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Endo Tracheal Intubation Pdf Download

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In most of these studies, success was defined not only by accurate anatomic placement of the endotracheal tube (ETT), but also by absence of significant complications [3-7]. Moreover, prehospital ETI was soon correlated with positive outcomes particularly in the most dire of circumstances [7,8,15].
Endotracheal intubation in the out-of-hospital setting. In the early years of out-of-hospital emergency medical services (EMS) systems, advanced life support personnel were not only trained in the nuances of how to avoid overzealous ventilation and properly place an endotracheal tube in very challenging circumstances, but they were also well-supervised on-scene by expert physicians who themselves were highly-experienced and exceptionally familiar with those challenges as well as methods to overcome them (photo by Dr. Paul Pepe).
Endotracheal intubation in the ICU is a challenging procedure and is frequently associated with life-threatening complications. The aim of this study was to investigate the effect of the C-MAC® video laryngoscope on laryngeal view and intubation success compared with direct laryngoscopy.
In a single-center, prospective, comparative before-after study in an anesthetist-lead surgical ICU of a tertiary university hospital, predictors of potentially difficult tracheal intubation, number of intubation attempts, success rate and glottic view were evaluated during a 2-year study period (first year, Macintosh laryngoscopy (ML); second year, C-MAC®).
A total of 274 critically ill patients requiring endotracheal intubation were included; 113 intubations using ML and 117 intubations using the C-MAC® were assessed. In patients with at least one predictor for difficult intubation, the C-MAC® resulted in more successful intubations on first attempt compared with ML (34/43, 79% vs. 21/38, 55%; P = 0.03). The visualization of the glottis with ML using Cormack and Lehane (C&L) grading was more frequently rated as difficult (20%, C&L grade 3 and 4) compared with the C-MAC® (7%, C&L grade 3 and 4) (P < 0.0001).
Use of the C-MAC® video laryngoscope improved laryngeal imaging and improved the intubating success rate on the first attempt in patients with predictors for difficult intubation in the ICU setting. Video laryngoscopy seems to be a useful tool in the ICU where potentially difficult endotracheal intubations regularly occur.
Video laryngoscopes seem promising for airway management [7]. Video laryngoscopes contain a small camera and a light source at the distal third of the blade. The video picture is transferred to a monitor. The C-MAC® video laryngoscope (Karl Storz GmbH & Co. KG, Tuttlingen Germany) evaluated in this study uses Macintosh-shaped blades. Two approaches to visualize the glottis with the use of a Macintosh video laryngoscope blade are available: first, the direct view of the glottis; and second, an indirect view by means of a miniature camera on the screen of the monitoring unit. Several studies have shown the successful use of the C-MAC® in the operating room and in prehospital emergency medicine [8, 9]. The use of Macintosh blades with the C-MAC® improved the glottic view in patients who were difficult to intubate using direct laryngoscopy in the operating room [10]. These data cannot be directly translated to the situation on the ICU, because performing endotracheal intubation is more challenging in this environment.
The aim of this study was to evaluate the glottic view, number of intubation attempts and success rate of endotracheal intubation in an anesthetist-lead surgical ICU using Macintosh laryngoscopy (ML) or the C-MAC® video laryngoscope. Additionally, we evaluated whether the level of physician experience might influence visualization of the glottis or intubation success. We hypothesized that the use of a video la

Endo Tracheal Intubation Pdf Download

We recorded live at MEMA23(Michigan Emergency Medicine Assembly) with Michigan ACEP. In this segment, we chat with Dr. Jayna Gardner-Gray about the management of hypoxemic respiratory failure as well as post-arrest care.

ACEP23 registration is OPEN!!!

For the first time ever, those who register for all four days of ACEP23 will receive Virtual ACEP23 for free (a $259 value).

Maximize your learning without spreading yourself too thin at ACEP23. Philly has a lot to offer, and you don’t want to miss out on the fun. The addition of Virtual ACEP23 for free will give you more time to soak in Philly’s fascinating history, enjoy some incredible food, and experience the city of brotherly love with your EM family.

