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    794 results match your criteria Tracheal Intubation Rapid Sequence Intubation

    1 OF 16

    A before-and-after observational study of a protocol for use of the C-MAC videolaryngoscope with a Frova introducer in pre-hospital rapid sequence intubation.
    Anaesthesia 2018 Jan 8. Epub 2018 Jan 8.
    Emergency Medicine and Services, Helsinki University Hospital and Department of Emergency Medicine, University of Helsinki, Finland.
    Results using videolaryngoscopy in pre-hospital rapid sequence intubation are mixed. A bougie is not commonly used with videolaryngoscopy. We hypothesised that using videolaryngoscopy and a bougie as core elements of a standardised protocol that includes a drugs and a laryngoscopy algorithm would result in a high first-pass tracheal intubation success rate. Read More

    The effect of pre-operative gastric ultrasound examination on the choice of general anaesthetic induction technique for non-elective paediatric surgery. A prospective cohort study.
    Anaesthesia 2017 Dec 19. Epub 2017 Dec 19.
    Department of Anaesthesia and Intensive Care, Hôpital Femme Mère Enfant, Bron, France.
    Ultrasound examination of the gastric antrum is a non-invasive tool that allows reliable estimation of gastric contents. We performed this prospective cohort study in non-elective paediatric surgery to assess whether gastric ultrasound may help to determine the best anaesthetic induction technique, whether rapid sequence or routine. The primary outcome was the reduction of inappropriate induction technique. Read More

    Airway Management in a Patient With Tracheal Disruption due to Penetrating Neck Trauma With Hollow Point Ammunition: A Case Report.
    A A Case Rep 2017 Nov 27. Epub 2017 Nov 27.
    From the Department of Anesthesia and Perioperative Medicine, Trauma Division, Department of General Surgery, and Department of Otolaryngology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
    Rapid sequence induction and intubation was performed for a patient in respiratory distress after a gunshot wound to the neck. Resistance was noted distal to vocal cords. With a bronchoscope unavailable, the endotracheal tube was advanced with a corkscrew maneuver. Read More

    Ideal Cricoid Pressure Is Biomechanically Impossible During Laryngoscopy.
    Acad Emerg Med 2018 Jan 3;25(1):94-98. Epub 2017 Nov 3.
    Pathology North, Tamworth Rural Referral Hospital, Tamworth, NSW, Australia.
    Objective: This study was a prospective, randomized controlled trial of rapid sequence intubation (RSI) with cricoid pressure (CP) within the emergency department (ED). The primary aim of the study was to examine the link between ideal CP and the incidence of aspiration.

    Method: Patients > 18 years of age undergoing RSI in the ED of two hospitals in New South Wales, Australia, were randomly assigned to receive measured CP using weighing scales to target the ideal CP range (3. Read More

    Usefulness of oxygen reserve index (ORi™), a new parameter of oxygenation reserve potential, for rapid sequence induction of general anesthesia.
    J Clin Monit Comput 2017 Sep 27. Epub 2017 Sep 27.
    Department of Anesthesiology, Fukushima Medical University School of Medicine, 1 Hikariga-oka, Fukushima City, 960-1295, Japan.
    The oxygen reserve index (ORi™) is a new parameter for monitoring oxygen reserve noninvasively. The aim of this study was to examine the usefulness of ORi for rapid sequence induction (RSI). Twenty adult patients who were scheduled for surgical procedures under general anesthesia were enrolled. Read More

    Effect of patient weight on first pass success and neuromuscular blocking agent dosing for rapid sequence intubation in the emergency department.
    Emerg Med J 2017 Nov 16;34(11):739-743. Epub 2017 Aug 16.
    Department of Emergency Medicine, College of Medicine, The University of Arizona, Tucson, Arizona, USA.
    Objectives: The primary objective of this study was to determine the association between patient weight and first pass success (FPS) during rapid sequence intubation (RSI) in the ED. The secondary objective was to evaluate the association between patient weight and neuromuscular blocking agent (NMBA) dosing.

