Browsing: Airway

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Critical Care Alert , Critical Care , Airway

Critical Care Alert: Video v. Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults: The DEVICE Trial

8/3/2023 Gabriel Colon, MD , Alexandra Hallagan, MD , Evan McMurray, MD
More evidence is stacking up in favor of video laryngoscopy. The DEVICE Trial shows that when intubating critically ill patients in the ED or ICU, consider using video over direct laryngoscopy to impr
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Critical Care Alert , Critical Care , Airway

CCA: Effect of NIV after Extubation in Critically Ill Patients with Obesity

7/24/2023 Alex Lucas, MD , Evan McMurray, MD
The EXTUB-OBESE study showed a decrease in extubation failure rates when extubating to non-invasive ventilation for obese patients vs. standard oxygen therapy.
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Critical Care , Airway , Pain Management

Post-Intubation Sedation in the ED: The Basics

7/5/2023 Christine Yang, MD , Christian Kasianko, MD , Alex Lucas, MD , Allison Donahue, MD , Erin Bell, MD , Samantha Strickler, DO, FACEP
Emergent intubation requires critical thinking and precision. The same level of care should be extended to managing post-intubation sedation. This summary explores the most commonly used analgesics an
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Critical Care Devices , Critical Care , Pulmonary , Airway

Critical Care Device Series: Heated High-Flow Nasal Cannula (HFNC)

6/20/2023 Christine Yang, MD , Dustin Slagle, MD , Robert Jared Klemisch, MD
Heated high-flow nasal cannula (HFNC) is capable of delivering 100% humidified and heated oxygen at higher flow rates, providing important support for patients with respiratory distress. Learn more ab
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Critical Care Alert , Critical Care , EMS , Airway , Trauma

Critical Care Alert: Delayed Versus Rapid Sequence Intubation in Critically Injured Trauma Patients

6/5/2023 Gabriel Colon, MD , Evan McMurray, MD
Consider delayed sequence intubation with ketamine in trauma patients requiring emergent airway intervention, as a 2023 study shows it was associated with a reduction in the incidence of peri-intubati
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Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Noninvasive Positive Pressure Ventilation

5/2/2023 Christine Yang, MD , Alexandra Hallagan, MD , Dustin Slagle, MD , Gabriel Wardi, MD, MPH
Noninvasive positive pressure ventilation (NPPV) is the delivery of ventilatory support and positive pressure into the lungs without the need for an invasive endotracheal or tracheostomy tube. This su
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Airway , Orthopedics

Oh Snap! Ketamine-Induced Laryngospasm in an Adult Patient

1/30/2023 Ashleigh MacLean, MD , Neha Sehgal, DO
Overall, laryngospasm is rare. When it does occur, it almost always resolves with simple interventions such as pressure to Larson’s notch and assisted positive pressure ventilation. Supplemental oxyge
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Critical Care Devices , Critical Care , Airway

Critical Care Device Series: Bag-Valve-Mask

1/18/2023 Barret Zimmerman, MD , Brendan Innes, MD , Allie Schick, MD
The bag-valve-mask (BVM) is ubiquitous and highly utilized in all fields of emergency care. Yet despite its seemingly intuitive operation and perceived simplicity, the BVM is an overlooked and misunde
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Critical Care Alert , Critical Care , Airway

Critical Care Alert: Recall During Paralysis Among ED Patients Being Intubated

11/2/2022 Alex Lucas, MD , Taylor Miller, MD
How many of your patients can recall events during what you believed was a sedated endotracheal intubation? This study finds an appreciable number of patients who are paralyzed for intubation in the e
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Critical Care Devices , Surgical Airway , Critical Care

Critical Care Device Series: Tracheostomy Complications and Troubleshooting in the ED

10/24/2022 Evan McMurray, MD , Brendan Innes, MD , Taylor Miller, MD
Tracheostomies are a common surgical procedure for long-term airway management that involves creating a permanent connection between the anterior neck and trachea. Complications occur in up to 50% of