Seated vs. Supine Patient Positioning for Emergency Intubation
Daniel J. Pallin, MD, MPH
First-attempt intubation success was more common with more-upright patient positioning.
Prior research has suggested that patients should be intubated emergently in an upright, head-forward position rather than in the traditional supine position (NEJM JW Emerg Med Mar 15 2016
; [e-pub] and Anesth Analg 2016; 122:1101).
To... Read more..
Airway Management Outside the Operating Room: How to Better Prepare
Do We Harm Patients by Intubating During In-Hospital Codes?
Patricia Kritek, MD
Intubation during arrest was associated with worse outcomes.
The 2015 American Heart Association Advanced Cardiovascular Life Support guidelines deemphasize advanced airway placement as a component of initial resuscitation. Out-of-hospital–arrest data suggest lower survival among patients who are intubated in the field (NEJM JW Emerg Med Feb 2013
... Read more..
Perioperative Respiratory Adverse Events in Infants: LMA vs. Endotracheal Intubation
Katherine Bakes, MD
Infants who underwent endotracheal intubation had three times greater risk for perioperative respiratory adverse events than those with a laryngeal mask airway.
Investigators prospectively compared the incidence of perioperative respiratory adverse events among infants (ages 0–12 months) randomized to receive either a laryngeal mask airway (LMA) or endotracheal intubation... Read more..