    Methods: This was a retrospective cohort study conducted in a tertiary care academic ED. Read More

    Rocuronium is more hepatotoxic than succinylcholine in vitro.
    Eur J Anaesthesiol 2017 Sep;34(9):623-627
    From the Department of Anesthesiology and Intensive Care Medicine, University Hospital of Rostock (MS, IP, CH, GR, GN-S, TM); and Fraunhofer Institut for Cell Therapy and Immunology, Project Group EXIM, Rostock, Germany (MS, MM).
    Background: The development of liver failure is a major problem in critically ill patients. The hepatotoxicity of many drugs, as one important reason for liver failure, is poorly screened for in human models. Rocuronium and succinylcholine are neuromuscular blocking agents used for tracheal intubation and for rapid-sequence induction. Read More

    A systematic review and meta-analysis comparing mortality in pre-hospital tracheal intubation to emergency department intubation in trauma patients.
    Crit Care 2017 Jul 31;21(1):192. Epub 2017 Jul 31.
    Department of Research and Development, Norwegian Air Ambulance Foundation, Drøbak, Norway.
    Background: Pre-hospital endotracheal intubation is frequently used for trauma patients in many emergency medical systems. Despite a wide range of publications in the field, it is debated whether the intervention is associated with a favourable outcome, when compared to more conservative airway measures.

    Methods: A systematic literature search was conducted to identify interventional and observational studies where the mortality rates of adult trauma patients undergoing pre-hospital endotracheal intubation were compared to those undergoing emergency department intubation. Read More

    Apneic oxygenation reduces the incidence of hypoxemia during emergency intubation: A systematic review and meta-analysis.
    Am J Emerg Med 2017 Aug 15;35(8):1184-1189. Epub 2017 Jun 15.
    Division of Emergency Critical Care, Stony Brook Hospital, Stony Brook, NY, USA.
    Study Objective: Apneic oxygenation has been advocated for the prevention of hypoxemia during emergency endotracheal intubation. Because of conflicting results from recent trials, the efficacy of apneic oxygenation remains unclear. We performed a systematic review and meta-analysis to investigate the effect of apneic oxygenation on the incidence of clinically significant hypoxemia during emergency endotracheal intubation. Read More

    Nonphysician Out-of-Hospital Rapid Sequence Intubation Success and Adverse Events: A Systematic Review and Meta-Analysis.
    Ann Emerg Med 2017 Oct 27;70(4):449-459.e20. Epub 2017 May 27.
    College of Medicine, Qatar University, Doha, Qatar.
    Study Objective: Rapid sequence intubation performed by nonphysicians such as paramedics or nurses has become increasingly common in many countries; however, concerns have been stated in regard to the safe use and appropriateness of rapid sequence intubation when performed by these health care providers. The aim of our study is to compare rapid sequence intubation success and adverse events between nonphysician and physician in the out-of-hospital setting.

    Methods: A systematic literature search of key databases including MEDLINE, EMBASE, and the Cochrane Library was conducted. Read More

    Analysis of Out-of-Hospital Pediatric Intubation by an Australian Helicopter Emergency Medical Service.
    Ann Emerg Med 2017 Dec 29;70(6):773-782.e4. Epub 2017 Apr 29.
    Greater Sydney Area Helicopter Emergency Medical Service, New South Wales Ambulance, Sydney, NSW, Australia; Discipline of Emergency Medicine, Sydney Medical School, Sydney, NSW, Australia.
    Study Objective: We examine first-look success in emergency pediatric intubation by a physician-staffed helicopter emergency medical service (EMS).

    Methods: A database analysis of all pediatric (<16 years) intubations during a 64-month period was undertaken, using data from a prospectively enrolled electronic airway registry form. Recorded findings included patient demographics, operator background, airway intervention including intubation attempts, complications, and critical timings. Read More

    Republication: All India Difficult Airway Association 2016 Guidelines for Tracheal Intubation in the Intensive Care Unit.
    Indian J Crit Care Med 2017 Mar;21(3):146-153
    Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.
    Tracheal intubation (TI) is a routine procedure in the Intensive Care Unit (ICU) and is often lifesaving. In contrast to the controlled conditions in the operating room, critically ill patients with respiratory failure and shock are physiologically unstable. These factors, along with under evaluation of the airway and suboptimal response to preoxygenation, are responsible for a high incidence of life-threatening complications such as severe hypoxemia and cardiovascular collapse during TI in the ICU. Read More

    Techniques and outcomes of emergency airway management in Japan: An analysis of two multicentre prospective observational studies, 2010-2016.
    Resuscitation 2017 May 17;114:14-20. Epub 2017 Feb 17.
    Department of Emergency Medicine, Massachusetts General Hospital, 125 Nashua Street Boston, Suite 920, Boston, MA 02114, USA; Harvard Medical School, Boston, MA, USA.
    Objectives: Continuous surveillance of emergency airway management practice is imperative in improving quality of care and patient safety. We aimed to investigate the changes in the practice of emergency airway management and the related outcomes in the emergency departments (EDs) in Japan.

