scholarly journals Apneic oxygenation provides incremental benefit during intubation of patients in the emergency medicine and critical care settings

CJEM ◽  
2018 ◽  
Vol 20 (5) ◽  
pp. 770-773
Author(s):  
Daniel K. Ting ◽  
Eddy S. Lang
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Critical Care ◽  
Oxygen Saturation ◽  
Meta Analysis ◽  
Clinical Question ◽  
Apneic Oxygenation ◽  
Incremental Benefit ◽  
First Pass

Clinical questionShould I use apneic oxygenation when intubating patients in the emergency department to increase peri-intubation oxygen saturation and first-pass success?Article chosenOliveira JE, Silva L, Cabrera D, Barrionuevo P, et al. Effectiveness of apneic oxygenation during intubation: a systematic review and meta-analysis. Ann Emerg Med 2017;70(4):483-94.ObjectiveThe purpose of this study was to synthesize and appraise the apneic oxygenation literature for its effect on peri-intubation outcomes.

Apneic oxygenation during intubation in the emergency department and during retrieval: A systematic review and meta-analysis

2017 ◽  
Vol 35 (10) ◽  
pp. 1542-1546 ◽  
Author(s):  
Matthew J. Binks ◽  
Rhys S. Holyoak ◽  
Thomas M. Melhuish ◽  
Ruan Vlok ◽  
Elyse Bond ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Meta Analysis ◽  
Apneic Oxygenation

scholarly journals Efficacy of tracheal tube introducers and stylets for endotracheal intubation in the prehospital setting: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Jaden Tollman ◽  
Zubair Ahmed
Keyword(s):  
Systematic Review ◽  
Endotracheal Intubation ◽  
Tracheal Tube ◽  
Meta Analysis ◽  
Prehospital Setting ◽  
Cochrane Central Register ◽  
Success Rates ◽  
Video Technology ◽  
Summary Estimate ◽  
First Pass

Abstract Purpose Tracheal tube introducers and stylets remain some of the most widely used devices for aiding practitioners in performing endotracheal intubation (ETI). The purpose of this systematic review is to evaluate the efficacy of tracheal tube introducers and stylets for ETI in the prehospital setting. Methods A literature search was conducted on the 2nd of March 2021 across PubMed, Embase (Ovid) and the Cochrane Central Register of Controlled Trials (CENTRAL) to identify relevant studies. Included studies had their data extracted and both a quality assessment and statistical analysis were performed. Results The summary estimate of prehospital studies with video technology showed a statistically significant increase in first pass ETI success in favour of bougies (RR 1.15, CI 1.10–1.21, p < 0.0001). The summary estimates of prehospital studies without video technology and simulation studies with and without video technology showed no statistical difference between methods for first pass or overall ETI success. Some of the highest success rates were recorded by devices that incorporated video technology. Stylets lead to a shorter time to ETI while bougies were easier to use. Neither device was associated with a higher rate of ETI complications than the other. Conclusion Both tracheal tube introducers and stylets function as efficacious aids to intubation in the prehospital environment. Where video technology is available, bougies could offer a statistically significant advantage in terms of first pass ETI success. Where video technology is unavailable, a combination of clinical scenario, practitioner expertise and personal preference might ultimately guide the choice of device.

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