and reserves only less oxygen and time before desaturation begins. As a result, teaching neonatal intubation becomes fraught with difficulties. This study aimed to determine the efficacy and safety of videolaryngoscopy-guided verbal feedback compared to conventional laryngoscopy verbal feedback in neonatal and infant intubation. Methods: In this prospective randomised cross over study, 24 trainees were randomly allocated to two groups, video-assisted verbal feedback followed by conventional verbal feedback (V/C) and conventional verbal feedback followed by video-assisted verbal feedback (C/V)...
October 2019: Indian Journal of Anaesthesia
Gauri R Gangakhedkar, Pallavi Gaur, Anita N Shetty, Pallavi V Waghalkar, Amit M Dalvi
Patients coming for atlantoaxial dislocation surgery represent a unique subset of difficult intubation. In addition to having restricted neck movements, excessive movements at the neck joint during intubation must be avoided to avoid further compression. In view of the anticipated difficult intubation, adjuncts or introducers may be required to aid intubation, the most commonly used being bougies. Complications are known to occur with the use of bougies but fortunately the incidences are far and few. The most dreaded of these is pneumothorax, secondary to trauma by the bougie...
July 2019: Journal of Pediatric Neurosciences
Zehra İpek Arslan, Hadi Ufuk Yörükoğlu
Background/aim: Increased body mass index (BMI) and neck circumference are the two independent predictors of difficult intubation. McGrath MAC X-Blade is a videolaryngoscope specifically designed for difficult intubations. Materials and methods: Eighty patients with the American Society of Anesthesiologists (ASA) physical status I–III undergoing elective surgery requiring endotracheal intubation were enrolled in the study. Patients were divided into two groups, nonobese (BMI < 30) and morbidly obese (BMI > 35)...
October 24, 2019: Turkish Journal of Medical Sciences
Yazan Zayed, Mahmoud Barbarawi, Babikir Kheiri, Tarek Haykal, Adam Chahine, Laith Rashdan, Harsukh Dhillon, Sina Khaneki, Ghassan Bachuwa, Elfateh Seedahmed
BACKGROUND: De novo hypoxemic respiratory failure is defined as significant hypoxemia in the absence of chronic lung disease such as COPD, and excluding respiratory failure occurring in the immediate postoperative or postextubation period. We aimed to evaluate the efficacy of various oxygenation strategies including noninvasive ventilation (NIV), high-flow nasal cannula (HFNC), and conventional oxygen therapy in patients with de novo hypoxemic respiratory failure. METHODS: We performed electronic database searches of PubMed, Cochrane Library, and Embase from inception to December 2018 to include randomized controlled trials that compared various oxygenation strategies in cases of de novo hypoxemic respiratory failure occurring in adult subjects without a preexisting chronic lung disease and excluding respiratory failure in the immediate postoperative or postextubation periods...
November 2019: Respiratory Care
Thais Dias Midega, Guilherme Benfatti Olivato, Fabio Barlem Hohmann, Ary Serpa Neto
No abstract text is available yet for this article.
September 2019: Annals of Translational Medicine
Michael E Wilson, Aniket Mittal, Bibek Karki, Claudia C Dobler, Abdul Wahab, J Randall Curtis, Patricia J Erwin, Abdul M Majzoub, Victor M Montori, Ognjen Gajic, M Hassan Murad
PURPOSE: To assess the rates and variability of do-not-intubate orders in patients with acute respiratory failure. METHODS: We conducted a systematic review of observational studies that enrolled adult patients with acute respiratory failure requiring noninvasive ventilation or high-flow nasal cannula oxygen from inception to 2019. RESULTS: Twenty-six studies evaluating 10,755 patients were included. The overall pooled rate of do-not-intubate orders was 27%...
October 28, 2019: Intensive Care Medicine
Raymond S Park, James M Peyton, Pete G Kovatsis
Safe and effective airway management of neonates requires unique knowledge and clinical skills. Practitioners should have an understanding of neonatal airway anatomy and respiratory physiology and their clinical implications related to airway management. It is vital to recognize the potential sequelae of prematurity. Clinicians should be familiar with the skills and techniques available for managing normal neonatal airways. This review provides stepwise considerations for managing the neonatal airway: specific considerations for neonatal airway management, assessment and preparation, induction and premedication, and techniques and strategies for airway management in patients with normal anatomy and in patients who are difficult to intubate...
December 2019: Clinics in Perinatology
Brian E Driver, Lauren R Klein, Matthew E Prekker, Jon B Cole, Rajesh Satpathy, Gautham Kartha, Aaron Robinson, James R Miner, Robert F Reardon
BACKGROUND: The optimal order of drug administration (sedative first vs. neuromuscular blocking agent first) in rapid sequence intubation (RSI) is debated. OBJECTIVE: We sought to determine if RSI drug order was associated with the time elapsed from administration of the first RSI drug to the end of a successful first intubation attempt. METHODS: We conducted a planned secondary analysis of a randomized trial of adult ED patients undergoing emergency orotracheal intubation that demonstrated higher first-attempt success with bougie use compared to a tracheal tube + stylet...
September 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Jennifer Abbasi
No abstract text is available yet for this article.
October 8, 2019: JAMA: the Journal of the American Medical Association
Ryan D Pappal, Brian W Roberts, Nicholas M Mohr, Enyo Ablordeppey, Brian T Wessman, Anne M Drewry, Yan Yan, Marin H Kollef, Michael Simon Avidan, Brian M Fuller
INTRODUCTION: Awareness with paralysis is a complication with potentially devastating psychological consequences for mechanically ventilated patients. While rigorous investigation into awareness has occurred for operating room patients, little attention has been paid outside of this domain. Mechanically ventilated patients in the emergency department (ED) have been historically managed in a way that predisposes them to awareness events: high incidence of neuromuscular blockade use, underdosing of analgesia and sedation, delayed administration of analgesia and sedation after intubation, and a lack of monitoring of sedation targets and depth...
October 7, 2019: BMJ Open
2019-10-18 15:14:39
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