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Posts Tagged ‘apnoeic oxygenation’

Apnoeic Oxygenation in Resuscitation: Is it time?

We are finally seeing the years of airway in resuscitation dogma being challenged. The original approach to airway which mandated intubation and probably led to significant delays in CPR and an increase in mortality, are now gone. Bag-valve-mask vs supraglottic vs intubation The literature that compares intubation, laryngeal mask(LMA) and bag valve mask(BVM) has given…

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VAPOX and Ventilation During the Apnoeic Period

In Rapid Sequence Intubation(RSI), there is that period of apnoea that occurs following delivery of paralytics and prior to attempting laryngoscopy and intubation. It’s a period of 40 to 50 seconds, before we attempt to do anything. “Don’t bag!” we often scold. “It’ll fill the stomach and cause regurgitation and aspiration”…… In the background the patient’s saturations…

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5 Things To Help You Get The Airway

1. Know When To Intubate The Advanced Airway is not just about doing, but also about thinking. It may sound strange, but we should have an approach that allows us to quickly ascertain the appropriateness of intubation. My choice is when there is failure of ( whether this is now or imminent) of oxygenation and…

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Effectiveness of Apnoeic Oxygenation Questioned

Everyone knows I’m a huge fan of apnoeic oxygenation. I use it for sedation, for intubation, heck I sprinkle some on my cereal in the morning. But here is a study published this week, whose conclusions do not support the use apnoeic oxygenation during endotracheal intubation of critically ill adults.Semler et al of the Fellow investigators…

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My Rules for Getting the Airway

There are all these fancy terms out there in respect to airway. There’s apnoeic oxygenation, delayed sequence intubation, the vortex etc….. Let me tell you something, you already know. This stuff has been around in one form or another for a while, but we have discovered its application to emergency medicine only recently. After giving…

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Delayed Sequence Intubation

There’s been a lot of talk around about Delayed Sequence Intubation and a little bit of confusion about it, so I thought I’d clear up a couple of things. Is there a lot of evidence for it? No- there is very little, but we will see the evidence coming out soon. The current evidence is…

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