scholarly journals ENDOTRACHEAL INTUBATION PROCEDURES

2015 ◽  
Vol 22 (11) ◽  
pp. 1509-1513
Author(s):  
Shua Nasir ◽  
Lal Shehbaz ◽  
Hamid Raza ◽  
Saqib Basar
Keyword(s):  
Endotracheal Intubation ◽  
Incomplete Data ◽  
Case Series ◽  
Rapid Sequence Intubation ◽  
Short Term ◽  
Accident And Emergency ◽  
Rapid Sequence ◽  
Study Population ◽  
The Common ◽  
Head And Neck Injury

Objective: The objective of the study is to study the procedure of endotrachealintubation; its methods between Rapid sequence intubation and crash intubation its successrates and the associated short term complications at the accident and emergency departmentof a government run hospital in Karachi, Pakistan. Study Design: Case series. Setting: Accidentand Emergency Department of Civil Hospital Karachi. Period: 2010 to 2012. Methods: Thesample size taken is of 260 patients, all of whom must be above the age of 14 years, andundergo the procedure of emergency endotracheal intubation. Rapid sequence intubation isanalyzed against crash intubation using descriptive type of statistical analysis. The significancelevel was p<0.05. Results: From the 260 Endotracheal intubations performed, 45 (17.30%)had to be discarded on account of incomplete data. The remaining study population was 215patients (123 males, 92 females) Rapid sequence intubation was the commonest type (n=138,64.18%). Head and neck injury, pulmonary edema was the common complication. Crashintubation was the second type (n= 77, 35.8%) Primary attempt success was found to be 97%(n=134) in rapid sequence intubation and 80% (n = 62) in crash Endotracheal intubations. Atotal of 13 complications (6.04 %) were observed. Conclusion: In light of the results obtainedour study shows a satisfactory success rate on using either mentioned types of intubationprocedures that is either RSI or Crash Intubation.

scholarly journals Airway Management in Accident and Emergency

2021 ◽  
Author(s):  
Kemal Tolga Saracoglu ◽  
Gul Cakmak ◽  
Ayten Saracoglu
Keyword(s):  
Airway Management ◽  
Rapid Sequence Intubation ◽  
Training Materials ◽  
Accident And Emergency ◽  
Rapid Sequence ◽  
Surgical Airway ◽  
Tracheobronchial Injury ◽  
Airway Devices ◽  
Stabilization Technique ◽  
Extraglottic Airway Devices

Accidents are associated with airway complications. Tracheobronchial injury, pneumothorax, pneumomediastinum, atelectasis, and subcutaneous emphysema can be observed. Therefore airway management in emergency medicine requires skills and equipment. Rapid-sequence intubation, effective preoxygenation, apneic oxygenation, manual inline stabilization technique should be used properly. Rapid-sequence intubation consists of sedation, analgesia, and muscle paralysis components. Videolaryngoscopes, supraglottic and extraglottic airway devices, bougie and surgical airway tools are among training materials. A range of training materials have been described to improve providers’ understanding and knowledge of patient safety. In conclusion providing oxygenation, minimizing the risk of complications and choosing the appropriate devices constitute the airway management’s pearls.

scholarly journals Effect of Rocuronium vs Succinylcholine on Endotracheal Intubation Success Rate Among Patients Undergoing Out-of-Hospital Rapid Sequence Intubation

JAMA ◽  
2019 ◽  
Vol 322 (23) ◽  
pp. 2303 ◽  
Author(s):  
Bertrand Guihard ◽  
Charlotte Chollet-Xémard ◽  
Philippe Lakhnati ◽  
Benoit Vivien ◽  
Claire Broche ◽  
...  
Keyword(s):  
Success Rate ◽  
Endotracheal Intubation ◽  
Rapid Sequence Intubation ◽  
Rapid Sequence ◽  
Intubation Success ◽  
Intubation Success Rate

scholarly journals Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series

2021 ◽  
Vol 5 (4) ◽  
pp. 390-393
Author(s):  
Abdullah Bakhsh ◽  
Leena Alotaibi
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Mean Arterial Pressure ◽  
Side Effects ◽  
Case Series ◽  
Rapid Sequence Intubation ◽  
Emergency Physicians ◽  
Rapid Sequence ◽  
Lethal Complications ◽  
The Mean

Introduction: Emergency physicians frequently encounter critically ill patients in circulatory shock requiring definitive airway procedures. Performing rapid sequence intubation in these patients without blood pressure correction has lethal complications. Questioning the efficacy and fearing side effects of push-dose pressors (PDP) has created an obstacle for their use in the emergency department (ED) setting. In this case series we describe the efficacy and side effects of PDP use during peri-intubation hypotension in the ED. Case series: We included 11 patients receiving PDPs in this case series. The mean increase in systolic blood pressure was 41.3%, in diastolic blood pressure 44.3%, and in mean arterial pressure 35.1%. No adverse events were documented in this case series. Conclusion: The use of push-dose pressors during peri-intubation hypotension may potentially improve hemodynamic status when used carefully in the ED.

scholarly journals Perioperative considerations for COVID-19 patients: lessons learned from the pandemic -a case series-

2020 ◽  
Vol 73 (6) ◽  
pp. 557-561 ◽  
Author(s):  
Jia Lin Jacklyn Yek ◽  
Sheng Chuu Anne Kiew ◽  
James Chi-Yong Ngu ◽  
Jimmy Guan Cheng Lim
Keyword(s):  
Case Series ◽  
Face Mask ◽  
Supplemental Oxygen ◽  
Lessons Learned ◽  
Rapid Sequence Intubation ◽  
Travel History ◽  
Airborne Infection ◽  
Rapid Sequence ◽  
Chest X Ray ◽  
Septic Condition

Background: As the coronavirus disease 2019 (COVID-19) pandemic spreads globally, hospitals are rushing to adapt their facilities, which were not designed to deal with infections adequately. Here, we present the management of a suspected COVID-19 patient. Case: A 66-year-old man with a recent travel history, infective symptoms, and chest X-ray was presented to our hospital. Considering his septic condition, we decided to perform an emergency surgery. The patient was given supplemental oxygen through a face mask and transported to an operating theatre on a plastic-covered trolley. An experienced anesthetist performed rapid sequence intubation using a video laryngoscope. Due to the initial presentation of respiratory distress, the patient remained intubated after surgery to avoid re-intubation. Precautions against droplet, contact, and airborne infection were instituted. Conclusions: Our objective was to facilitate surgical management of patients with known or suspected COVID-19 while minimizing the risk of nosocomial transmission to healthcare workers and other patients.

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