Search Tag: Intubation

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