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High-Flow Oxygen for Cardiogenic Pulmonary Edema? Don’t Bother

Daniel J. Pallin, MD, MPH   A decrease in respiratory rate was not accompanied by more-meaningful improvements in outcomes.   High-flow nasal cannula oxygen (HFO) therapy is an evidence-based modality for treatment of hypoxemic respiratory failure (a href="http://dx.doi.org/10.1056/NEJMoa1503326" target=_blank">N Engl J Med 2015 Jun 4; 372:2185). Now, investigators in a Thai emergency department (ED)... Read more..

Airway Industry Headlines

January 10, 2019 - Verathon Enters Single Use Bronchoscopy Market with Introduction of GlideScope® BFlex May 1, 2018 - Three-Year Contract Awarded to KARL STORZ by Premier Inc. for Video Laryngoscopy Products March 19, 2018 - Mercury Medical Announces New Agreement... Read more..

Apneic Oxygenation Prevents Desaturation During Intubation

Daniel J. Pallin, MD, MPH   Two meta-analyses used different methods but have similar findings.   Apneic oxygenation is the delivery of high-flow oxygen by nasal cannula during endotracheal intubation. Two separate meta-analyses provide pooled results from trials of apneic oxygenation.   The first meta-analysis included 8 studies and 1953 patients in critical care settings. It... Read more..

Video Laryngoscopy Does Not Improve First-Pass Success in ICU Patients

Richard L. Byyny, MD, MSc, FACEP   In a meta-analysis of randomized, controlled trials, rates of first-pass success and most complications were not significantly better with video laryngoscopy compared with direct laryngoscopy.   These authors performed a meta-analysis of randomized, controlled trials to evaluate the utility of video laryngoscopy (VL) versus direct laryngoscopy (DL)... Read more..