AIME Airway

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1961 papers 1000+ followers Airway Interventions & Management in Emergencies AIME for airway success
Whei Jung, Joonghee Kim
STUDY OBJECTIVE: Endotracheal intubation is frequently performed in emergency departments (EDs). First-pass success is important because repeated attempts are associated with poor outcomes. We sought to identify factors associated with first-pass success in emergency endotracheal intubation. METHODS: We analyzed emergency orotracheal intubations on adult patients in an ED located in South Korea from Jan. 2013 to Dec. 2016. Various operator-, procedure- and patient-related factors were screened with univariable logistic regression...
January 2020: American Journal of Emergency Medicine
Jarrod M Mosier
No abstract text is available yet for this article.
December 24, 2019: British Journal of Anaesthesia
Carlos Rogério Degrandi Oliveira
Syndromes with non-craniofacial abnormalities can be a real challenge in terms of airway management. The key to success is effective preparation, presence of personnel with expertise in difficult pediatric airway management, regular training and familiarity with difficult intubation equipment, and teamwork. Considering that there are a very large number of syndromes, with variable phenotypic expression, the management strategy of every case will be dictated by the anatomical and functional airway as assessed on physical examination and subsidiary exams before induction of anesthesia...
December 30, 2019: Paediatric Anaesthesia
Luc E Vanlinthout, Bénédicte Geniets, Jacques J Driessen, Vera Saldien, Raphaël Lapré, Johan Berghmans, Uwimpuhwe Germaine, Niel Hens
BACKGROUND: The benefit of using neuromuscular blocking agents to facilitate tracheal intubation in children remains unclear due to variations in design, treatments, and results among trials. By combining the available evidence, we aimed to establish whether scientific findings are consistent and can be generalized across various populations, settings and treatments. METHODS: A systematic search for randomized controlled trials (RCTs), related to the use of neuromuscular blocking agents for tracheal intubation in ASA Class I-II participants (0-12 y) was performed...
December 30, 2019: Paediatric Anaesthesia
Peter Frykholm
Four basic types of visual aids are used for teaching airway management and decision-making in simulated as well as in real clinical situations: universal algorithms, sets of limited algorithms, concept-based cognitive aids and checklists. The first three may represent an evolution in the understanding of the role of human error in both successful and failed airway management. Complex visual aids such as the American Society of Anesthesiology difficult airway algorithm may be more useful for teaching, while graphic cognitive aids like the Vortex may be more helpful for decision-making under stress...
December 16, 2019: Paediatric Anaesthesia
Ravish Kapoor, Angela T Truong, Catherine N Vu, Dam-Thuy Truong
Perioperative difficult airway management is one of the most challenging tasks encountered by anesthesiologists. Awake intubation is considered the gold standard in securing the anticipated difficult airway. Effective communication between the anesthesiologist and patient is vital during awake intubation. A language barrier can significantly hinder success and jeopardize patient safety. We report a case of a monolingual Arabic-speaking patient with a difficult airway who required awake intubation to undergo surgery...
December 12, 2019: A&A practice
Michael Gottlieb, Dallas Holladay, Katharine M Burns, Damali Nakitende, John Bailitz
BACKGROUND: Airway management is a common procedure performed in the Emergency Department with significant potential for complications. Many of the traditional physical examination maneuvers have limitations in the assessment and management of difficult airways. Point-of-care ultrasound (POCUS) has been increasingly studied for the evaluation and management of the airway in a variety of settings. OBJECTIVE: This article summarizes the current literature on POCUS for airway assessment, intubation confirmation, endotracheal tube (ETT) depth assessment, and performing cricothyroidotomy with an emphasis on those components most relevant for the Emergency Medicine clinician...
December 11, 2019: American Journal of Emergency Medicine
P Wong, B L Sng, W Y Lim
Tracheal intubation is considered the gold standard means of securing the airway in obstetric general anaesthesia because of the increased risk of aspiration. Obstetric failed intubation is relatively rare. Difficult airway guidelines recommend the use of a supraglottic airway device to maintain the airway and to allow rescue ventilation. Failed intubation is associated with a further increased risk of aspiration, therefore there is an argument for performing supraglottic airway-guided flexible bronchoscopic intubation (SAGFBI)...
November 18, 2019: International Journal of Obstetric Anesthesia
John Fiadjoe, Akira Nishisaki
BACKGROUND: Pediatric difficult airway is one of the most challenging clinical situations. We will review new concepts and evidence in pediatric normal and difficult airway management in the Operating Room (OR), intensive care unit, Emergency Department, and neonatal intensive care unit. METHODS: Expert review of the recent literature. RESULTS: Cognitive factors, teamwork and communication play a major role in managing pediatric difficult airway...
December 23, 2019: Paediatric Anaesthesia
Triveni M Rangaswamy, Avnish Bharadwaj, Priyanka Jain
Background: Ambu® Aura-i™, a recently introduced second generation supraglottic airway device has been designed to function as an independent ventilatory device as well as a conduit for passage of conventional cuffed tracheal tubes through it. There is dearth of literature on experience of tracheal intubation through intubating laryngeal mask airway (ILMA) in paediatric age group. This study was conducted to study the ventilatory effectiveness and the intubating characteristics of Ambu® Aura-i™ in paediatric patients...
October 2019: International Journal of Critical Illness and Injury Science
Agnes Hunyady, David Polaner
Education in medicine, informed by research findings, is moving away from the traditional apprenticeship model and increasingly embraces new, active learning methodologies. In this article, we will review these methodologies along with adult learning theories; we explore the available evidence on acquisition and maintenance of pediatric airway management skills, including technical and non-technical skills. We recall the elements of a competency-based curriculum and how they can be applied in pediatric airway skill training and suggest mapping strategies based on research evidence...
