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AIME Airway

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1757 papers 1000+ followers Airway Interventions & Management in Emergencies AIME for airway success
Darren Braude, Michael Steuerwald, Trent Wray, Richard Galgon
No abstract text is available yet for this article.
May 3, 2019: Annals of Emergency Medicine
K Crewdson, M Fragoso-Iniguez, D J Lockey
Advanced airway management is a treatment priority in trauma care. It is likely that a proportion of patients who receive urgent airway management on arrival in the emergency department represent an unmet demand for airway intervention in the pre-hospital phase. This study aimed to investigate emergency airway practice in major trauma patients and establish any unmet demand in this patient group. A retrospective review of the Trauma Audit and Research Network database was performed to identify airway intervention(s) performed for patients admitted to major trauma centres in England from 01 April 2012 to 27 June 2016...
May 8, 2019: Anaesthesia
Senthil G Krishna, Jason F Bryant, Joseph D Tobias
Loss of airway control in children, if not resolved quickly, will lead to devastating consequences. Successful management of the pediatric difficult airway, both anticipated and unanticipated, is facilitated by preprocedure assessment and preparation. Accessibility of and continued hands-on training with modern airway instruments, familiarization with difficult airway guidelines, and collaboration with multidisciplinary airway teams can aid in the management of the difficult pediatric airway. This review outlines the importance of airway assessment and advanced airway equipment for children...
September 2018: Journal of Pediatric Intensive Care
Mui Teng Chua, Faheem Ahmed Khan, Wei Ming Ng, Qingshu Lu, Matthew Jian Wen Low, Ying Wei Yau, Amila Punyadasa, Win Sen Kuan
BACKGROUND: Maintaining adequate oxygenation during rapid sequence intubation (RSI) is imperative to prevent peri-intubation adverse events that can lead to increased duration of hospital and intensive care unit stay, or a prolonged vegetative state requiring long-term institutionalisation. Despite employing current best practices during RSI, desaturation during intubation still occurs. High-flow nasal cannula (HFNC) oxygenation may potentially improve oxygenation during pre- and apnoeic oxygenation to allow a longer safe apnoeic time for RSI...
April 4, 2019: Trials
Nicolas Berbenetz, Yongjun Wang, James Brown, Charlotte Godfrey, Mahmood Ahmad, Flávia Mr Vital, Pier Lambiase, Amitava Banerjee, Ameet Bakhai, Matthew Chong
BACKGROUND: Non-invasive positive pressure ventilation (NPPV) has been used to treat respiratory distress due to acute cardiogenic pulmonary oedema (ACPE). We performed a systematic review and meta-analysis update on NPPV for adults presenting with ACPE. OBJECTIVES: To evaluate the safety and effectiveness of NPPV compared to standard medical care (SMC) for adults with ACPE. The primary outcome was hospital mortality. Important secondary outcomes were endotracheal intubation, treatment intolerance, hospital and intensive care unit length of stay, rates of acute myocardial infarction, and adverse event rates...
April 5, 2019: Cochrane Database of Systematic Reviews
Caroline Choffat, Cecile Delhumeau, Nicolas Fournier, Patrick Schoettker
Secondary injuries are associated with bad outcomes in the case of severe traumatic brain injury (sTBI). Patients with a Glasgow Coma Scale (GCS) < 9 should undergo pre-hospital intubation (PHI). There is controversy about whether PHI is beneficial. The aim of this study was to estimate the effect of PHI in patients after sTBI. A multicenter, prospective cohort study was performed in Switzerland, including 832 adults with sTBI. Outcomes were death and impaired consciousness at 14 days. Associations between risk factors and outcomes were assessed with univariate and multivariate Cox models for survival, and univariate and multivariate regression models for impaired consciousness...
April 6, 2019: Journal of Clinical Medicine
Maliwan Oofuvong, Kanjana Nuanjun, Tidarut Sangkaew, Edward McNeil
INTRODUCTION: The age-based formula is commonly used to predict tracheal tube (TT) sizes although its inaccuracy has been reported to reach as high as 60%. We aim to determine a practical formula using age in months and weight in kilograms to predict uncuffed tracheal tube (TT) size in children and infants. METHODS: A retrospective cross-sectional study was conducted on data obtained from a prospective study on children aged less than 9 years who came for elective surgery and received general anesthesia with oroendotracheal tube intubation at Songklanagarind Hospital between September 2008 and December 2012...
