Search Tag: Intubation

ICU Management

Outcome-after-intubation-for-septic-shock

2021 09 Nov

Acute respiratory failure in septic patients is associated with higher in-hospital mortality. Early management and treatment with antibiotics, fluids, vasopressors, and source control, can reduce morbidity and mortality. Sepsis-related acute respiratory failure is also frequent and may require non-invasive or invasive ventilator support.   While...Read more

ICU Management

Safer-intubation-practices-in-critically-ill-patients

2021 30 Sep

What We Learned During the COVID-19 Pandemic That Should Not Be Forgotten An overview of the available evidence on safe intubation practices in critically ill patients in light of new discoveries due to the coronavirus pandemic. Introduction Orotracheal intubation is a life-saving procedure in critically ill patients with acute...Read more

ICU Management

Intubation-timing-and-covid-19-ards-outcomes

2021 29 Jun

COVID-19 associated ARDS is associated with high mortality risk. Many patients with COVID-19 have been admitted with pneumonia and arterial hypoxaemia, increased work of breathing or impending fatigue. It is a common clinical practice to intubate patients with severe hypoxaemia. However, during the pandemic, there was a high demand for ICU beds. Therefore,...Read more

ICU Management

Apnoeic-oxygenation-for-intubation-where-is-the-evidence

2021 24 Jun

Apnoeic oxygenation can be used in critically ill patients, without replacing preoxygenation. Introduction Hypoxaemia is one of the most common complications during tracheal intubation of critically ill patients (Jaber et al. 2006; Russotto et al. 2021) with an incidence of severe hypoxaemia reaching up to 50% (De Jong et al. 2013; Jaber et...Read more

ICU Management

Is-videolaryngoscopy-the-new-gold-standard-for-intubation-following-the-covid-19-crisis

2021 22 Feb

Videolaryngoscopy may be the new gold standard for tracheal intubation following the COVID-19 pandemic onset. Introduction Patients admitted to Intensive Care Units (ICU) often require respiratory support. Orotracheal intubation is one of the most frequent procedures performed in ICU (Lascarrou et al. 2017; Roux et al. 2014; Martin et al....Read more

ICU Management

Early-and-late-intervention-for-intubation-related-laryngeal-injury

2021 06 Feb

A study was conducted to determine if there were differences in functional outcomes between early and late intervention for intubation-related laryngeal injury. Approximately 13 million to 20 million patients are intubated in the ICU every year. Clinical evidence shows that 57% of patients who are intubated for more than 12 hours develop acute...Read more

ICU Management

Prolonged-intubation-and-tracheostomy-in-covid-19-survivors

2020 24 Nov

Consequences and Recovery of Laryngeal Function Intubation and tracheostomy as a result of COVID-19 critical illness may result in laryngeal dysfunction, which can lead to serious consequences. This article provides assessment and rehabilitation recommendations for those working with critically ill COVID-19 patients in the ICU. Introduction...Read more

ICU Management

Awake-prone-positioning-and-risk-of-intubation-in-covid-19

2020 19 Oct

Many COVID-19 patients develop severe bilateral viral pneumonia, which evolves into acute respiratory distress syndrome (ARD). High-flow nasal oxygen therapy (HFNO) has been shown to be effective in decreasing the need for endotracheal intubation with patients with acute hypoxaemic respiratory failure (ARF). However, in patients with COVID-19, the recommendation...Read more

ICU Management

Introducing-the-intubation-credit-card

2020 15 Jan

A go-anywhere checklist format to improve emergency tracheal intubation. Introduction Tracheal intubation outside the operating room is fraught with danger. According to the landmark NAP4 study, intubation in the ICU may be associated with 50 times greater risk of procedure-related death and brain injury compared to general anaesthetic...Read more

ICU Management

Isicem19-critical-care-medicine-in-space

2019 27 Mar

Dr. Matthieu Komorowski, Consultant in Intensive Care and Machine Learning researcher at Imperial College, London, talked about critical care in space at the 39th International Symposium on Intensive Care and Emergency Medicine .   One of the most distinct features about his talk (apart from the fact that it was about space), was that instead...Read more

