Airway management in preclinical emergency anesthesia with respect to specialty and education.

CONCLUSION: The level of training in airway management especially for non-anesthetists is inhomogeneous. The recently published German S1 guidelines for prehospital airway management recommend education and training as well as the primary use of the video laryngoscope with Macintosh blade. The implementation could lower the incidence of subjective difficult airways. PMID: 32055885 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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CONCLUSION TFEL is a useful tool in predicting difficult intubation, improving predictability of routine bedside evaluation. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02671877.
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Airway management Source Type: research
Rationale: Airway management of patients in a lateral decubitus position (LDP), who cannot lie supine is challenging for anesthesiologists. In a previous study, laryngeal mask airway (LMA) was found to be superior to conventional endotracheal intubation in LDP. Patient Concerns: A 38-year-old man diagnosed with type I neurofibromatosis presented with pain caused by a large hematoma (28 × 8 cm) located in the left upper back. On arrival at the operating theater, he was in a right LDP because of the aggravation of pain in the supine position. Diagnoses: Laryngoscopy-guided endotracheal intubation was expe...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
(Anesth Analg. 2019;128(3):584–586. Doi:10.1213/ANE.0000000000003886) While video laryngoscopy (VL) has brought substantial changes to the practice of airway management, the way anesthesiologists define a “difficult intubation” has not been altered accordingly. The American Society of Anesthesiologists has defined a “difficult airway” as “the clinical situation in which a conventionally trained anesthesiologist experiences difficulty with facemask ventilation of the upper airway, difficulty with intubation, or both,” and also has set forth clear, separate definitions of difficult ...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editorials and Reviews Source Type: research
This study compares the SALAD and IEI techniques with the tr aditional approach of ad hoc, rigid suction catheter airway decontamination and endotracheal intubation in the setting of massive simulated emesis.Methods: Senior anesthesiology and emergency medicine (EM) residents were randomized into three...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research
CONCLUSIONS: We showed that a folded towel placed under the shoulders in children younger than two years of age improves glottis visualization, reduces time to intubation and provides ease of use of the C-MAC Miller Video Laryngoscope. Therefore, we think that the placement of a folded towel under the shoulders during the use of a C-MAC Miller Video Laryngoscope may be useful for airway management in children younger than two years of age. This article is protected by copyright. All rights reserved. PMID: 31211460 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
An ALS unit is dispatched for an adult patient complaining of severe painful swallowing and difficulty breathing. Upon arrival the patient is acutely decompensating with increasing respiratory effort and diminished color. Supplemental oxygen isn’t providing adequate perfusion. Due to the patient’s rapidly deteriorating condition, the decision is made to intubate. As the laryngoscope is slid beyond the oral cavity, severe epiglottic swelling is visualized. After one intubation attempt the swelling worsens. At this point, endotracheal intubation is not feasible. With no options left, the paramedic resorts to reac...
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Airway & Respiratory Exclusive Articles Source Type: news
This article addresses the uses of videolaryngoscopy, the range of available videolaryngoscopes, the technique of videolaryngoscopy, use of awake videolaryngoscopy and the documentation of videolaryngoscopic intubation.
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Authors: Szarpak L Abstract INTRODUCTION: According to the American Society of Anesthesiologists, the incidence of difficult intubation in the operating room is 1.2-3.8%; however, in emergency conditions, this rate is higher and reaches even 5.3%. Successful emergency airway management is an essential component of the modern practice of medicine. Areas covered: The aim of the study is to review the literature regarding different devices used to perform endotracheal intubation (Macintosh, Miller, and McCoy laryngoscopes; ETView, GlideScope, TruView, Airtraq, McGrath MAC, Pentax AWS, Trachlight, Shikani, and Bullard)...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research
Tracheal intubation in emergency medicine is considered one of the most difficult procedures [1,2]. Due to the inability to obtain anesthesia anamnesis or as in the case of cardiopulmonary resuscitation, the need to protect the airway during chest compression or with a minimum pause in chest compression. However, according to studies by Ladny et al. [3,4], or Szarpak et al. [5], the effectiveness of the first intubation attempt using direct laryngoscopy is insufficient. In accordance with the European Resuscitation Council guidelines, endotracheal intubation is the gold standard in airway management [2].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
AbstractPurpose of ReviewIntubation of patients suffering acute traumatic injuries is associated with higher airway-related morbidity and mortality than when the same procedure occurs under elective conditions. Indirect video-enabled laryngoscopes (VL) offer the potential advantage of improved glottic visualization as an integral step in the process of endotracheal intubation when compared to traditional direct laryngoscopy (DL). However, despite robust evidence that VL consistently achieves a superior view of the vocal cords in critically ill and injured adults, a consistent improvement in first-attempt intubation success...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
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