December 30, 2019: Paediatric Anaesthesia
Elliana K DeVore, Andrew Redmann, Rebecca Howell, Sid Khosla
Objective: In the case of an emergency surgical airway, current guidelines state that surgical cricothyrotomy is preferable to tracheotomy. However, complications associated with emergency cricothyrotomy may be more frequent and severe. We systematically reviewed the English literature on emergency surgical airway to elicit best practices. Methods: PubMed, Embase, MEDLINE, and the Cochrane Library were searched from inception to January 2019 for studies reporting emergency cricothyrotomy and tracheotomy outcomes...
December 2019: Laryngoscope Investigative Otolaryngology
Anthony E Pusateri, Ernest E Moore, Hunter B Moore, Tuan D Le, Francis X Guyette, Michael P Chapman, Angela Sauaia, Arsen Ghasabyan, James Chandler, Kevin McVaney, Joshua B Brown, Brian J Daley, Richard S Miller, Brian G Harbrecht, Jeffrey A Claridge, Herb A Phelan, William R Witham, A Tyler Putnam, Jason L Sperry
Importance: Both military and civilian clinical practice guidelines include early plasma transfusion to achieve a plasma to red cell ratio approaching 1:1 to 1:2. However, it was not known how early plasma should be given for optimal benefit. Two recent randomized clinical trials were published, with apparently contradictory results. The Prehospital Air Medical Plasma (PAMPer) clinical trial showed a nearly 30% reduction in mortality with plasma transfusion in the prehospital environment, while the Control of Major Bleeding After Trauma (COMBAT) clinical trial showed no survival improvement...
December 18, 2019: JAMA Surgery
Teri Millane, Shaun Greene, Joe-Anthony Rotella, Yit Hung Leang
OBJECTIVE: To assess the ability of end-tidal capnography to provide continuous ventilatory monitoring in sedated, non-intubated ED patients following sedative overdose. METHODS: Observational study undertaken in a tertiary hospital ED. Patient ventilation was assessed using capnography over 60 min. RESULTS: Capnography provided uninterrupted monitoring for 99% of total study time. Capnography detected all episodes of hypoxia detected by SpO2 monitoring...
November 26, 2019: Emergency Medicine Australasia: EMA
John J McCloskey, Jamie McElrath Schwartz, Donald H Shaffner
No abstract text is available yet for this article.
December 2019: Pediatric Critical Care Medicine
M F Aziz, M S Kristensen
No abstract text is available yet for this article.
December 11, 2019: Anaesthesia
Luca Cabrini, Martina Baiardo Redaelli, Martina Filippini, Evgeny Fominskiy, Laura Pasin, Margherita Pintaudi, Valentina Paola Plumari, Alessandro Putzu, Carmine D Votta, Ottavia Pallanch, Lorenzo Ball, Giovanni Landoni, Paolo Pelosi, Alberto Zangrillo
BACKGROUND: tracheal intubation in patients at risk for secondary spinal cord injury is potentially difficult and risky. OBJECTIVES: to compare tracheal intubation techniques in adult patients at risk for secondary cervical spinal cord injury undergoing surgery. Primary outcome was first-attempt failure rate. Secondary outcomes were time to successful intubation and procedure complications. DESIGN: systematic review and meta-analysis of RCTs with trial sequential analysis (TSA)...
December 14, 2019: Acta Anaesthesiologica Scandinavica
Jayanand Mekwan, Calvin A Brown
No abstract text is available yet for this article.
November 2019: CJEM
Stephen Betschel, Jacquie Badiou, Karen Binkley, Rozita Borici-Mazi, Jacques Hébert, Amin Kanani, Paul Keith, Gina Lacuesta, Susan Waserman, Bill Yang, Emel Aygören-Pürsün, Jonathan Bernstein, Konrad Bork, Teresa Caballero, Marco Cicardi, Timothy Craig, Henriette Farkas, Anete Grumach, Connie Katelaris, Hilary Longhurst, Marc Riedl, Bruce Zuraw, Magdelena Berger, Jean-Nicolas Boursiquot, Henrik Boysen, Anthony Castaldo, Hugo Chapdelaine, Lori Connors, Lisa Fu, Dawn Goodyear, Alison Haynes, Palinder Kamra, Harold Kim, Kelly Lang-Robertson, Eric Leith, Christine McCusker, Bill Moote, Andrew O'Keefe, Ibraheem Othman, Man-Chiu Poon, Bruce Ritchie, Charles St-Pierre, Donald Stark, Ellie Tsai
This is an update to the 2014 Canadian Hereditary Angioedema Guideline with an expanded scope to include the management of hereditary angioedema (HAE) patients worldwide. It is a collaboration of Canadian and international HAE experts and patient groups led by the Canadian Hereditary Angioedema Network. The objective of this guideline is to provide evidence-based recommendations, using the GRADE system, for the management of patients with HAE. This includes the treatment of attacks, short-term prophylaxis, long-term prophylaxis, and recommendations for self-administration, individualized therapy, quality of life, and comprehensive care...
2019: Allergy, Asthma, and Clinical Immunology
Uzung Yoon, Jeffrey Mojica, Matthew Wiltshire, Kara Segna, Michael Block, Anthony Pantoja, Marc Torjman, Elizabeth Wolo
BACKGROUND: Emergent airway management outside of the operating room is a high-risk procedure. Limited data exists about the indication and physiologic state of the patient at the time of intubation, the location in which it occurs, or patient outcomes afterward. METHODS: We retrospectively collected data on all emergent airway management interventions performed outside of the operating room over a 6-month period. Documentation included intubation performance, and intubation related complications and mortality...
December 3, 2019: BMC Anesthesiology
2019-12-18 05:02:23
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