Comparing post‐induction hypoxemia between ramped and supine position endotracheal intubations with apneic oxygenation in the emergency department

2021 ◽  
Author(s):  
Dhimitri A Nikolla ◽  
Jestin N Carlson ◽  
Paul M Jimenez Stuart ◽  
Irtaza Asar ◽  
Michael D April ◽  
...  
Keyword(s):  
Emergency Department ◽  
Supine Position ◽  
Apneic Oxygenation ◽  
Post Induction

Combining Non-invasive Ventilation with timed position change in the Emergency Department to improve oxygenation and outcomes in patients with COVID-19: A prospective analysis from a low resource setup

2021 ◽  
Vol 38 (ICON-2022) ◽  
Author(s):  
Saima Ali ◽  
Adeel Khatri ◽  
Nida Ghouri ◽  
Sama Mukhtar ◽  
Suha Zawawi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Oxygen Saturation ◽  
Supine Position ◽  
Prospective Analysis ◽  
Invasive Ventilation ◽  
Position Change ◽  
Cross Sectional ◽  
Low Resource ◽  
Non Invasive ◽  
Non Invasive Ventilation

Background: Moving away from invasive ventilation towards timed position change and non-invasive ventilation is especially of benefit in low and middle income countries, where judicious use of the available healthcare resources is the need of the day. Our study was conducted prospectively to develop strategies for non-invasive ventilation in combination with timed position change of patients to see its impact on their outcome.Objectives: Non-invasive ventilation has proven to be of benefit in COVID-19 related acute lung injury. The objective of this prospective, cross sectional study was to develop a protocol for the use of non-invasive ventilation with timed position change to improve COVID-19 patients’ outcomes in the Emergency Department (ED). Methods: All patients presenting with confirmed or suspected COVID-19 were enrolled in the study from March 2020 to October 2020. Data was collected to see the effect of timed position change and non-invasive ventilation on these patients and its effect on delaying or avoiding invasive ventilation. Results: Of the 207 COVID-19 patients presenting to the IHHN ED, 109(52.7%) had oxygen saturation in the nineties in supine position followed by right lateral in 37(17.9%), sitting up in 30(14.5%), left lateral in 29(14%) and prone position in 2(1%). Maximal oxygenation was achieved with non rebreather mask (NRM) and nasal prongs in 87(42%) of the patients, followed by the use of continuous positive airway pressure (CPAP) in 29(14%). Conclusion: Most of the patients preferred to stay in the supine position and described it as the position of comfort. When used in combination supine position, patients on NRM with nasal prongs and on CPAP, had oxygen saturation in the nineties. Central obesity was found to be the prime reason for the inability to prone our patients. This needs to be followed up in the current fourth wave of COVID-19 to see the effectiveness of the said modalities. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5772 How to cite this:Ali S, Khatri A, Ghouri N, Mukhtar S, Zawawi S, Saleem SG. Combining Non-invasive Ventilation with timed position change in the Emergency Department to improve oxygenation and outcomes in patients with COVID-19: A prospective analysis from a low resource setup. Pak J Med Sci. 2022;38(2):375-379. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5772 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Apneic oxygenation reduces hypoxemia during endotracheal intubation in the pediatric emergency department

2019 ◽  
Vol 37 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Adam A. Vukovic ◽  
Holly R. Hanson ◽  
Shelley L. Murphy ◽  
Danielle Mercurio ◽  
Craig A. Sheedy ◽  
...  
Keyword(s):  
Emergency Department ◽  
Endotracheal Intubation ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Apneic Oxygenation

scholarly journals First Pass Success Without Hypoxemia Is Increased With the Use of Apneic Oxygenation During Rapid Sequence Intubation in the Emergency Department

2016 ◽  
Vol 23 (6) ◽  
pp. 703-710 ◽  
Author(s):  
John C. Sakles ◽  
Jarrod M. Mosier ◽  
Asad E. Patanwala ◽  
Brittany Arcaris ◽  
John M. Dicken
Keyword(s):  
Emergency Department ◽  
Rapid Sequence Intubation ◽  
Apneic Oxygenation ◽  
Rapid Sequence ◽  
First Pass
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