scholarly journals The use of simulation to prepare for changes in emergent airway management in the early days of the Covid-19 outbreak

2020 ◽  
Vol 33 ◽  
pp. 23-24
Author(s):  
George Tewfik ◽  
Steven Shulman ◽  
Thomas Bachmann
Keyword(s):  
Airway Management ◽  
Emergent Airway Management

The Use of a Laryngeal Mask Airway for Emergent Airway Management in a Prone Child

2005 ◽  
Vol 100 (3) ◽  
pp. 670-671 ◽  
Author(s):  
R Scott Dingeman ◽  
Liliana C. Goumnerova ◽  
Susan M. Goobie
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Laryngeal Mask ◽  
Emergent Airway Management

scholarly journals Emergent airway management outside of the operating room – a retrospective review of patient characteristics, complications and ICU stay

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Uzung Yoon ◽  
Jeffrey Mojica ◽  
Matthew Wiltshire ◽  
Kara Segna ◽  
Michael Block ◽  
...  
Keyword(s):  
High Risk ◽  
Hospital Mortality ◽  
Airway Management ◽  
Hospital Stay ◽  
Operating Room ◽  
X Rays ◽  
Icu Stay ◽  
Management Interventions ◽  
The Mean ◽  
Emergent Airway Management

Abstract 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. Additional information including demographics, ASA-classification, comorbidities, hospital-stay, ICU-stay, and 30-day in-hospital mortality was obtained. Results 336 intubations were performed in 275 patients during the six-month period. The majority of intubations (n = 196, 58%) occurred in an ICU setting, and the rest 140 (42%) occurred on a normal floor or in a remote location. The mean admission ASA status was 3.6 ± 0.5, age 60 ± 16 years, and BMI 30 ± 9 kg/m2. Chest X-rays performed immediately after intubation showed main stem intubation in 3.3% (n = 9). Two immediate (within 20 min after intubation) intubation related cardiac arrest/mortality events were identified. The 30-day in-hospital mortality was 31.6% (n = 87), the overall in-hospital mortality was 37.1% (n = 102), the mean hospital stay was 22 ± 20 days, and the mean ICU-stay was 14 days (13.9 ± 0.9, CI 12.1–15.8) with a 7.3% ICU-readmission rate. Conclusion Patients requiring emergent airway management are a high-risk patient population with multiple comorbidities and high ASA scores on admission. Only a small number of intubation-related complications were reported but ICU length of stay was high.

scholarly journals Effects of Preoxygenation on Desaturation Time during Hemorrhagic Shock in Pigs

2010 ◽  
Vol 113 (3) ◽  
pp. 593-599 ◽  
Author(s):  
Daniel Pehböck ◽  
Volker Wenzel ◽  
Wolfgang Voelckel ◽  
Kim Jonsson ◽  
Holger Herff ◽  
...  
Keyword(s):  
Blood Loss ◽  
Airway Management ◽  
Hemorrhagic Shock ◽  
Fluid Resuscitation ◽  
Fold Increase ◽  
Oxygen Desaturation ◽  
Shock Model ◽  
Peripheral Oxygen Saturation ◽  
Emergent Airway Management ◽  
Hemorrhagic Shock Model

Background Patients in hemorrhagic shock often require emergent airway management. Clinical experience suggests that oxygen desaturation occurs rapidly in these patients; however, data are scant. The hypothesis of this study was that increasing levels of hemorrhagic shock, varying levels of fraction of inspired oxygen (Fio2) for preoxygenation, and fluid resuscitation significantly affect the duration until critical desaturation occurs. Methods Fifteen pigs were studied in a hemorrhagic shock model with controlled hemorrhage (15, 30, and 45 ml/kg blood loss) and randomized to standard fluid resuscitation or no fluids. At each shock level, three apnea experiments (in randomized order) were performed after 5 min of preoxygenation at 21, 50, or 100% Fio2. After preoxygenation, ventilation was discontinued and the time to peripheral oxygen saturation of 70% or less was measured. Results During normovolemia, peripheral oxygen desaturation to less than 70% occurred after 33+/-7 s (Fio2=0.21, mean+/-SD), 89+/-12 s (Fio2=0.5), and 165+/-22 s (Fio2=1.0; P<0.001). During increasing blood loss, peripheral oxygen desaturation to Spo2 less than 70% occurred significantly (P<0.001) faster compared with normovolemia, but no effect of fluid resuscitation was observed. With 45 ml/kg blood loss, peripheral oxygen desaturation to less than 70% occurred after approximately 15 (Fio2=0.21) to 65 (Fio2=0.5) to 140 s (Fio2=1.0). Conclusions Findings from this swine hemorrhagic shock model confirm that Fio2 and the level of hemorrhagic shock, but not fluid resuscitation, influence the rate of apneic desaturation. A five-fold increase in time until critical oxygen desaturation occurs can be achieved when preoxygenating with 100% oxygen compared with room air, underscoring the importance of adequate preoxygenation before emergent airway management.

Emergent Airway Management in Pediatrics

2020 ◽  
pp. 37-50
Author(s):  
Kelsey A. Miller ◽  
Joshua Nagler
Keyword(s):  
Airway Management ◽  
Critically Ill ◽  
Small Proportion ◽  
Pediatric Patients ◽  
Pediatric Airway ◽  
Advanced Airway ◽  
Life Saving ◽  
Procedural Success ◽  
Emergent Airway Management

Airway management is the cornerstone to resuscitation efforts for the majority of critically ill pediatric patients. The etiology of arrest in children is more commonly from a respiratory than a cardiac process, and early and effective airway management can be life-saving. However, only a small proportion of pediatric patients ultimately require advanced airway management. In addition to its rarity, anatomic and physiologic differences in children can further complicate performance of this critical procedure. Familiarity these difference and knowledge of strategies to optimize procedural success are essential for every emergency practitioner. This chapter reviews important clinical pearls and pitfalls in the emergent management of the pediatric airway.

Emergent Airway Management

2020 ◽  
pp. 125-136
Author(s):  
Deepak G. Krishnan ◽  
Vincent J. Perciaccante
Keyword(s):  
Airway Management ◽  
Emergent Airway Management

343 Yankauer Suction Catheters With “Safety” Vent Holes May Impair Safety in Emergent Airway Management

2016 ◽  
Vol 68 (4) ◽  
pp. S131-S132
Author(s):  
R.D. Cox ◽  
M.C. Andreae ◽  
B.D. Shy ◽  
J. DuCanto ◽  
R.J. Strayer
Keyword(s):  
Airway Management ◽  
Emergent Airway Management
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