    Methods: We conducted an analysis of the data from two prospective, observational, multicentre registries of emergency airway management-the Japanese Emergency Airway Network (JEAN)-1 and -2 Registries from April 2010 through May 2016. Read More

    The Impact of a Soiled Airway on Intubation Success in the Emergency Department When Using the GlideScope or the Direct Laryngoscope.
    Acad Emerg Med 2017 May 17;24(5):628-636. Epub 2017 Mar 17.
    Department of Emergency Medicine, The University of Arizona College of Medicine, Tucson, AZ.
    Background: The objective was to determine the impact of a soiled airway on firstpass success when using the GlideScope video laryngoscope or the direct laryngoscope for intubation in the emergency department (ED).

    Methods: Data were prospectively collected on all patients intubated in an academic ED from July 1, 2007, to June 30, 2016. Patients ≥ 18 years of age, who underwent rapid sequence intubation by an emergency medicine resident with the GlideScope or the direct laryngoscope, were included in the analysis. Read More

    A comparison of emergency airway management between neuromuscular blockades alone and rapid sequence intubation: an analysis of multicenter prospective study.
    BMC Res Notes 2017 Jan 3;10(1). Epub 2017 Jan 3.
    Departments of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
    Background: Although airway management with neuromuscular blockade (NMB) alone is discouraged in the emergency department (ED), our previous study demonstrated that many patients were intubated using NMBs alone without sedatives. To refute this practice, we sought to compare the intubation success and adverse event rates between NMBs only and rapid sequence intubation (RSI).

    Methods: This is a secondary analysis of the data from a prospective observational study of ED patients in 13 hospitals who underwent emergency airway management from April 2010 to August 2012. Read More

    A randomised controlled trial comparing transnasal humidified rapid insufflation ventilatory exchange (THRIVE) pre-oxygenation with facemask pre-oxygenation in patients undergoing rapid sequence induction of anaesthesia.
    Anaesthesia 2017 Apr 30;72(4):439-443. Epub 2016 Dec 30.
    Department of Otolaryngology - Head and Neck Surgery, University College Hospital NHS Foundation Trust, London, UK.
    Pre-oxygenation is an essential part of rapid sequence induction of general anaesthesia for emergency surgery, in order to increase the oxygen reservoir in the lungs. We performed a randomised controlled trial of transnasal humidified rapid insufflation ventilatory exchange (THRIVE) pre-oxygenation or facemask pre-oxygenation in patients undergoing emergency surgery. Twenty patients were allocated to each group. Read More

    The All India Difficult Airway Association 2016 guidelines for tracheal intubation in the Intensive Care Unit.
    Indian J Anaesth 2016 Dec;60(12):922-930
    Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.
    Tracheal intubation (TI) is a routine procedure in the Intensive Care Unit (ICU) and is often life-saving. In contrast to the controlled conditions in the operating room, critically ill patients with respiratory failure and shock are physiologically unstable. These factors, along with a suboptimal evaluation of the airway and limited oxygen reserves despite adequate pre-oxygenation, are responsible for a high incidence of life-threatening complications such as severe hypoxaemia and cardiovascular collapse during TI in the ICU. Read More

    All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in obstetrics.
    Indian J Anaesth 2016 Dec;60(12):899-905
    Department of Paediatric Anaesthesia, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India.
    The various physiological changes in pregnancy make the parturient vulnerable for early and rapid desaturation. Severe hypoxaemia during intubation can potentially compromise two lives (mother and foetus). Thus tracheal intubation in the pregnant patient poses unique challenges, and necessitates meticulous planning, ready availability of equipment and expertise to ensure maternal and foetal safety. Read More