Save $50 on registration with my promo code FRONTLINE at acep.org/acep23.

Struggling to Breathe and Pump it Up with Dr. Jayna Gardner-Gray - MEMA23

In this journal club podcast we break down 2 articles.  Do we need to reduce doses of ketamine or etomidate in RSI to avoid post-intubation hypotension?  Should video laryngoscopy fully and finally replace direct laryngoscopy in the ED?

Induction Reduction and Had Video Finally Killed the DL?

In this episode, we feature one of the most popular sessions at ACEP23 with an interview featuring Dr. Matt Roginski as we discuss life threatening asthma presentation in EM.

The Wheezin' for the Season - Life Threatening Asthma with Dr. Matt Roginski - ACEP23

We join Dr. Steven Haywood from TNCEP24 in Chattanooga with a discussion on non-invasive ventilations with the pearls andd pitfalls of airway management.

The Pearls And Pitfalls of Non-Invasive Ventilation with Dr. Steven Haywood - TNCEP24

In the September 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pediatric wrist injuries and postintubation care of critically ill patients. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including muscositis and rash after an acute febrile illness in Clinical Pediatrics, traumatic arthrotomy status post total knee arthoplasty in Orthopedics and Trauma, bursal aspiration and injection in The Critical Procedure, antimicrobial therapy for pediatric community-acquired pneumonia in The LLSA Literature Review, and a diving accident in The Critical Image.

September 2024: Pediatric Wrist Injuries and Postintubation Care of Critically Ill Patients

In this episode, we talk about the airway in the middle...the moderate respiratory distress patient that is on the struggle bus, but not ready for definitive airway management. 

Supported by Fisher & Paykel Healthcare

Love is in the Air - Moderate Airway Management POC Tool - Dr. Peter DeBlieux and Dr. Chris Baugh

This podcast is an excerpt from a chapter on airway management techniques from the Airway Management Techniques: Ensuring a Patent Airway for Critically Ill Patients online resource. The podcast comprehensively covers various airway opening maneuvers, airway adjuncts (like oropharyngeal and nasopharyngeal airways), bag-valve mask ventilation, supraglottic airway devices, and endotracheal intubation. It details the procedures, indications, contraindications, and potential complications for each technique. Furthermore, it addresses special considerations for pediatric, pregnant, obese, trauma, and geriatric patients. 

Airway Procedures (2024)

More than 1.5 million critically ill adults undergo tracheal intubation each year in the United States. Hypoxemia is a common and serious complication during tracheal intubation in critically ill adults, occurring up to 10-20% of intubations in the emergency department (ED) or intensive care unit (ICU). Hypoxemia increases the risk of cardiac arrest and death. The effect of preoxygenation with noninvasive ventilation, as compared with preoxygenation with an oxygen mask, on the incidence of hypoxemia during tracheal intubation is uncertain. In this breakdown of a Journal Club article, Dr de Castro will cover a recent paper comparing NIPPV to oxygen mask only during preoxygenation for intubation.

NIPPV vs OM for preox

ACEP Frontline, hosted by Dr. Ryan Stanton, features in-depth conversations on the hottest topics in emergency medicine and critical care.

International Emergency Medicine Education Project is an international project aiming to promote Emergency Medicine and provide free educational resources for medical students/interns and medical teachers/educators. The audio podcast is one of the components of the project to increase accessibility to the content provided by international contributors. The content of this project is freely available in iBook, pdf, eBook, website (iem-student.org)and audio formats for every medical trainee in the world. We support free open access medical education (FOAM). All materials are free to use, download and share.

www.tamingthesru.com - Free. Open-Access. Focused on Emergency Medicine, critical care and prehospital medicine, as well as practice algorithms and decreasing knowledge translation in Med Ed.

New tracks tagged #intubation