Adhesive respiratory monitor detects breathing problems early
[Image from Exspiron]Children can be at risk for compromised breathing after surgery or from conditions like asthma, congestive heart failure or sleep apnea. Opioid therapy and sedation for medical procedures can also depress breathing. Unless a child is sick enough to have a breathing tube, respiratory problems can be difficult to detect early. Yet early detection can mean the difference between life and death. “There is currently no real-time objective measure,” says Viviane Nasr, MD, an anesthesiologist with Boston Children’s Hospital’s Division of Cardiac Anesthesia. “Instead, respiratory ...
Source: Mass Device - July 25, 2018 Category: Medical Devices Authors: Danielle Kirsh Tags: Blog Vector Blog Source Type: news

Bispectral index in poisoning cases with multi-drug ingestion: a predictable role for early endotracheal intubation - Eizadi-Mood N, Halakoei L, Yaraghi A, Jabalameli M, Talakoub R, Sabzghabaee AM.
This study... (Source: SafetyLit)
Source: SafetyLit - May 18, 2018 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Findings of game-changing EMS airway study to be presented at SAEM18
(Society for Academic Emergency Medicine) Endotracheal intubation (ETI) is the most common advanced airway technique used in the resuscitation of out-of-hospital cardiac arrest (OHCA), but Supraglottic airway devices such as the King Laryngeal Tube (LT) offer simpler airway management alternatives. A Plenary Session to be held May 16, on opening day of SAEM18 in Indianapolis, will present the findings of a multicenter, pragmatic clinical trial comparing the effectiveness of initial LT insertion versus initial ETI upon outcomes in adult OHCA. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 2, 2018 Category: International Medicine & Public Health Source Type: news

In the Bag or Out of Control? BVM Revisited
In the bag or out of control? A recent article highlighting new changes to the comprehensive 2015 European Research Council (ERC) Guidelines for Resuscitation states that there’s “little new in how we should manage the airway in 2017.”1,2 The article references two studies that demonstrate increased use of, and better success rates with, videolaryngoscopy for endotracheal intubation (ETI), as well as another study showing that inexperienced providers can successfully perform cricothyroidotomies on fresh cadavers using pocket knives and ballpoint pens. Although the increasing use of video technology may le...
Source: JEMS Patient Care - April 1, 2018 Category: Emergency Medicine Authors: Neal Richmond, MD, FACEP Tags: Airway & Respiratory Patient Care Columns Source Type: news

Bag-Mask Ventilation Fails to Improve on Intubation for OHCA Bag-Mask Ventilation Fails to Improve on Intubation for OHCA
A randomized comparison of bag-mask ventilation and endotracheal intubation during out-of-hospital CPR failed to show noninferiority or inferiority for the outcome of favorable 28-day neurologic function.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - March 5, 2018 Category: Consumer Health News Tags: Cardiology News Source Type: news

BMV vs ETI for Out-of-Hospital Heart Attacks
(MedPage Today) -- Noninferiority of bag-mask ventilation compared to endotracheal intubation inconclusive (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - March 1, 2018 Category: Cardiology Source Type: news

BMV vs ETI for Out-of-Hospital Cardiac Arrest
(MedPage Today) -- Noninferiority of bag-mask ventilation compared to endotracheal intubation inconclusive (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - March 1, 2018 Category: Cardiology Source Type: news

Masimo touts ORi obese patient arterial hemoglobin desaturation warning study results
Masimo (NSDQ:MASI) yesterday released results from a study of its Oxygen Reserve Index’s ability to function as an early warning of impending arterial hemoglobin desaturation in obese patients, touting its ability to provide advanced warning in the high risk patient population. An abstract from the study, which Masimo claims is the first published research investigating the use of the index in the population, was presented at the Society for Technology in Anesthesia’s annual meeting in Miami, Fla. The ORi is a relative indicator of oxygen reserve in the moderate hyperoxic region and serves as an index para...
Source: Mass Device - January 23, 2018 Category: Medical Devices Authors: Fink Densford Tags: Clinical Trials Diagnostics Masimo Source Type: news