    Comparison of Etomidate and Ketamine for Induction During Rapid Sequence Intubation of Adult Trauma Patients.
    Ann Emerg Med 2017 Jan;69(1):24-33.e2
    Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN. Electronic address:
    Study Objective: Induction doses of etomidate during rapid sequence intubation cause transient adrenal dysfunction, but its clinical significance on trauma patients is uncertain. Ketamine has emerged as an alternative for rapid sequence intubation induction. Among adult trauma patients intubated in the emergency department, we compare clinical outcomes among those induced with etomidate and ketamine. Read More

    Awake Laryngoscopy in the Emergency Department.
    J Emerg Med 2017 Mar 12;52(3):324-331. Epub 2016 Dec 12.
    Section of Emergency Medicine; Section of Pulmonary and Critical Care, Department of Medicine, Louisiana State University School of Medicine, New Orleans, Louisiana.
    Background: Many emergency physicians gain familiarity with the laryngeal anatomy only during the brief view achieved during rapid sequence induction and intubation. Awake laryngoscopy in the emergency department (ED) is an important and clinically underutilized procedure.

    Discussion: Providing benefit to the emergency physician through a slow, controlled, and deliberate examination of the airway, awake laryngoscopy facilitates confidence in the high-risk airway and eases the evolution to intubation, should it be required. Read More

    Studying the Safety and Performance of Rapid Sequence Intubation: Data Collection Method Matters.
    Acad Emerg Med 2017 Apr 24;24(4):411-421. Epub 2017 Mar 24.
    Department of Pediatrics, Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
    Objective: We sought to describe and compare chart and video review as data collection sources for the study of emergency department (ED) rapid sequence intubation (RSI).

    Methods: This retrospective cohort study compares the availability and content of key RSI outcome and process data from two sources: chart and video data from 12 months of pediatric ED RSI. Key outcomes included adverse effects (oxyhemoglobin desaturation, physiologic changes, inadequate paralysis, vomiting), process components (number of laryngoscopy attempts, end-tidal CO2 detection), and timing data (duration of preoxygenation and laryngoscopy attempts). Read More

    Prevention of aspiration of gastric contents during attempt in tracheal intubation in the semi-lateral and lateral positions.
    World J Emerg Med 2016 ;7(4):285-289
    Department of Anesthesia, Kitakyushu General Hospital, 5-10-10 Yugawa, Kokuraminami, Kitakyushu 800-0295, Japan.
    Background: Pulmonary aspiration of gastric contents during tracheal intubation is a life-threatening complication in emergency patients. Rapid sequence intubation is commonly performed to prevent aspiration but is not associated with low risk of intubation related complications. Although it has been considered that aspiration can be prevented in the lateral position, few studies have evaluated the ability to prevent aspiration. Read More

    Choice of anaesthesia for category-1 caesarean section in women with anticipated difficult tracheal intubation: the use of decision analysis.
    Anaesthesia 2017 Feb 30;72(2):156-171. Epub 2016 Nov 30.
    Department of Anesthesiology and Director, Mother and Child Anesthesia Unit, Hadassah Hebrew University Hospital, Jerusalem, Israel.
    A predicted difficult airway is sometimes considered a contra-indication to rapid sequence induction of general anaesthesia, even in an urgent case such as a category-1 caesarean section for fetal distress. However, formally assessing the risk is difficult because of the rarity and urgency of such cases. We have used decision analysis to quantify the time taken to establish anaesthesia, and probability of failure, of three possible anaesthetic methods, based on a systematic review of the literature. Read More

    Apneic Oxygenation May Not Prevent Severe Hypoxemia During Rapid Sequence Intubation: A Retrospective Helicopter Emergency Medical Service Study.
    Air Med J 2016 Nov - Dec;35(6):365-368. Epub 2016 Sep 21.
    Department of Emergency Medicine, Penn State Hershey Medical Center, Hershey, PA.
    Objective: This study sought to determine the effectiveness of apneic oxygenation in preventing hypoxemia during prehospital rapid sequence intubation (RSI).

