How Children Are Intubated in Emergency Departments, 2002-2012
Daniel M. Lindbert, MD
National Emergency Airway Registry data show use of video laryngoscopy has increased and pretreatment has decreased..
Researchers analyzed data from the National Emergency Airway Registry (NEAR) for 1053 pediatric intubations (median age, 7 years) performed in 10 emergency departments from 2002 to 2012. They report first-pass success rates... Read more..
Videolaryngoscope for Teaching Neonatal Endotracheal Intubation: A Randomized Controlled Trial
Use Apneic Oxygenation During Rapid Sequence Intubation in the Emergency Department
Ali S. Raja, MD, MBA MPH, FACEP
Patients provided nasal cannula oxygenation during intubation had higher odds of first-pass success without hypoxemia.
Apneic oxygenation — the provision of high-flow nasal cannula oxygen to patients during, not just before, rapid sequence intubation (RSI) in order to delay the onset of hypoxemia — has... Read more..
Use a Bag-Valve Mask, Not a Non-Rebreather Mask, for Preoxygenating Before Intubation
Ali S. Raja, MD, MBA, MPH, FACEP
The BVM achieved FeO₂ concentrations similar to an anesthesia circuit in healthy volunteers.
Preoxygenation is critical prior to intubation, especially in the emergency department (ED), where this reservoir of oxygen can help mitigate unexpected hurdles encountered during intubation. There are a number of different techniques... Read more..
Endotracheal Tubes with Subglottic Suctioning Reduce Ventilator-Associated Pneumonia in Trauma Patients
Calvin A. Brown, III, MD
In a retrospective review, trauma patients intubated with endotracheal tubes allowing subglottic suctioning had significantly lower rates of VAP than those intubated with standard ETTs.
Ventilator-associated pneumonia (VAP), caused by aspiration of oral secretions that collect above the endotracheal tube (ETT) cuff, increases the risk for subsequent... Read more..
Cricoid Pressure Should Not Be Used with the Pentax Airway Scope
Calvin A. Brown, III, MD
In a randomized trial, cricoid pressure impeded tube passage through the glottis and prolonged intubation time.
Cricoid pressure has been associated with worsened glottic views and difficult tube placement during conventional laryngoscopy and intubation. It has not been previously studied in combination with the Pentax Airway Scope... Read more..
Obesity Hypoventilation Syndrome is Associated with Serious Postoperative Respiratory Complications
Patricia Kritek, MD
Hypercapnia was a marker for postop respiratory failure.
Although obstructive sleep apnea (OSA) usually is recognized, obesity hypoventilation syndrome (OHS) remains underdiagnosed. Distinguishing between the two disorders is important: Patients with OSA are treated with continuous positive airway pressure (CPAP) to stent open the upper airway, whereas patients with... Read more..
Drs. Braude and Norii publish “2015 Airway Articles You Can’t Practice Without”
"2015 Airway Articles You Can't Practice Without" published by Drs. Darren Braude and Tatsuya Norii
In 'Breaking News: 2015 Airway Articles You Can't Practice Without' Dr. Darren Braude, Medical Director for The Difficult Airway Course: EMS and Dr. Tatsuya Norii present the 12 "must-read" airway articles of 2015.
"The past year gave... Read more..
Incidence and Duration of Continuously Measured Oxygen Desaturation During Emergency Department Intubation
Postintubation Hypotension in Intensive Care Unit Patients: A Multicenter Cohort Study
Radiographic Evaluation of Carotid Artery Compression in Patients with Extraglottic Airway Devices in Place
Out-of-Hospital Pediatric Airway Management in the United States
Use of High-Flow Nasal Cannula Oxygen Therapy to Prevent Desaturation During Tracheal Intubation of Intensive Care Patients with Mild-to-Moderate Hypoxemia
Randomized Trial of Apneic Oxygenation During Endotrcheal Intubation of the Critically Ill
2015 Article of the Year Award Winner Announced
The winner of the fourth annual “Airway Article of the Year” award was announced during a live webinar hosted by AirwayWorld.com on December 17, 2015. Calvin Brown III, MD, host of the webinar, presented four articles as finalists. The nominees were selected from among all of the articles covered during... Read more..
Lower Oxygen Saturation Goals Are Safe in Mechanically Ventilated Patient
Patricia Kritek, MD
Targeting to 88% - 92% did not cause harm.
The optimal oxygenation goal for patients who are receiving invasive mechanical ventilation remains unclear. Clinicians usually target resolution of hypoxemia and pay little attention to weaning levels of oxygen once 100% saturation has been achieved. However, harms caused by hyperoxia,... Read more..
Does Nasal Cannula Oxygen Improve Preoxygenation?
Daniel J. Pallin, MD, MPH
Adding nasal cannula to nonrebreather mask or bag-valve-mask preoxygenation improved end-tidal oxygen levels.
Preoxygenation is used to fill the lungs with oxygen and wash out nitrogen before emergency endotracheal intubation. Investigators assessed the contribution of supplemental nasal cannula–delivered oxygen to end-tidal oxygen levels in a randomized crossover... Read more..