Airway, Breathing or Consequences: Medical-Legal Consequences of Airway Mismanagement
In the first part of this two-part article, we reviewed the tools and technology available to help ensure proper endotracheal tube placement through the detection and evaluation of end-tidal carbon dioxide (EtCO2). The key takeaway from part one is that we need to understand, use and trust the equipment available and the information we are given. Each time; every time; all the time. When we lose track of that key principle, bad things happen. As healthcare professionals, whether we work outside of hospitals, inside hospitals or between hospitals, our experience often leads us beyond direct patient care. For some, that means focusing on management responsibilities. For others, it leads to rewarding career paths in education and training. And for a few, opportunities arise to bridge professional interests and engage in the challenging work of providing expertise in medical-legal situations. Among the more common medical-legal situations for which expert witnesses are needed are cases where airway management (or the lack thereof) has led to significant negative outcomes. As expert witnesses, we may work for the plaintiff team (representing the person harmed) or the defense team (representing the medical professionals and organizations being sued). Avoidable or Correctable? When dealing with airway-related medical malpractice suits, one of the first questions that must be asked is simply, was the situation avoidable or correctable? We all know that mistakes happen. (After all, we...
Conditions: Airway Management; Emergency Medicine Intervention: Device: Airway management with a submerged model Sponsor: Universitätsklinikum Köln Not yet recruiting
This study showed that it is possible to produce a supraglottic airway device to aid tracheal intubation in mice and that the shape and size of the SIAC play a crucial role in successful tracheal intubation in mice.
A longitudinal curriculum was developed in conjunction with anesthesiologists, otolaryngologists, emergency physicians and experts in medical simulation and education.
Publication date: Available online 16 February 2019Source: Annals of Emergency MedicineAuthor(s): Steven M. Green, Mark G. RobackWe review the literature in regard to the accuracy, reliability, and feasibility of the Mallampati score as might be pertinent and applicable to emergency department (ED) airway management and procedural sedation. This 4-level pictorial tool was devised to predict difficult preoperative laryngoscopy and intubation, but is now also widely recommended as a routine screening element before procedural sedation. The literature evidence demonstrates that the Mallampati score is inadequately sensitive f...
Authors: Tang Y, Wang S, Li P, Tang X Abstract PMID: 30762326 [PubMed - as supplied by publisher]
We present the successful airway management of 2 pediatric patients with cleft palate undergoing ophthalmological surgery, using AMBU® LMA® as the airway device of choice, which was further used as a rescue airway device in an emergent situation of “difficult to ventilate.”
Emergency airway management (AM) is a major key for successful resuscitation of critically ill non-traumatic (CINT) patients. Details of the AM of these patients in German emergency departments (ED) are unknow...
CONCLUSION: Simulation with feedback may provide an opportunity for the practicing otolaryngologist to fulfill Continuing Medical Education and Professional Development requirements. This symposium allowed practicing otolaryngologists, including those in the community, to learn, develop, and refresh technical and communication skills while fulfilling certification requirements. PMID: 30741229 [PubMed - in process]
This article is protected by copyright. All rights reserved. PMID: 30758103 [PubMed - as supplied by publisher]
Publication date: Available online 11 February 2019Source: Medicina Intensiva (English Edition)Author(s): M.A. Gómez-Ríos