April 12, 2019: International Journal of Pediatric Otorhinolaryngology
Renu Sinha, Kanil Ranjith Kumar, Ram Kumar Kalaiyarasan, Puneet Khanna, Bikash Ranjan Ray, Ravinder Kumar Pandey, Jyotsna Punj, Vanlal Darlong
Background and Aims: The preterm and ex-preterm babies form a separate group among the paediatric population with unique airway anatomy. The utility of C-MAC® Video laryngoscope (VL) for routine intubation of preterm babies has not been evaluated. The purpose of this study is to report the performance of C-MAC® VL Miller blade size-0 for endotracheal intubation in preterm babies at our institute. Methods: After Institute Ethics Committee approval, a retrospective study was designed to evaluate the performance of C-MAC® VL for intubation in preterm and ex-preterm babies...
April 2019: Indian Journal of Anaesthesia
Ramachandra R Avula, Nagendra Nath Vemuri, Rambabu Tallapragada
Background: Direct laryngoscopy used for tracheal intubation requires aligning the pharyngeal, laryngeal and oral axes to achieve a line of sight. Video laryngoscopy provides a better view of the glottis without the need for aligning the three axes. Aims: To evaluate the effectiveness of King vision laryngoscope over Macintosh laryngoscope in visualizing the glottis and intubating the trachea, when used on a same patient as in a cross over manner. Settings and Design: Department of Anaesthesia, Mediciti Institute of Medical Sciences, prospective crossover study conducted over a period of six months...
January 2019: Anesthesia, Essays and Researches
Reem Abdelraouf El Sharkawy
Background and Aims: Conscious sedation is the key for successful AFOI. This trial was conducted to compare the effectiveness of dexmedetomidine and low dose of ketamine against propofol and low dose ketamine. Materials and Methods: Sixty patients subjected for general anesthesia were invited to participate in the study and randomly allocated into two equal groups: D-K ( n = 30) had been received a bolus dose of both ketamine 0.5mg /kg and dexmedetomidine 1ug/kg over 10 min...
January 2019: Anesthesia, Essays and Researches
Pieter F Fouche, Christopher Stein, Paul A Jennings, Malcolm Boyle, Stephen Bernard, Karen Smith
Endotracheal intubation is an advanced airway procedure performed in the ED and the out-of-hospital setting for acquired brain injuries that include non-traumatic brain pathologies such as stroke, encephalopathies, seizures and toxidromes. Controlled trial evidence supports intubation in traumatic brain injuries, but it is not clear that this evidence can be applied to non-traumatic brain pathologies. We sought to analyse the impact of emergency intubation on survival in non-traumatic brain pathologies and also to quantify the prevalence of intubation in these pathologies...
April 30, 2019: Emergency Medicine Australasia: EMA
Brit Long, Alex Koyfman, Michael Gottlieb
Endotracheal intubation is a common intervention in the emergency department (ED) and prehospital setting. Direct visualization of endotracheal tube (ETT) placement through the vocal cords is limited at times, and esophageal intubation can be dangerous if not recognized.1 Therefore, additional methods (e.g. lung auscultation, esophageal detector devices, capnography) are necessary for confirmation of tube placement. This article is protected by copyright. All rights reserved.
May 2, 2019: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Fauzia Nausheen, Nichole P Niknafs, Derek J MacLean, David J Olvera, Allen C Wolfe, Troy W Pennington, Daniel P Davis
BACKGROUND: Existing difficult airway prediction tools are not practical for emergency intubation and do not incorporate physiological data. The HEAVEN criteria (Hypoxaemia, Extremes of size, Anatomic challenges, Vomit/blood/fluid, Exsanguination, Neck mobility) may be more relevant for emergency rapid sequence intubation (RSI). METHODS: A retrospective analysis included air medical RSI patients. A checklist was used to assess HEAVEN criteria prior to RSI, and Cormack-Lehane (CL) laryngoscopic view was recorded for the first intubation attempt...
