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.

Airway Management In The Emergency Department

2018 ◽  
Author(s):  
Garrett S. Pacheco ◽  
Bryan Wilson
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Rapid Sequence Intubation ◽  
Intubation Attempt ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Airway Emergency ◽  
Rapid Sequence ◽  
First Pass ◽  
Surgical Airway

Emergency airway management has evolved tremendously since the onset of the specialty’s origin. Over the years, the importance of first-pass success and approach to the difficult airway were the primary challenges faced by emergency physicians. With the advent of video laryngoscopy, the rates of first-pass success continue to increase, and the effect of the anatomically difficult airway has begun to lessen. With advances in tools for airway management, the challenges have shifted to approaching optimal preoxygenation and correction of physiologic disturbances prior to any intubation attempt. This review discusses traditional rapid sequence intubation and advances in the field of emergency airway management.  This review contains 6 figures, 6 tables and 74 references Key words: difficult airway, emergency airway management, preoxygenation, surgical airway

scholarly journals Pro-Con Debate: Etomidate or Ketamine for Rapid Sequence Intubation in Pediatric Patients

2012 ◽  
Vol 17 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Daniel Scherzer ◽  
Mark Leder ◽  
Joseph D. Tobias
Keyword(s):  
Airway Management ◽  
Critically Ill ◽  
Safety Concern ◽  
Essential Element ◽  
Blocking Agent ◽  
Neuromuscular Blocking ◽  
Critically Ill Children ◽  
Rapid Sequence Intubation ◽  
Airway Control ◽  
Rapid Sequence

When caring for critically ill children, airway management remains a primary determinant of the eventual outcome. Airway control with endotracheal intubation is frequently necessary. Rapid sequence intubation (RSI) is generally used in emergency airway management to protect the airway from passive regurgitation of gastric contents. Along with a rapid acting neuromuscular blocking agent, sedation is an essential element of RSI. A significant safety concern regarding sedatives is the risk of hypotension and cardiovascular collapse, especially in critically ill patients or those with pre-existing comorbid conditions. Ketamine and etomidate, both of which provide effective sedation with limited effects on hemodynamic function, have become increasingly popular as induction agents for RSI. However, experience and clinical investigations have raised safety concerns associated with both etomidate and ketamine. Using a pro-con debate style, the following manuscript discusses the use of ketamine versus etomidate in RSI.

scholarly journals Airway management of an open penetrating neck injury

CJEM ◽  
2015 ◽  
Vol 17 (1) ◽  
pp. 89-93 ◽  
Author(s):  
Nayer Youssef ◽  
Karen E. Raymer
Keyword(s):  
High Risk ◽  
Airway Management ◽  
Rapid Sequence Intubation ◽  
Positive Pressure ◽  
Small Subset ◽  
Global Management ◽  
Airway Injury ◽  
Rapid Sequence ◽  
Penetrating Neck Injury ◽  
Bag Mask Ventilation

AbstractAlthough penetrating neck injuries (PNIs) represent a small subset of patients presenting to the emergency department (ED), they can result in significant morbidity and mortality. The approach to airway management in PNI varies widely according to clinical presentation and local practice, such that global management statements are lacking. Although rapid sequence intubation (RSI) may be safe in most patients with PNI, the high-risk subset (10%) of patients with laryngotracheal injury require particularly judicious airway management. It is not known if RSI is safe in such patients, nor has there been reported use of videolaryngoscopy in patients with open PNI. Established principles of airway management in patients with an open airway injury include the avoidance of both positive pressure bag-mask ventilation and blind tube passage and the early consideration of a surgical airway. Because this high-risk subset may not be clinically apparent on initial presentation in the ED, such guiding principles apply to all patients with PNI until the nature of the injury is more accurately defined. In this report, we present the case of a patient who presented to the ED with a zone II open PNI, which occurred as a result of a stab wound.

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.

Rapid sequence intubation for pediatric emergency airway management

2002 ◽  
Vol 18 (6) ◽  
pp. 417-423 ◽  
Author(s):  
MARK J. SAGARIN ◽  
VINCENT CHIANG ◽  
JOHN C. SAKLES ◽  
ERIK D. BARTON ◽  
RICHARD E. WOLFE ◽  
...  
Keyword(s):  
Airway Management ◽  
Pediatric Emergency ◽  
Rapid Sequence Intubation ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Rapid Sequence
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