Prehospital Field Amputation Leads to Improved Patient Outcome
Industrial accident leads to extrication by amputation Your aeromedical team responds to a 29-year-old female whose right hand has been entrapped between the inside of a hopper wall and industrial auger for five hours. She’s found in a semi-erect position on top of a platform. Although she’s in pain, she expresses that she’s losing sensation to her hand. Upon physical examination, you find that her right hand is entrapped proximal to the metacarpophalangeal joints, excluding the patient’s thumb. Multiple attempts at freeing the hand are made to no avail. Upon arrival of a second aeromedical team wit...
Source: JEMS Patient Care - January 1, 2018 Category: Emergency Medicine Authors: Calvin Yang, DO Tags: Trauma Patient Care Source Type: news

Temple researchers identify genetic factors linked to acquired narrowing of the airway
(Temple University Health System) Endotracheal intubation and tracheotomy are widely used in the hospital setting for elective surgery and in cases of serious illness or critical injury. In rare instances the procedures result in the development of scarring and narrowing of the larynx and trachea, or acquired laryngotracheal stenosis (ALTS). Who is susceptible to ALTS -- and why -- is unclear, but according to new research at Temple's Lewis Katz School of Medicine, genetic and ethnic background may be underlying factors. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 22, 2017 Category: International Medicine & Public Health Source Type: news

Salter Labs acquires InnoMed Technologies, Parker Medical, IntuBrite
Salter Labs acquired a trio of medical device companies: Innomed Technologies, Parker Medical and IntuBrite for undisclosed amounts. Coconut Grove, Fla.-based InnoMed makes non-invasive ventilation and continuous positive airway pressure masks. Parker Medical, based in Highlands Ranch, Colo., makes tips for endotracheal tubes. IntuBrite makes laryngoscopes and is based in Vista, Calif. Lake Forest, Ill.-based Salter Labs makes respiratory therapy devices for the home and healthcare provider markets. “With these acquisitions, Salter offers a wide range of innovative, clinically-preferred airway management product...
Source: Mass Device - October 27, 2017 Category: Medical Devices Authors: Brad Perriello Tags: Hospital Care Mergers & Acquisitions Respiratory innomed intubrite parkermedical salterlabs Source Type: news

Postop Sore Throat: Glidescope vs. Macintosh Laryngoscope Postop Sore Throat: Glidescope vs. Macintosh Laryngoscope
This study compared the incidence and severity of postoperative sore throat resulting from two commonly used endotracheal intubation methods.BMC Anesthesiology (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - October 23, 2017 Category: Surgery Tags: Anesthesiology Journal Article Source Type: news

Monitoring Vital Signs During Endotracheal Intubation Monitoring Vital Signs During Endotracheal Intubation
Vital signs can change rapidly during endotracheal intubation. Should monitoring intervals be more frequent during this period vs. during a hemodynamically stable period?BMC Anesthesiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 20, 2017 Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

Mortality in Pre-Hospital vs ED Tracheal Intubation Mortality in Pre-Hospital vs ED Tracheal Intubation
How do outcomes compare between endotracheal intubation performed in a pre-hospital setting or in the ED?Critical Care (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 1, 2017 Category: Consumer Health News Tags: Critical Care Journal Article Source Type: news

Bag-mask ventilation fails to improve on intubation in cardiac arrest
Results from the recent CAAM trial reveal that bag-mask ventilation fails to improve on endotracheal intubation for out-of-hospital cardiac arrest patients. (Source: Health News - UPI.com)
Source: Health News - UPI.com - August 28, 2017 Category: Consumer Health News Source Type: news

Bag-mask ventilation fails to improve on endotracheal intubation in cardiac arrest (CAAM)
(European Society of Cardiology) Bag-mask ventilation fails to improve on endotracheal intubation in out-of-hospital cardiac arrest patients, according to late-breaking results from the CAAM trial presented today in a Hot Line LBCT Session at ESC Congress. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - August 28, 2017 Category: International Medicine & Public Health Source Type: news

Does EMS Intubation Success Improve with Video Laryngoscopy?
Video vs. Direct Larygoscopy Jarvis JL, McClure SF, Johns D. EMS intubation improves with King Vision video laryngoscopy. Prehosp Emerg Care. 2015;19(4):482–489. Williamson County EMS, a suburban and rural Texas EMS system, reviewed its endotracheal intubation (ETI) success rates after adding the King Vision video laryngoscope to ALS units. Considering the county’s suburban and rural settings allow few intubation attempts per provider on an annual basis, researchers believed video laryngoscopy would be advantageous. Overall ETI success rate before the interventions was 64.9%. Background: The King Vision was cho...
Source: JEMS Patient Care - January 16, 2017 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Patient Care Source Type: news

