Safety of RSI in an Emergency Training Network

Safety of RSI in an Emergency Training Network

Implementation of an evidence-based care bundle and audit of practice has created a safe environment for trainees to learn the core critical care skill of Rapid sequence intubation (RSI). In our setting, checklist use was... read more

Current airway management practices after a failed intubation attempt

Current airway management practices after a failed intubation attempt

The majority of second intubation attempts were undertaken by emergency consultants and registrars. A change from a non-consultant intubator to a consultant intubator of any specialty for the second attempt and intubation... read more

Airway closure, more harmful than atelectasis in intensive care?

Airway closure, more harmful than atelectasis in intensive care?

Since the mid-1980s, atelectasis has been demonstrated during anesthesia in lung healthy subjects and in intensive care patients suffering from acute respiratory failure and requiring ventilator support. In the latter... read more

Manual of ICU Procedures

Manual of ICU Procedures

Manual of ICU Procedures is a comprehensive, step-by-step guide to intensive care procedures. The book is divided into four anatomical sections, and a final miscellaneous section. Section one covers airway and respiratory,... read more

The Walls Manual of Emergency Airway Management

The Walls Manual of Emergency Airway Management

The Walls Manual of Emergency Airway Management is the world's most trusted reference on emergency airway management, and is the foundation text in the nationally recognized The Difficult Airway Course: Emergency and The... read more

New Study on Prehospital Airway Control Trial Underway

New Study on Prehospital Airway Control Trial Underway

Emory University Department of Emergency Medicine and Grady Memorial Hospital will take part in a U.S. Department of Defense-funded clinical trial to compare different ways to help people with traumatic injuries breathe. The... read more

ED Management of Smoke Inhalation Injury in Adults

ED Management of Smoke Inhalation Injury in Adults

When treating patients who have suffered injury in a fire, managing their airway is as critical as treating their burns. Following on the February 2018 issue on Thermal Burns, this issue reviews strategies for diagnosing... read more

Does Head of Bed Elevation During Intubation Improve Patient Oriented Outcomes?

Does Head of Bed Elevation During Intubation Improve Patient Oriented Outcomes?

To date the study that has shown the biggest benefit to HOB elevation is the 2016 study performed by Khandelwal and colleagues in a teaching hospital system in Seattle, WA. 528 patients managed by anesthesiologists... read more

Airway Closure during Surgical Pneumoperitoneum in Obese Patients

Airway Closure during Surgical Pneumoperitoneum in Obese Patients

In obese patients, complete airway closure is frequent during anesthesia and is worsened by Trendelenburg pneumoperitoneum, which increases airway opening pressure and alveolar pressure: besides preventing alveolar derecruitment,... read more

Airway Management in Microgravity

Airway Management in Microgravity

In the near future, space programs will shift their focus toward long‐duration interplanetary missions, in particular to the Moon and Mars. These exploration missions will be associated with an increased risk of acute medical... read more

Alfred ICU Intubation Checklist

Alfred ICU Intubation Checklist

Here is the Alfred ICU intubation checklist. We invite you to take it and adopt it whole, or, even better, to modify it to your own department's needs. We have spent considerable time and thought developing it, as well as... read more

AIRWAYS-2

AIRWAYS-2

AIRWAYS-2 looks at the initial advanced airway management strategy for paramedics attending out of hospital cardiac arrests, essentially whether or not the aim should be to place a supraglottic airway device or an endotracheal... read more

Tracheal extubation with a predicted difficult airway

Tracheal extubation with a predicted difficult airway

Management of the difficult airway is an important, but as yet poorly-studied, component of intensive care management. Although there has been a strong emphasis on prediction and intubation of the difficult airway, safe extubation... read more

Airway Pressure-time Curve Profile Detects Tidal Recruitment/Hyperinflation

Airway Pressure-time Curve Profile Detects Tidal Recruitment/Hyperinflation

Airway pressure-time curve profile (stress index) detects tidal recruitment/hyperinflation in experimental acute lung injury. Shape of the Paw-t curve detects tidal recruitment and tidal hyperinflation. Pulmonary computed... read more