Articles Tagged With: Intubation
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Withholding Intubation in Select Comatose Patients with Acute Poisoning May Be Beneficial
In this unblinded, randomized trial of adults presenting with acute poisoning and a Glasgow Coma Scale score less than 9, those for whom intubation was withheld unless emergently indicated had decreased intensive care unit and hospital lengths of stay and a lower rate of pneumonia.
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Using Targeted Trials to Investigate Early vs. Late Intubation Strategies
Authors used a machine learning framework to show that delaying intubation in critically ill patients when compared to early intubation does not result in a greater 30-day mortality.
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Bougie or Stylet Upfront for Endotracheal Intubation
In this secondary analysis of the BOUGIE trial, patient and operator characteristics may affect successful intubation with either technique despite no difference in outcomes in the primary analysis.
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Videolaryngoscopy for Intubation of Critically Ill Patients
In a large, prospective, multicenter, randomized, pragmatic trial, the use of a video laryngoscope resulted in a higher incidence of successful intubation on the first attempt on critically ill patients in the emergency department and intensive care unit compared to the use of the direct laryngoscope.
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An Early Rigorous Mobilization Approach Did Not Increase Number of Days Out of the Hospital for Intubated Patients
Among adults requiring invasive mechanical ventilation, the TEAM study reported that increased early mobilization resulted in no significant difference in the number of days that patients were alive and out of the hospital at 180 days after randomization.
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Managing the Difficult Airway in the Emergency Department
Securing an airway is a vital skill for an emergency medicine provider. The authors will review various scoring systems for predicting difficult airways, as well as a variety of techniques for approaching the difficult airway.
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Ketamine vs. Etomidate for Emergency Intubation
In a single-center, open label study, ketamine for emergency intubation compared to etomidate was associated with lower seven-day mortality, although 28-day mortality was similar.
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Ketamine Use in Emergency Medicine
Ketamine is a medication traditionally used by emergency physicians for intubation and procedural sedation. This article will discuss many common and accepted uses of ketamine, primarily for agitation, rapid sequence intubation (RSI), sedation, and pain management.
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Do Not Intubate Orders Becoming More Common
Rates increased over time, from about one in 10 patients 20 years ago to about one in three patients in the past five years. The exact reasons for this increase remain unclear.
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FDA: Barrier Enclosures for Aerosol-Generating Procedures May Increase Risk to HCPs
Citing increased risk to healthcare workers and patients, the Food and Drug Administration has revoked emergency use authorization for barrier enclosure devices that cover a COVID-19 patient’s head and upper body during aerosol‐generating procedures such as tracheal intubation.