Verification of Endotracheal Intubation with Ultrasonography in Emergency Medicine Clinic

2018 ◽  
Vol 08 (01) ◽  
Author(s):  
Mustafa K ◽  
Gokhan Y ◽  
Suha S ◽  
Bahadır C ◽  
Ismet P
Critical Care ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Wade Brown ◽  
Lekshmi Santhosh ◽  
Anna K. Brady ◽  
Joshua L. Denson ◽  
Abesh Niroula ◽  
...  

Abstract Endotracheal intubation (EI) is a potentially lifesaving but high-risk procedure in critically ill patients. While the ACGME mandates that trainees in pulmonary and critical care medicine (PCCM) achieve competence in this procedure, there is wide variation in EI training across the USA. One study suggests that 40% of the US PCCM trainees feel they would not be proficient in EI upon graduation. This article presents a review of the EI training literature; the recommendations of a national group of PCCM, anesthesiology, emergency medicine, and pediatric experts; and a call for further research, collaboration, and consensus guidelines.


2011 ◽  
Vol 56 (2) ◽  
pp. 164-171 ◽  
Author(s):  
M. BERNHARD ◽  
S. MOHR ◽  
M. A. WEIGAND ◽  
E. MARTIN ◽  
A. WALTHER

Author(s):  
Josh Rothstein ◽  
Jennifer Gullo ◽  
Lee Cuningham ◽  
Peter Murphy ◽  
Mark Sochor

ABSTRACT Introduction and objectives There are multiple approaches to teach residents the skill of endotracheal intubation, including classroom teaching, cadaveric specimens, and simulation mannequins. The hypothesis of our study is training in the technique of intubation is equally mastered (resident confidence and competency) in training on human cadavers or simulation mannequins. Materials and methods Emergency medicine interns were asked to voluntarily enroll in the study prior to the beginning of intern year and randomized into two groups. The first group practiced intubation using mannequins. The second group practiced intubation using human cadavers. Both groups were given the same brief introductory lecture on the basics of endotracheal intubation. One week later, all the interns returned and attempted to intubate cadavers and mannequins. Competency assessment was based on the number of successful intubations, number of attempts, and use of adjunctive techniques. Interns were also surveyed after their anesthesia rotation with a Likert scale on confidence of being able to perform intubation. Results The overall average number of attempts was 1.67 in the mannequin group and 1.85 in the cadaver group. Mannequin trained interns had a total of 24 poor techniques noted over the 2 years. The cadaver trained group had a total of 35 poor techniques over the 2 years. Adjunct use was nearly identical in the two groups. Intubation success rate during anesthesia rotation and preparation ratings were nearly identical in the two groups. However, the cadaver-trained group reported feeling slightly more confident. Conclusion Overall, mannequins require fewer attempts to intubate and being mannequin trained results in fewer attempts. Adjunct use is independent of training type. The mannequintrained group had less episodes of poor technique than the cadaver-trained group. A mannequin training appears to be equivalent or better than cadaveric training for securing an airway, although cadaver trained interns reported slightly more confidence. How to cite this article Rothstein J, Gullo J, Cuningham L, Murphy P, Sochor M. Training Emergency Medicine Residents— the Skill of Endotracheal Intubation: Comparison of Human Cadavers vs Mannequins. Panam J Trauma Crit Care Emerg Surg 2014;3(1):8-10.


2013 ◽  
Vol 32 (4) ◽  
pp. 291-294 ◽  
Author(s):  
Sangmo Je ◽  
Youngsuk Cho ◽  
Hyuk Joong Choi ◽  
Boseung Kang ◽  
Taeho Lim ◽  
...  

Author(s):  
Mucahit KAPCI ◽  
Kenan Ahmet TURKDOGAN ◽  
Mehmet YİĞİT ◽  
Orhan AKPINAR ◽  
Ali DUMAN ◽  
...  

1997 ◽  
Vol 111 (4) ◽  
pp. 354-356 ◽  
Author(s):  
P. Goumas ◽  
K. Kokkinis ◽  
J. Petrocheilos ◽  
S. Naxakis ◽  
G. Mochloulis

AbstractAirway management is one of the main dictums in anaesthesia, emergency medicine and critical care. Endotracheal intubation, tracheostomy and cricothyroidotomy are all approved methods to secure a patient's airway. Cricothyroidotomy is performed in the space between the anterior inferior border of the thyroid cartilage and the anterior superior border of the cricoid cartilage. We studied 107 autopsies with special interest in the anatomy of the cricothyroid space.


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