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Resuscitation Sequence Intubation by Dr Richard Levitan

Resuscitation Sequence Intubation (not Rapid) http://t.co/f2bEJJsM68 thx @emcrit @precordialthump @emupdates @OliFlower @RogerRdharris— Richard Levitan (@airwaycam) August 27, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
over 4 years ago
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Intubation Preparation – SOAP ME

Thanks to Maili, Jared and Minh!  
emin5.com
over 4 years ago
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Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
over 4 years ago
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Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
over 4 years ago
Pharm logo 1400x1400
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tactile-bougie-blind-digital-intubation

Circumstances that this will be helpful Impossible visualization with fluids blocking direct or indirect views Direct view not possible; inability to access head of patient Dependent on Intubator’s length and size of fingers/hands; Patient’s airway anatomy allows fingers to reach the glottis, smaller patients Requires adequate mouth opening; no teeth is easier Requires patient not…  
prehospitalmed.com
over 4 years ago
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CICM Second Part Exam Practice SAQs 09092015 - INTENSIVE

CICM Second Part Exam Practice SAQs: infective endocarditis, sedation agents, apnoeic oxygenation and ketamine for intubation  
intensiveblog.com
over 4 years ago
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Nasotracheal Intubation | Resus Review

Simple introduction to successful and safe nasotracheal intubations, including tips for performing them awake and mastering the procedure.  
resusreview.com
over 4 years ago
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PeDI Registry: Higher Morbidity and Mortality Rates in Children With Multiple Intubation Attempts

PeDI Registry: Higher Morbidity and Mortality Rates in Children With Multiple Intubation Attempts http://t.co/flI1LsCo9M #anesthesianews— Anesthesiology News (@anesthesianews) July 8, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
about 4 years ago
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Blind digital bougie intubation

@AirwayNauts @laryngoholic demonstrates bougie blind digital intubation in detail https://t.co/sVXExVMBWO— Yen Chow (@TBayEDguy) September 21, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
about 4 years ago
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Critical Care

Endotracheal intubation is frequently complicated by laryngeal edema, which may present as postextubation stridor or respiratory difficulty or both. Ultimately, postextubation laryngeal edema may result in respiratory failure with subsequent reintubation. Risk factors for postextubation laryngeal edema include female gender, large tube size, and prolonged intubation. Although patients at low risk for postextubation respiratory insufficiency due to laryngeal edema can be identified by the cuff leak test or laryngeal ultrasound, no reliable test for the identification of high-risk patients is currently available. If applied in a timely manner, intravenous or nebulized corticosteroids can prevent postextubation laryngeal edema; however, the inability to identify high-risk patients prevents the targeted pretreatment of these patients. Therefore, the decision to start corticosteroids should be made on an individual basis and on the basis of the outcome of the cuff leak test and additional risk factors. The preferential treatment of postextubation laryngeal edema consists of intravenous or nebulized corticosteroids combined with nebulized epinephrine, although no data on the optimal treatment algorithm are available. In the presence of respiratory failure, reintubation should be performed without delay. Application of noninvasive ventilation or inhalation of a helium/oxygen mixture is not indicated since it does not improve outcome and increases the delay to intubation.  
ccforum.com
about 4 years ago
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Nasotracheal Intubation | Resus Review

Simple introduction to successful and safe nasotracheal intubations, including tips for performing them awake and mastering the procedure.  
charlesbruen.wpengine.com
about 4 years ago
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Fiberoptic Awake Oral Intubation | Resus Review

Tutorial and procedure steps for performing fiberoptic awake oral intubation including equipment, preparation, and medications.  
charlesbruen.wpengine.com
about 4 years ago
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high-flow-o2-in-the-er

High Flow O2 Thanks to Dr. Htaik for the write-up of this post Thanks to Dr. Gaieski for heading our new blog-series which focuses on critical care Questions In hypoxemic respiratory failure, is intubation required in more than 10% of cases? Does NIPPV deliver significantly higher FIO2 than high-flow nasal cannula? Is High-Flow Nasal Cannula…  
tjuhem.wordpress.com
about 4 years ago
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Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
about 4 years ago
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0

Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
about 4 years ago
Preview
0
0

Respiratory tract infection associated with seizures

A two year old girl presented to her local hospital with breathing difficulties. She was diagnosed with virus induced wheeze. On day one of admission she deteriorated and developed respiratory failure, which required ventilatory support and transfer to our paediatric intensive care unit. Figure 1⇓ shows her chest radiograph on arrival. A multiplex polymerase chain reaction (PCR) panel performed on respiratory secretions identified a micro-organism. She was successfully extubated to nasal cannula oxygen two days later and transferred to a paediatric ward. Four hours after transfer she had a prolonged tonic-clonic convulsion. Owing to profound respiratory depression after two doses of lorazepam she required re-intubation and transfer back to the paediatric intensive care unit.  
feeds.bmj.com
about 4 years ago
Sinaiem dark
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is-it-time-to-end-routine-c-spine-immobilization

Cervical spine immobilization is a routine precaution taken by both EMS and Emergency Departments for patient who experience oftentimes minimal trauma. The purpose of maintaining immobilization of the cervical spine with suspected bony injury is to prevent secondary injury.  Other than patient discomfort, maintaining cervical spine immobilization is oftentimes resource-heavy and can complicate essential procedures and tasks such as intubation or central line insertion. So why are we doing it?  
sinaiem.org
about 4 years ago
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Awake Intubation

More training is needed on awake intubation. This method may be most optimal when there is known or suspected difficulty with mask ventilation or tracheal intubation.  
medscape.com
about 4 years ago
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VividTrac – Nasal Intubation, Difficult Airway

In memory of Dr John Hinds  
prehospitalmed.com
about 4 years ago
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New difficult intubation guidelines in obstetrics – can’t intubate/can’t oxygenate algorithm

New difficult intubation guidelines in obstetrics - can't intubate/can't oxygenate algorithm http://t.co/Qymdx2EmcC pic.twitter.com/8UHTVSYDa5— Anaesthesia (@Anaes_Journal) October 12, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
about 4 years ago