Is Intubation Success Rate Higher With Two-Medic Crews
The Research Myers LA, Gallet CG, Kolb LJ, et al. Determinants of success and failure in prehospital endotracheal intubation. West J Emerg Med. 2016;17(5):640–647. The Science The documentation of 200 intubation attempts on 150 patients cared for by a multisite EMS agency was reviewed by the authors to determine what factors were associated with success and failure of prehospital intubation. They defined an attempt as the laryngoscope blade entering the mouth. Overall success rate was 75%. The use, on an adult, of an endotracheal (ET) tube size
Source: JEMS Patient Care - December 30, 2016 Category: Emergency Medicine Authors: Keith Wesley, MD, FACEP Tags: Airway & Respiratory Columns Source Type: news

Studies Underway to Evaluate the Use of Supraglottic Airways vs. Intubation in Cardiac Arrest Patients
Supraglottic vs. Intubation Taylor J, Black S, Brett SJ, et al. Design and implementation of the AIRWAYS-2 trial. A multi-centre cluster randomised controlled trial of the clinical and cost effectiveness of the i-gel supraglottic airway device versus tracheal intubation in the initial airway management of out of hospital cardiac arrest.Resuscitation. 2016;109:25–32. As the debates about endotracheal intubation (ETI) continue in EMS crew quarters and medical director offices, South Western Ambulance Service National Health Service (NHS) Foundation Trust in Exeter, England, is taking the lead on a multicenter randomiz...
Source: JEMS Patient Care - December 20, 2016 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Patient Care Source Type: news

What Medical Problems Do Laundry Pods Cause?
Discussion Laundry detergent capsules are small, single-use pod, liquidtab or sachets with concentrated cleaning product encased in a water dissolvable membrane. They are brightly colored and promote use by being conveniently single-use. They are used mainly for laundry and dishwashers, and look similar to candy or toys which encourages ingestion by children. They were first used in Europe in 2001, and then were marketed in the U.S. in 2010. Not long afterwards, there was an increase in Poison Control Center calls regarding exposure to the products particularly by small children. An analysis from 2012-2013 found the number...
Source: PediatricEducation.org - December 19, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Anticipating and Treating the Most Common Complications of Prehospital Intubation
There's one specific psychomotor skill that still carries more clout than almost anything else in EMS. It's the skill that's too often used as a means of measuring adequacy, expertise, competence and ability: endotracheal intubation (ETI). As a profession, EMS affords ETI some bizarre form of idolatry. The ability, opportunity and permission to place a piece of plastic into someone's mid-trachea is, for whatever reason, considered the gold standard of practice. The actual skill itself can be successfully performed in a few simple steps, but it's by no means easy. After all, there are a host of circumstances that make ETI a...
Source: JEMS Patient Care - September 30, 2016 Category: Emergency Medicine Authors: Robert P. Girardeau, BS, NREMT-P, FP-C Tags: Airway & Respiratory Source Type: news

Endotracheal Intubation
Title: Endotracheal IntubationCategory: Procedures and TestsCreated: 10/10/1998 12:00:00 AMLast Editorial Review: 9/1/2016 12:00:00 AM (Source: MedicineNet Lungs General)
Source: MedicineNet Lungs General - September 1, 2016 Category: Respiratory Medicine Source Type: news

Prehospital intubation for isolated severe blunt traumatic brain injury: worse outcomes and higher mortality - Haltmeier T, Benjamin E, Siboni S, Dilektasli E, Inaba K, Demetriades D.
PURPOSE: Prehospital endotracheal intubation (ETI) for traumatic brain injury (TBI) is a controversial issue. The aim of this study was to investigate the effect of prehospital ETI in patients with TBI. METHODS: Cohort-matched study using the US Na... (Source: SafetyLit)
Source: SafetyLit - September 1, 2016 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Will Artificial Intelligence Help Paramedics Successfully Intubate?
Promising Technology Carlson JN, Das S, De la Torre F, et al. A novel artificial intelligence system for endotracheal intubation. Prehosp Emerg Care. Mar 17, 2016. [Epub ahead of print.] In the 1983 science-fiction film WarGames, Matthew Broderick believed he was going head-to-head with a random simulation program. However, he soon learned he’d accidentally hacked into a government artificial intelligence (AI) computer system programmed to repeatedly run thermonuclear simulations until it learned the best strategy for winning a war. Over 30 years later, AI is no longer the stuff of science fiction. In fact, AI algori...
Source: JEMS Patient Care - August 11, 2016 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Training Patient Care Source Type: news

