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SALAD Technique Set-Up

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Introduction to the SALAD Technique

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March 2016 Quarterly Airway Management Research Update

Originally presented as a live webinar, Dr. Calvin A. Brown, III uses a case discussion to introduce the latest published airway research and discusses its impact on clinical practice.  This quarter's theme is Oxygenation.  Dr. Brown looks at studies around preoxygenation outside the OR, use of nasal cannula during preoxygenation... Read more..

Two Approaches to Lessen Need for Reintubation

Patricia Kritek, MD   High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations.   During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and mechanical ventilation (NEJM JW Gen Med Aug 1 2015... Read more..

Pediatric Intubations in Japan: Lower First-Pass Success Rate than in the U.S.

Cheryl Lynn Horton, MD   First-attempt intubation success rate was 60%, but only a quarter of patients received rapid sequence intubation and nearly all were intubated with direct laryngoscopy.   To determine predictors of first-pass intubation success in children, researchers analyzed data from the Japanese Emergency Airway Network for 293 pediatric intubations (median patient... Read more..

Patients Should Be Intubated in an Upright, Head-Forward Position

Calvin A. Brown, III, MD, FAAEM   In this retrospective study, patients intubated in a semi-erect, head-forward position had lower rates of peri-intubation adverse events than those in a supine position.   Desaturation and poor direct laryngeal views are two important factors leading to intubation failure. In the operating room (OR), direct laryngoscopy is... Read more..

How Are Prehospital King Laryngeal Tubes Managed in the ED?

Calvin A. Brown, III, MD, FAAEM   Most patients who arrived with a King LT-D in place underwent surgical tracheostomy for definitive airway placement.   King laryngeal tubes are commonly used prehospital rescue devices but do not provide a definitive airway. There is little information about how these tools are exchanged for endotracheal tubes... Read more..