    Methods: We performed a case-cohort study using a pre-existing database looking at intubation management by a single helicopter emergency medical service between July 2013 and June 2015. Apneic oxygenation using high-flow nasal cannula (15 L/min) was introduced to the standard RSI protocol in July 2014. Read More

    Dose requirements of alfentanil to eliminate autonomic responses during rapid-sequence induction with thiopental 4 mg/kg and rocuronium 0.6 mg/kg.
    J Clin Anesth 2016 Dec 18;35:465-474. Epub 2016 Oct 18.
    Department of Anesthesia, Division of Emergencies and Critical Care Medicine, Oslo University Hospital and University of Oslo, Oslo, Norway. Electronic address:
    Study Objective: Opioids are integral part of anesthesia induction, but information on optimal dosing is limited. We aimed to determine doses of alfentanil needed to eliminate increases in 5 autonomic response variables (plasma concentrations of epinephrine, norepinephrine and vasopressin, arterial blood pressure [ABP], and heart rate) during rapid-sequence induction of anesthesia with thiopental 4 mg/kg and rocuronium 0.6 mg/kg. Read More

    Comparison of rocuronium at two different doses and succinylcholine for endotracheal intubation in adult patients for elective surgeries.
    Saudi J Anaesth 2016 Oct-Dec;10(4):379-383
    Department of Anesthesiology, ESIC Medical College and Hospital, Parippally, Kollam, Kerala, India.
    Background: The effects of rocuronium at two different doses, that is, 0.6 mg/kg (2 × ED95) and 0.9 mg/kg (3 × ED95), were compared with succinylcholine (2 mg/kg) when used for endotracheal intubation in adult patients for elective surgeries under general anesthesia. Read More

    C-MAC videolaryngoscope compared with direct laryngoscopy for rapid sequence intubation in an emergency department: A randomised clinical trial.
    Eur J Anaesthesiol 2016 12;33(12):943-948
    From the Institute of Anaesthesiology, University and University Hospital Zurich (SS, DU, MS, MB, DRS, KR), Institute of Physiology, University Zurich, Zurich, Switzerland (MS), Department of Internal Medicine 2, Medical University Vienna, Vienna, Austria (GG), Epidemiology, Biostatistics and Prevention Institute, Department of Biostatistics, University of Zurich, Switzerland (BS), and Department of Outcomes Research; Department of General Anaesthesiology, Anaesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA (KR) *Simon Sulser and Dirk Ubmann contributed equally to the writing of this article.
    Background: Airway management in the emergency room can be challenging when patients suffer from life-threatening conditions. Mental stress, ignorance of the patient's medical history, potential cervical injury or immobilisation and the presence of vomit and/or blood may also contribute to a difficult airway. Videolaryngoscopes have been introduced into clinical practice to visualise the airway and ultimately increase the success rate of airway management. Read More

    Anesthesia in pregnant women with HELLP syndrome: case report.
    Braz J Anesthesiol 2016 Nov - Dec;66(6):657-660. Epub 2016 Oct 1.
    Centro de Ensino e Treinamento em Anestesiologia (CET-SBA) da Clínica de Anestesiologia de Ribeirão Preto (CARP), Ribeirão Preto, SP, Brazil.
    Background And Objectives: HELLP syndrome, characterized by hemolysis, high levels of liver enzyme, and low platelet count, is an advanced clinical stage of pre-eclampsia, progressing to high maternal (24%) and perinatal (up 40%) mortality, despite childbirth care in a timely manner. The goal is to describe the anesthetic management of a case with indication to emergency cesarean.

    Case Report: Female patient, 36 years old, gestational age of 24 weeks, with hypertensive crisis (BP 180/100mmHg) and severe headache, was admitted to the operating room for a cesarean section after diagnosis of HELLP syndrome. Read More

    [Anesthesia in pregnant women with HELLP syndrome: case report].
    Rev Bras Anestesiol 2016 Nov - Dec;66(6):657-660. Epub 2014 Nov 27.
    Centro de Ensino e Treinamento em Anestesiologia (CET-SBA) da Clínica de Anestesiologia de Ribeirão Preto (CARP), Ribeirão Preto, SP, Brasil.
    Background And Objectives: HELLP syndrome, characterized by hemolysis, high levels of liver enzyme, and low platelet count, is an advanced clinical stage of pre-eclampsia, progressing to high maternal (24%) and perinatal (up 40%) mortality, despite childbirth care in a timely manner. The goal is to describe the anesthetic management of a case with indication to emergency caesarean.

