Assessment of risk factors associated with difficult intubation in a prehospital emergency setting. Reply

2012 ◽  
Vol 19 (5) ◽  
pp. 338-340
Author(s):  
Yonathan Freund ◽  
François-Xavier Duchateau
Keyword(s):  
Risk Factors ◽  
Difficult Intubation ◽  
Emergency Setting ◽  
Factors Associated ◽  
Prehospital Emergency

scholarly journals Unanticipated Difficult Airway Management in the Prehospital Emergency Setting

2011 ◽  
Vol 114 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Xavier Combes ◽  
Patricia Jabre ◽  
Alain Margenet ◽  
Jean Claude Merle ◽  
Bertrand Leroux ◽  
...  
Keyword(s):  
Difficult Intubation ◽  
Upper Airway ◽  
Simple Algorithm ◽  
Patient Characteristics ◽  
Emergency Setting ◽  
Early Intubation ◽  
Intubating Laryngeal Mask Airway ◽  
Proven Efficacy ◽  
Prehospital Emergency ◽  
Difficult Ventilation

Background Difficult intubation management algorithms have proven efficacy in operating rooms but have rarely been assessed in a prehospital emergency setting. We undertook a prospective evaluation of a simple prehospital difficult intubation algorithm. Methods All of our prehospital emergency physicians and nurse anesthetists were asked to adhere to a simple algorithm in all cases of impossible laryngoscope-assisted tracheal intubation. They received a short refresher course and training in the use of the gum elastic bougie (GEB) and the intubating laryngeal mask airway (ILMA), which were techniques to be used as a first and a second step, respectively. In cases of difficult ventilation with arterial desaturation, IMLA was to be used first. Cricothyroidotomy was the ultimate rescue technique when ventilation through ILMA failed. Patient characteristics, adherence to the algorithm, management efficacy, and early complications were recorded (August 2005-December 2009). Results An alternative technique to secure the airway was needed in 160 of 2,674 (6%) patients undergoing intubation. Three instances of nonadherence to the algorithm were recorded. GEB was used first in 152 patients and was successful in 115. ILMA was used first in 8 patients and second in the 37 GEB-assisted intubation failures. Forty-five patients were successfully mask-ventilated, and 42 were blindly intubated before reaching the hospital. Cricothyroidotomy was used successfully in a patient with severe upper airway obstruction as a result of pharyngeal neoplasia. Early intubation-related complications occurred in 52% difficult cases. Conclusion Adherence to a simple algorithm using GEB, ILMA, and cricothyroidotomy solved all difficult intubation cases occurring in a prehospital emergency setting.

Factors associated with difficult intubation in prehospital emergency medicine

2012 ◽  
Vol 19 (5) ◽  
pp. 304-308 ◽  
Author(s):  
Yonathan Freund ◽  
Francois-Xavier Duchateau ◽  
Marie-Laure Devaud ◽  
Agnès Ricard-Hibon ◽  
Philippe Juvin ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Difficult Intubation ◽  
Prehospital Emergency Medicine ◽  
Factors Associated ◽  
Prehospital Emergency

Predictive Factors of Difficult and Impossible Mask Ventilation

2018 ◽  
pp. 13-17
Keyword(s):  
Risk Factors ◽  
Sleep Apnea ◽  
Predictive Factors ◽  
Difficult Intubation ◽  
Overwhelming Majority ◽  
Mask Ventilation ◽  
Factors Associated

This chapter focuses on a case that reviews factors associated with the use mask ventilation (MV), addressing the question: What are the incidence and predictors of difficult and impossible MV and how do they compare with final airway outcomes? This study was the first to document the incidence and predictors of impossible MV. The cases of impossible MV resulted in previous tracheotomy locations. Risk factors included obesity and sleep apnea, which were also risk factors for difficulty with intubation This and subsequent studies have demonstrated that the overwhelming majority of cases of difficult or impossible MV and difficult intubation are eventually successfully intubated.

scholarly journals Risk factors associated with difficult intubation in prehospital setting

2019 ◽  
Vol 14 (3) ◽  
pp. 123-126
Author(s):  
Elisabet Valls ◽  
José Toboso ◽  
Pilar Ricart ◽  
Josep Roca ◽  
Fernando Arméstar
Keyword(s):  
Risk Factors ◽  
Difficult Intubation ◽  
Prehospital Setting ◽  
Factors Associated

Risk factors associated with substance use

2014 ◽  
Author(s):  
Ariel M. Barber ◽  
Alexandra Crouch ◽  
Stephen Campbell
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Factors Associated

A Six Year Prospective Study of Fibrinogen and Other Risk Factors Associated with Mortality in Stable Claudicants

1992 ◽  
Vol 68 (03) ◽  
pp. 261-263 ◽  
Author(s):  
A K Banerjee ◽  
J Pearson ◽  
E L Gilliland ◽  
D Goss ◽  
J D Lewis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intermittent Claudication ◽  
Fibrinogen Level ◽  
Past History ◽  
Fold Increase ◽  
Arterial Disease ◽  
Plasma Fibrinogen ◽  
Plasma Fibrinogen Level ◽  
Factors Associated ◽  
Probability Of Death

SummaryA total of 333 patients with stable intermittent claudication at recruitment were followed up for 6 years to determine risk factors associated with subsequent mortality. Cardiovascular diseases were the underlying cause of death in 78% of the 114 patients who died. The strongest independent predictor of death during the follow-up period was the plasma fibrinogen level, an increase of 1 g/l being associated with a nearly two-fold increase in the probability of death within the next 6 years. Age, low ankle/brachial pressure index and a past history of myocardial infarction also increased the probability of death during the study period. The plasma fibrinogen level is a valuable index of those patients with stable intermittent claudication at high risk of early mortality. The results also provide further evidence for the involvement of fibrinogen in the pathogenesis of arterial disease.

Risk factors associated with primary and secondary reduced libido in male patients with sexual dysfunction

2013 ◽  
Author(s):  
Giovanni Corona ◽  
Giulia Rastrelli ◽  
Emmanuele Jannini ◽  
Linda Vignozzi ◽  
Edoardo Mannucci ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sexual Dysfunction ◽  
Factors Associated ◽  
Male Patients

Risk factors associated with osteoporosis in beta-thalassaemia major patients

2017 ◽  
Author(s):  
Elena Mirela Iancu ◽  
Alice Ioana Albu ◽  
Irina Nicolaescu
Keyword(s):  
Risk Factors ◽  
Thalassaemia Major ◽  
Factors Associated ◽  
Beta Thalassaemia

Population level risk factors associated with childhood obesity

2019 ◽  
Author(s):  
Claire Beynon ◽  
Nora Pashyan ◽  
Elizabeth Fisher ◽  
Dougal Hargreaves ◽  
Linda Bailey ◽  
...  
Keyword(s):  
Risk Factors ◽  
Childhood Obesity ◽  
Population Level ◽  
Factors Associated
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