scholarly journals Factors Associated With Pediatric Emergency Airway Management by the Difficult Airway Response Team

Cureus ◽  
2021 ◽  
Author(s):  
Nicholas M Dalesio ◽  
Lauren Burgunder ◽  
Natalia M Diaz-Rodriguez ◽  
Sara I Jones ◽  
Jordan Duval-Arnould ◽  
...  
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Pediatric Emergency ◽  
Factors Associated ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Response Team ◽  
Airway Response

Airway Equipment (DRAFT)

2018 ◽  
Author(s):  
Lillian L. Emlet ◽  
James M. Dargin
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Response Team ◽  
Airway Equipment

Patients frequently require airway management during rapid response team (RRT) activations. Airway management during RRT activations frequently occurs in locations that are not well equipped or prepared to perform airway procedures. Therefore, it is important that RRTs arrive with the proper equipment and medications to safely secure the airway whenever necessary. An “airway bag” that is stocked by a hospital’s central supply department and carried by RRTs ensures the availability of functioning equipment and helps to standardize the process of airway management during RRT activation. In this chapter, we will review recommendations for equipment required in emergency airway management, including portable routine and difficult airway equipment and medications.

scholarly journals Difficult airway predictors were associated with decreased use of neuromuscular blocking agents in emergency airway management: a retrospective cohort study in Thailand

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jutamas Saoraya ◽  
Komsanti Vongkulbhisal ◽  
Norawit Kijpaisalratana ◽  
Suthaporn Lumlertgul ◽  
Khrongwong Musikatavorn ◽  
...  
Keyword(s):  
Emergency Department ◽  
Airway Management ◽  
Difficult Airway ◽  
Neuromuscular Blocking ◽  
Neuromuscular Blocking Agents ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Blocking Agents ◽  
Glottic View ◽  
First Pass

Abstract Background It is recommended that difficult airway predictors be evaluated before emergency airway management. However, little is known about how patients with difficult airway predictors are managed in emergency departments. We aimed to explore the incidence, management and outcomes of patients with difficult airway predictors in an emergency department. Methods We conducted a retrospective study using intubation data collected by a prospective registry in an academic emergency department from November 2017 to October 2018. Records with complete assessment of difficult airway predictors were included. Two categories of predictors were analyzed: predicted difficult intubation by direct laryngoscopy and predicted difficult bag-mask ventilation. The former was evaluated based on difficult external appearance, mouth opening and thyromental distance, Mallampati score, obstruction, and limited neck mobility as in the mnemonic “LEMON”. The latter was evaluated based on difficult mask sealing, obstruction or obesity, absence of teeth, advanced age and reduced pulmonary compliance as in the mnemonic “MOANS”. The incidence, management and outcomes of patients with these difficult airway predictors were explored. Results During the study period, 220 records met the inclusion criteria. At least 1 difficult airway predictor was present in 183 (83.2%) patients; 57 (25.9%) patients had at least one LEMON feature, and 178 (80.9%) had at least one MOANS feature. Among patients with at least one difficult airway predictor, both sedation and neuromuscular blocking agents were used in 105 (57.4%) encounters, only sedation was used in 65 (35.5%) encounters, and no medication was administered in 13 (7.1%) encounters. First-pass success was accomplished in 136 (74.3%) of the patients. Compared with patients without predictors, patients with positive LEMON criteria were less likely to receive neuromuscular blocking agents (OR 0.46 (95% CI 0.24–0.87), p = 0.02) after adjusting for operator experience and device used. There were no significant differences between the two groups regarding glottic view, first-pass success, or complications. The LEMON criteria poorly predicted unsuccessful first pass and glottic view. Conclusions In emergency airway management, difficult airway predictors were associated with decreased use of neuromuscular blocking agents but were not associated with glottic view, first-pass success, or complications.

scholarly journals A quality improvement initiative to increase the safety of pediatric emergency airway management

2017 ◽  
Vol 27 (12) ◽  
pp. 1271-1277 ◽  
Author(s):  
Elliot Long ◽  
Domenic R. Cincotta ◽  
Joanne Grindlay ◽  
Stefano Sabato ◽  
Emmanuelle Fauteux-Lamarre ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Airway Management ◽  
Pediatric Emergency ◽  
Quality Improvement Initiative ◽  
Emergency Airway Management ◽  
Emergency Airway

Airway Management In The Emergency Department

2018 ◽  
Author(s):  
Garrett S. Pacheco ◽  
Bryan Wilson
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Rapid Sequence Intubation ◽  
Intubation Attempt ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Airway Emergency ◽  
Rapid Sequence ◽  
First Pass ◽  
Surgical Airway

Emergency airway management has evolved tremendously since the onset of the specialty’s origin. Over the years, the importance of first-pass success and approach to the difficult airway were the primary challenges faced by emergency physicians. With the advent of video laryngoscopy, the rates of first-pass success continue to increase, and the effect of the anatomically difficult airway has begun to lessen. With advances in tools for airway management, the challenges have shifted to approaching optimal preoxygenation and correction of physiologic disturbances prior to any intubation attempt. This review discusses traditional rapid sequence intubation and advances in the field of emergency airway management.  This review contains 6 figures, 6 tables and 74 references Key words: difficult airway, emergency airway management, preoxygenation, surgical airway

Rapid sequence intubation for pediatric emergency airway management

2002 ◽  
Vol 18 (6) ◽  
pp. 417-423 ◽  
Author(s):  
MARK J. SAGARIN ◽  
VINCENT CHIANG ◽  
JOHN C. SAKLES ◽  
ERIK D. BARTON ◽  
RICHARD E. WOLFE ◽  
...  
Keyword(s):  
Airway Management ◽  
Pediatric Emergency ◽  
Rapid Sequence Intubation ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Rapid Sequence
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