Research and Reviews in the Fastlane 047

In this study, the research team collected pooled urine (read many people used the urinal they collected from) from a popular nightclub area in London and analyzed the specimens for the presence of illicit drug compounds. The goal was to determine whether this method could be used to track patterns and monitor trends in recreational drug use.  Recommended by: Anand Swaminathan Emergency Medicine, Critical Care, Anaesthetics Hindman BJ et al. Intubation Biomechanics: Laryngoscope Force and Cervical Spine Motion during Intubation with Macintosh and Airtraq Laryngoscopes. Anesthesiology. 2014; 121(2):260-71. PMID: 24739996 Interesting and technical analysis of laryngoscope force comparing Mac 3 to Airtraq in the OR. To be honest, this study is essentially a small OR “bench research” study, but they raise an interesting question, finding “the relationship between laryngoscope force and cervical spine motion is nonlinear,” so “cervical spine motion during endotracheal intubation is not directly proportional to force” and therefore “low-force laryngoscopes cannot be assumed to result in proportionally low cervical spine motion.”Basically, this questions the idea that we can be “gentle” during laryngscopy to minimize c-spine movement.I certainly classify this as “hypothesis generating” (at best). We certainly wouldn’t want to change practice based on a lab study of 14 healthy OR subjects...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE critical care Intensive Care literature recommendations Research and Review Source Type: blogs