A novel technique to intubate patients without reliable pulse oximetry
| Autor: | David E. Slattery, Ken Davis, Ryan Hodnick, Noam Dadon, Ross P. Berkeley, Tony Zitek |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Novel technique
Critical Illness medicine.medical_treatment law.invention Pulmonary Disease Chronic Obstructive 03 medical and health sciences Oxygen Consumption 0302 clinical medicine law Biphasic cuirass ventilation Intubation Intratracheal medicine Humans Intubation Oximetry 030212 general & internal medicine Airway Management medicine.diagnostic_test Critically ill business.industry 030208 emergency & critical care medicine General Medicine Emergency department Middle Aged Pulse oximetry Anesthesia Ventilation (architecture) Emergency Medicine Female Airway management Emergency Service Hospital business |
| Zdroj: | The American Journal of Emergency Medicine. 36:2131.e1-2131.e2 |
| ISSN: | 0735-6757 |
| Popis: | Although advances have been made in the approach to airway management, intubating critically ill patients in the Emergency Department (ED) can still be perilous. In some cases, poor peripheral perfusion may preclude obtaining a consistent or reliable pulse oximetry waveform, and the intubator will not accurately know when the patient begins to desaturate. We describe a case of a patient requiring intubation in whom we were unable to obtain a consistent pulse oximetry waveform. We utilized a novel technique in which a Biphasic Cuirass Ventilation (BCV) device was applied to maintain oxygenation and ventilation during the performance of rapid sequence intubation (RSI). This technique has the potential to improve the safety of RSI, especially in the critically ill patient. |
| Databáze: | OpenAIRE |
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