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Are Propofol and Ketofol Interchangeable?

Daniel J. Pallin, MD, MPH   In a randomized trial, three drug regimens for procedural sedation were equivalent, but the analysis was flawed.   For procedural sedation, the advantage of propofol is its short duration; its disadvantage is dose-related respiratory suppression. The advantage of ketamine is absence of respiratory suppression; its disadvantage is longer... Read more..

A Dose of Ketamine Can Facilitate Preoxygenation Before Emergency Intubation

Daniel J. Pallin, MD, MPH In a new technique called "delayed sequence intubation," ketamine facilitated preoxygenation in patients with altered mental status.   Patients with altered mental status may not be able to undergo preoxygenation, which is required for optimal rapid sequence intubation. In a prospective observational study of 62 such patients, investigators... Read more..

TRUST: A Useful Tool for Assuring Correct Pediatric Endotracheal Tube Depth

Katherine Bakes, MD Ultrasound visualization of a saline-filled cuff at the level of the suprasternal notch was accurate for confirming correct tube depth.   Investigators evaluated the accuracy of the tracheal rapid ultrasound saline test (TRUST) to confirm proper endotracheal tube (ETT) depth in children ages 3 months to 18 years undergoing intubation... Read more..

ASA Issues Ebola Recommendations

Amid the growing concern over the Ebola virus, the American Society of Anesthesiologists Committee on Occupational Health released a statement on Ebola information and recommendations.  These guidelines make anesthesiologists aware of the risks and discuss adequate precautions to help ensure they do not become infected or transmit the Ebola virus. Read more..