Will Artificial Intelligence Help Paramedics Successfully Intubate?
Promising TechnologyCarlson JN, Das S, De la Torre F, et al. A novel artificial intelligence system for endotracheal intubation.Prehosp Emerg Care.Mar 17, 2016. [Epub ahead of print.]In the 1983 science-fiction filmWarGames, Matthew Broderick believed he was going head-to-head with a random simulation program. However, he soon learned he ’ d accidentally hacked into a government artificial intelligence (AI) computer system programmed to repeatedly run thermonuclear simulations until it learned the best strategy for winning a war.Over 30 years later, AI is no longer the stuff of science fiction. In fact, AI algorithms...
Source: JEMS Patient Care - August 11, 2016 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Airway & Respiratory Columns Training Patient Care Source Type: news

Noninvasive Ventilation Delivered by Helmet Cuts Intubation Rates in ARDSNoninvasive Ventilation Delivered by Helmet Cuts Intubation Rates in ARDS
Noninvasive ventilation (NIV) delivered by helmet reduces endotracheal intubation rates in adults with acute respiratory distress syndrome (ARDS), compared with NIV delivered by facemask, according to a new trial. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - May 19, 2016 Category: Intensive Care Tags: Pulmonary Medicine News Source Type: news

Direct vs Video Laryngoscopy for Intubation With GI BleedingDirect vs Video Laryngoscopy for Intubation With GI Bleeding
Which is the better method for performing endotracheal intubation in patients with GI bleeding? Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 13, 2016 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

Failed Endotracheal Intubation and Outcomes Among InfantsFailed Endotracheal Intubation and Outcomes Among Infants
How critical is successful intubation on the first attempt in extremely low birth weight infants? Journal of Perinatology : Official Journal of the California Perinatal Association (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - March 18, 2016 Category: Intensive Care Tags: Pediatrics Journal Article Source Type: news

Videolaryngoscope in Teaching Neonatal Endotracheal IntubationVideolaryngoscope in Teaching Neonatal Endotracheal Intubation
Residents learning neonatal endotracheal intubation (ETI) had higher success rates but longer duration to successful intubation with a videolaryngoscope (VL) rather than a classic laryngoscope, according to a new study. Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - February 16, 2016 Category: Intensive Care Tags: Pediatrics News Source Type: news

Monthly News Roundup - December 2015
Bridion Approval Launches New Drug Class Neuromuscular blocking drugs cause temporary muscle paralysis and are used to prevent movement during surgery, facilitate endotracheal intubation, and in ICU mechanical ventilation. This month, the FDA... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - December 30, 2015 Category: Pharmaceuticals Source Type: news

The BVM Effect: An Overview of Studies Assessing Airway Management in Out-of-Hospital Cardiac Arrest
Evolving CPR guidelines follow the growing understanding of the physiology surrounding cardiac arrest. For example, it’s been shown that the maintenance of high-quality chest compressions with minimal interruptions is a cornerstone of providing adequate CPR.1 However, the role of airway and ventilation management during CPR remains less well understood. Although the safest and most effective airway management for the patient in cardiac arrest still remains to be ascertained, the initial approach in airway management in out-of-hospital cardiac arrest (OHCA), however, is typically the application of the bag-valve ...
Source: JEMS Patient Care - September 28, 2015 Category: Emergency Medicine Authors: Raymond L. Fowler, MD, FACEP Tags: Airway & Respiratory Resuscitation Shock Patient Care Source Type: news

Severe Cardiovascular Collapse After ET Intubation in the ICUSevere Cardiovascular Collapse After ET Intubation in the ICU
What factors interact with hemodynamic conditions during endotracheal intubation? Critical Care (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - September 1, 2015 Category: Consumer Health News Tags: Critical Care Journal Article Source Type: news

Randomized Trials of Prehospital Endotracheal Intubation in Cardiac Arrest
Out-of-hospital cardiac arrest (OHCA) is a major public health problem affecting over 300,000 persons annually in the United States.1 Endotracheal intubation (ETI) is one of most common procedures performed by paramedics during resuscitation. However, numerous factors have motivated new strategies for OHCA airway management, including the use of supraglottic airway (SGA) devices. Scientists in the U.S. and the United Kingdom are preparing to carry out largescale randomized controlled trials (RCT) to compare the effectiveness of ETI and SGA on OHCA outcomes. In this article we provide an overview of the rationale for a...
Source: JEMS Patient Care - August 17, 2015 Category: Emergency Medicine Authors: Henry Wang, MD, MS Tags: Airway & Respiratory Research Special Topics Patient Care Source Type: news