ICU Management

Predicting-difficult-intubation

2019 14 Feb

Endotracheal intubation is often required for major surgical procedures and for respiratory support in critically ill patients. The ability to predict which patients have a high risk of difficult intubation may reduce the risk for “cannot intubate, cannot ventilate” scenarios. Several individual physical examination findings are predictive but do not...Read more

ICU Management

Uk-study-extubating-ventilated-patients-on-vasoactive-infusions-safe

2018 11 Jul

In a large single centre study, 21 percent of intubated patients who received infusions of vasoactive infusions while mechanically ventilated were extubated for the first time while still receiving them. Coincident with their earlier extubation, these patients' ICU length of stay was shorter without an increase in ICU mortality, hospital mortality...Read more

ICU Management

Lighter-emergency-breathing-tubes-associated-with-higher-survival-after-ohca

2018 01 Jun

When paramedics used a new, more flexible laryngeal breathing tube to give oxygen to patients who had had an out-of-hospital cardiac arrest, these patients survived longer than patients who received oxygen via the traditional endotracheal tube, according to the results of a large randomised controlled trial conducted in the USA.   The results...Read more

ICU Management

Volume-16-issue-4-2016-1

2016 30 Nov

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ICU Management

Difficult-intubation-in-the-icu-why-and-how-to-prevent-and-manage-difficult-intubation

2016 30 Nov

Severe hypoxaemia and cardiovascular collapse, leading to cardiac arrest, cerebral anoxia and death, are the most frequent complications related to intubation in intensive care units (ICU), associated with difficulty of intubation. To prevent and limit the incidence of difficult intubation, specific risk factors for difficult intubation in the ICU...Read more

ICU Management

Tracheal-intubation-after-in-hospital-cardiac-arrest-in-children-significant-survival-difference

2016 05 Oct

An observational study of 2294 patients from a large registry found decreased survival to hospital discharge in paediatric patients who were tracheally intubated during in-hospital cardiac arrest. Lars W. Andersen, MD, MPH, of the Research Center for Emergency Medicine, Aarhus University Hospital, Denmark, and colleagues, analysed data from the United...Read more

ICU Management

Medtronic-acquires-aircraft-medical-to-aid-in-the-preventable-issue-of-respiratory-compromise

2015 20 Nov

Aircraft's Offering Allows Clinicians a Single, Hybrid Device for All Intubations In support of the company's therapy innovation strategy,  Medtronic plc  (NYSE:MDT) announced it has acquired Aircraft Medical, a privately-held medical device company based in Edinburgh, Scotland, that develops affordable, handheld high-quality video laryngoscopes...Read more

Executive Health Management

Video-about-end-of-life-procedures-informs-decisions-of-terminally-ill-patients

2015 20 Feb

A video which describes assistive and resuscitation procedures, such as CPR and intubation, helps seriously ill older patients to decide whether they want such interventions performed by their physicians if they experience a life-threatening event such as cardiac arrest. The decision-support tool, developed by the Video Images of Disease for Ethical...Read more

ICU Management

Post-operative-intubation-and-acute-kidney-injury

2014 09 Oct

Acute kidney injury (AKI) is a common complication after cardiac surgery and is generally associated with a poor prognosis. It is also an independent mortality factor in cardiac surgical patients. Cardiac surgery is typically performed under general anaesthesia with patients mechanically ventilated in the postoperative period until they have achieved...Read more

ICU Management

The-future-of-intubation-robotic-intubation-prototype-crawls-to-the-lungs-in-difficult-situations

2013 14 Aug

"The future of intubation": Students in the Biodesign program of the Hebrew University of Jerusalem and Hadassah Medical Center designed a self-guided robotic intubation device that crawls to the lungs in difficult situations. (Photo: Hebrew University) Graduates of the Hebrew University’s Biodesign program revealed a robotic intubation device...Read more