    Case Report: Female patient, 36 years old, gestational age of 24 weeks, with hypertensive crisis (BP 180/100 mmHg) and severe headache, was admitted to the operating room for a cesarean section after diagnosis of HELLP syndrome. Read More

    Comparing the Effectiveness of a Novel Suction Set-up Using an Adult Endotracheal Tube Connected to a Meconium Aspirator vs. a Traditional Yankauer Suction Instrument.
    J Emerg Med 2017 Apr 14;52(4):433-437. Epub 2016 Oct 14.
    Department of Emergency Medicine, Kaiser Permanente San Diego Medical Center, San Diego, California.
    Background: It has been suggested that an adult 8.0 endotracheal tube (ETT) connected to a neonatal meconium aspirator would improve suctioning during emergent endotracheal intubation compared to the Yankauer suction instrument, the standard tool used by emergency physicians.

    Objectives: This study was designed to compare the effectiveness of a Yankauer vs. Read More

    Hazards of intubation in the ICU: role of nasal high flow oxygen therapy for preoxygenation and apneic oxygenation to prevent desaturation.
    Minerva Anestesiol 2016 Oct 6;82(10):1098-1106. Epub 2016 May 6.
    AP-HP, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, Colombes, France -
    Acute respiratory failure is one the most common motives for intensive care unit admission. Although results from recent studies with high flow nasal oxygen have challenged our current management of these patients, a substantial number of them will require invasive mechanical ventilation and tracheal intubation. Life-threatening hypoxemia is the most frequent complication of these intubations. Read More

    Accuracy of rapid sequence intubation medication dosing in obese patients intubated in the ED.
    Am J Emerg Med 2016 Dec 28;34(12):2423-2425. Epub 2016 Sep 28.
    Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC; Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DC; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, MedStar Washington Hospital Center, Washington, DC.
    Objective: There are limited data regarding appropriateness of sedative and paralytic dosing of obese patients undergoing rapid sequence intubation (RSI) in the emergency department. The goal of this study was to compare rates of appropriate succinylcholine and etomidate doses in obese and nonobese patients.

    Methods: Retrospective review using a database of endotracheally intubated patients using RSI in an urban, tertiary care academic emergency department, from November 2009 to June 2011. Read More

    Endotracheal Intubation after Acute Drug Overdoses: Incidence, Complications, and Risk Factors.
    J Emerg Med 2017 Jan 4;52(1):59-65. Epub 2016 Oct 4.
    Division of Medical Toxicology, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, New York, New York.
    Background: Drug overdose is the leading cause of injury-related fatality in the United States, and respiratory failure remains a major source of morbidity and mortality.

    Objectives: We aimed to identify the incidence and risk factors for endotracheal intubation after acute drug overdose.

    Methods: This secondary data analysis was performed on a 5-year prospective cohort at two urban tertiary-care hospitals. Read More

    Telemedicine-Assisted Intubation in Rural Emergency Departments: A National Emergency Airway Registry Study.
    Telemed J E Health 2017 Apr 27;23(4):290-297. Epub 2016 Sep 27.
    3 Department of Emergency Medicine, Brigham and Women's Hospital , Boston, Massachusetts.
    Background: Intubation in rural emergency departments (EDs) is a high-risk procedure, often with little or no specialty support. Rural EDs are utilizing real-time telemedicine links, connecting providers to an ED physician who may provide clinical guidance.

    Introduction: We endeavored to describe telemedicine-assisted intubation in rural EDs that are served by an ED telemedicine network. Read More

    Collective Review of the Status of Rapid Sequence Intubation Drugs of Choice in Trauma in Low- and Middle-Income Settings (Prehospital, Emergency Department and Operating Room Setting).
    World J Surg 2017 05;41(5):1184-1192
    Trauma Unit, Inkosi Albert Luthuli Central Hospital, 800 Vusi Mzimela Rd, Mayville, Durban, 4058, KwaZulu-Natal, South Africa.
    Introduction: Establishing a definitive airway in order to ensure adequate ventilation and oxygenation is an important aspect of resuscitation of the polytrauma patient .