April 24, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Adela Matettore, Padmanabhan Ramnarayan, Andrew Jones, Elise Randle, Daniel Lutman, Maeve O'Connor, Linda Chigaru
OBJECTIVES: In tertiary care PICUs, adverse tracheal intubation-associated events occur frequently (20%; severe tracheal intubation-associated events in 3-6.5%). However, pediatric patients often present to nonspecialist centers and require intubation by local teams. The rate of tracheal intubation-associated events is not well studied in this setting. We hypothesized that the rate of tracheal intubation-associated events would be higher in nonspecialist centers. DESIGN: Prospective observational study...
April 3, 2019: Pediatric Critical Care Medicine
Asger Granfeldt, Suzanne R Avis, Tonia C Nicholson, Mathias J Holmberg, Ari Moskowitz, Amin Coker, Katherine M Berg, Michael J Parr, Michael W Donnino, Jasmeet Soar, Kevin Nation, Lars W Andersen
AIM: To systematically review the literature on advanced airway management during adult cardiac arrest in order to inform the International Liaison Committee of Resuscitation (ILCOR) consensus on science and treatment recommendations. METHODS: The review was performed according to PRISMA guidelines and registered on PROSPERO (CRD42018115556). We searched Medline, Embase, and Evidence-Based Medicine Reviews for controlled trials and observational studies published before October 30, 2018...
April 11, 2019: Resuscitation
Richard M Cooper
An airway manager's primary objective is to provide a path to oxygenation. This can be achieved by means of a facemask, a supraglottic airway, or a tracheal tube. If one method fails, an alternative approach may avert hypoxia. We cannot always predict the difficulties with each of the methods, but these difficulties may be overcome by an alternative technique. Each unsuccessful attempt to maintain oxygenation is time lost and may incrementally increase the risk of hypoxia, trauma, and airway obstruction necessitating a surgical airway...
May 2019: Anesthesiology
Kinshuki Jain, Nishkarsh Gupta, Mukesh Yadav, Sanjay Thulkar, Sushma Bhatnagar
Airway management forms the foundation of any anaesthetic management. However, unanticipated difficult airway (DA) and its sequelae continue to dread any anaesthesiologist. In spite of development of various clinical parameters to judge DA, no single parameter has proved to be accurate in predicting it. Radiological evaluation may help assess the aspects of patient's airway not visualised through the naked eye. Starting from traditional roentgenogram to ultramodern three-dimensional printing, imaging may assist the anaesthesiologists in predicting DA and formulate plan for its management...
April 2019: Indian Journal of Anaesthesia
Jochen Hinkelbein, Ivan Iovino, Edoardo De Robertis, Peter Kranke
BACKGROUND: Airway management is crucial and, probably, even the most important key competence in anaesthesiology, which directly influences patient safety and outcome. However, high-quality research is rarely published and studies usually have different primary or secondary endpoints which impedes clear unbiased comparisons between studies. The aim of the present study was to gather and analyse primary and secondary endpoints in video laryngoscopy studies being published over the last ten years and to create a core set of uniform or homogeneous outcomes (COS)...
April 4, 2019: BMC Anesthesiology
Bjoern Hossfeld, Oskar Mahler, Benjamin Mayer, Martin Kulla, Matthias Helm
BACKGROUND: Everyone dealing with airway emergencies must be able to accomplish cricothyroidotomy, which cannot be trained in real patients. Training models are necessary. OBJECTIVE: To evaluate the suitability of a hybrid training model combining synthetic and porcine parts to depict variable neck anatomy. DESIGN: Model-based comparative trial. SETTING: Armed Forces Hospital Ulm, Germany, August 2018. INTERVENTION: On four anatomical neck variations (long slim/long obese/short slim/short obese) we performed two surgical approaches to cricothyroidotomy (SurgiCric II vs...
April 3, 2019: European Journal of Anaesthesiology
Lily Park, Steven Price-Williams, Alireza Jalali, Kashif Pirzada
BACKGROUND: Endotracheal intubation (ETI) is a crucial life-saving procedure, where more than 2 failed attempts can lead to further complications or even death. Like all technical skills, ETI requires sufficient practice to perform adequately. Currently, the models used to practice ETI are expensive and, therefore, difficult to access, particularly in the developing world and in settings that lack a dedicated simulation center. OBJECTIVE: This study aimed to improve access to ETI training by creating a comparable yet cost-effective simulation model producible by 3-dimensional (3D) printers...
April 9, 2019: JMIR Medical Education
2019-04-16 02:55:12
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