MOANS – difficult BVM LEMON – difficult laryngoscopy The Two Minute Drill: How I Prep My Airways The Bloody Airway: The Trauma Airway and the GI bleeder The Obstructed Airway: Angioedema and Deep Space Infections
Approximately 17% of confirmed cases of COVID-19 develop severe disease with acute respiratory distress syndrome (ARDS). Like other patient groups with ARDS, patients with severe COVID-19 are likely to be considered for emergency tracheal intubation and mechanical ventilation to support potential recovery from their illness.
You decided to intubate a child and wisely remembered that you should also follow with an NG/ OG after intubation to decompress the stomach. In order to avoid the blank stare when asked “what size”? Here’s a nice mnemonic about Pediatric “tube” sizes… easy as 1-2-3-4!!! Please note ETT = endotracheal tube size. 1 x […]
We should never allow more than 3 intubation attempts, and sometimes clinical conditions will dictate fewer tries. Examples that come to mind are severe brain injury patients (hypoxia is bad) and patients who do not recover from oxygen desaturation when they are bagged. Don’t lose track of time and the number of attempts!
Use of ApOx during RSI in adult patients in the ED, is low cost, low complexity, and not proven to cause harm while also reducing incidence of hypoxemia and increasing first pass attempt intubation. It is time for a RCT evaluating this modality.