Randomized Trials of Prehospital Endotracheal Intubation in Cardiac Arrest
Out-of-hospital cardiac arrest (OHCA) is a major public health problem affecting over 300,000 persons annually in the United States.1 Endotracheal intubation (ETI) is one of most common procedures performed by paramedics during resuscitation. However, numerous factors have motivated new strategies for OHCA airway management, including the use of supraglottic airway (SGA) devices. Scientists in the U.S. and the United Kingdom are preparing to carry out largescale randomized controlled trials (RCT) to compare the effectiveness of ETI and SGA on OHCA outcomes. In this article we provide an overview of the rationale for a...
Source: JEMS Special Topics - August 17, 2015 Category: Emergency Medicine Authors: Henry Wang, MD, MS Tags: Airway & Respiratory Special Topics Patient Care Source Type: news

Eight Strategies for Safer Prehospital Intubation
This article offers pearls for improving the safety of prehospital intubation. 1. RESPECT THE DIFFICULTY OF PREHOSPITAL INTUBATION (Source: JEMS Patient Care)
Source: JEMS Patient Care - August 17, 2015 Category: Emergency Medicine Authors: Henry Wang, MD, MS Tags: Airway & Respiratory Patient Care Source Type: news

Training, Practice, Research Lead to Successful Airway Management
Improving Intubation Lockey DJ, Healey B, Crewdson K, et al. Advanced airway management is necessary in prehospital trauma patients. Br J Anaesth. Dec. 23, 2014. [Epub ahead of print]. First and foremost, we’d like to congratulate JEMS on 35 years of quality EMS reporting. We’re honored and privileged to be part of this monthly, ground-breaking publication. Coming to us from the British Journal of Anaesthesia, David Lockey, MD, and associates set out to determine the demand for on-scene advanced airway interventions in London, U.K. In a one-year prospective observational study, they asked enhanced care teams (E...
Source: JEMS Special Topics - March 9, 2015 Category: Emergency Medicine Authors: Alexander L. Trembley, NREMT P Tags: Airway & Respiratory Research Columns Patient Care Source Type: news

Glasgow coma scale scoring is often inaccurate - Bledsoe BE, Casey MJ, Feldman J, Johnson L, Diel S, Forred W, Gorman C.
Introduction The Glasgow Coma Scale (GCS) is widely applied in the emergency setting; it is used to guide trauma triage and for the application of essential interventions such as endotracheal intubation. However, inter-rater reliability of GCS scoring has ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - December 12, 2014 Category: Global & Universal Tags: Commentary Source Type: news

Oral, jaw, and neck injury in infants and children: from abusive trauma or intubation? - Lopez MR, Abd-Allah S, Deming DD, Piantini R, Young-Snodgrass A, Perkin R, Barcega B, Sheridan-Matney C.
The objective of this study was to identify the incidence of oral, jaw, and neck injury secondary to endotracheal intubation in young children. METHODS: This prospective observational study was conducted in the pediatric intensive care ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - May 1, 2014 Category: Global & Universal Tags: Age: Infants and Children Source Type: news

Endotracheal Intubation
Title: Endotracheal IntubationCategory: Procedures and TestsCreated: 10/10/1998 12:00:00 AMLast Editorial Review: 2/11/2014 12:00:00 AM (Source: MedicineNet Lungs General)
Source: MedicineNet Lungs General - February 11, 2014 Category: Respiratory Medicine Source Type: news

First Attempt Success Rates of Endotracheal IntubationsFirst Attempt Success Rates of Endotracheal Intubations
Find out about the factors associated with first-attempt success of emergency endotracheal intubation. Emergency Medicine Journal (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - December 4, 2013 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

Video Laryngoscopy Improves Intubating SuccessVideo Laryngoscopy Improves Intubating Success
In fellowship training programs, urgent endotracheal intubation improves when a video laryngoscope is used. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 14, 2013 Category: Consumer Health News Tags: Pulmonary Medicine News Source Type: news

The Role of Videolaryngoscopy in Orotracheal IntubationThe Role of Videolaryngoscopy in Orotracheal Intubation
How effective are videolaryngoscopes in oral endotracheal intubation? BMC Anesthesiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - April 15, 2013 Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news