    Aim: To review the relevant literature that compares the different drugs used for rapid sequence intubation (RSI) of trauma patients, specifically reviewing: premedication, induction agents and neuromuscular blocking agents across the prehospital, emergency department and operating room setting, and to present the best practices based on the reviewed evidence.

    Method: A literature review of rapid sequence intubation in the trauma population was carried out, specifically comparison of the drugs used (induction agent, neuromuscular blocking drugs and adjuncts). Read More

    The Utility of the C-MAC as a Direct Laryngoscope for Intubation in the Emergency Department.
    J Emerg Med 2016 Oct 25;51(4):349-357. Epub 2016 Jul 25.
    University of Arizona, College of Medicine, Tucson, Arizona.
    Background: Although the C-MAC (Karl Storz, Tuttlingen, Germany) is a video laryngoscope (VL), it can also be used as a direct laryngoscope (DL).

    Objective: The goal of this study was to evaluate the utility of the C-MAC as a DL for intubations in the emergency department (ED).

    Methods: This was an analysis of prospectively collected continuous quality-improvement data during the 6-year period from February 1, 2009 to January 31, 2015, when both the C-MAC and Macintosh DL (Mac DL) were clinically available in our ED. Read More

    Perioperative management of a morbidly obese pregnant patient undergoing cesarean section under general anesthesia - case report.
    Braz J Anesthesiol 2016 Jul-Aug;66(4):418-22. Epub 2016 Apr 30.
    Centro de Ensino e Treinamento da Sociedade Brasileira de Anestesiologia (CET/SBA), Cuiabá, MT, Brazil.
    Background And Objectives: The increased prevalence of obesity in the general population extends to women of reproductive age. The aim of this study is to report the perioperative management of a morbidly obese pregnant woman, body mass index >50kg/m(2), who underwent cesarean section under general anesthesia.

    Case Report: Pregnant woman in labor, 35 years of age, body mass index 59. Read More

    The utility of noninvasive nasal positive pressure ventilators for optimizing oxygenation during rapid sequence intubation.
    Am J Emerg Med 2016 Aug 28;34(8):1627-30. Epub 2016 May 28.
    Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Republic of Korea. Electronic address:
    Objectives: The objective of the study is to investigate the feasibility of noninvasive nasal positive pressure ventilation (NINPPV) for optimizing oxygenation during the rapid sequence intubation in critically ill patients.

    Methods: A prospective, observational study was performed in an emergency department. Noninvasive nasal positive pressure ventilation was applied in the preoxygenation step and maintained until successful intubation. Read More

    Airway management in a patient with nuchal, interspinous, and flavum ligament rupture by a sickle: a case report.
    J Med Case Rep 2016 Jun 13;10(1):172. Epub 2016 Jun 13.
    Department of Orthopedics Surgery, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima, 960-1295, Japan.
    Background: Penetrating neck injury is an important trauma subset but is relatively rare, especially when involving the posterior cervical column. Rupture of the neck restraints, including the interspinous and flavum ligaments, can create serious cervical instability that requires special consideration when managing the airway. However, no detailed information regarding airway management in patients with profound posterior neck muscle laceration and direct cervical ligament disruption by an edged weapon is yet available in the literature. Read More

    Human factors in the emergency department: Is physician perception of time to intubation and desaturation rate accurate?
    Emerg Med Australas 2016 Jun 13;28(3):295-9. Epub 2016 Apr 13.
    Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, New York, USA.
    Objective: The main objective of the present study was to examine the perceived versus actual time to intubation (TTI) as an indication to help determine the situational awareness of Emergency Physicians during rapid sequence intubation and, additionally, to determine the physician's perception of desaturation events.

    Methods: A timed, observation prospective cohort study was conducted. A post-intubation survey was administered to the intubating physician. Read More

    [Anesthetic Management of a Pediatric Case of Blue Rubber Bleb Nevi Syndrome Combined with Small-intestinal Intussusception].
    Masui 2016 Apr;65(4):384-6
    We report the anesthetic management of a pediatric case of blue rubber bleb nevi syndrome combined with small-intestinal intussusception. A 2-year-old girl was transferred to our hospital for small-intestinal intussusception. Emergent ablation of the upper gastrointestinal tract nevus under general anesthesia was planned. Read More

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