... at the teeth in males and 21 cm in females,
reflecting the average teeth-to-carina distance of
27 and 23 cm in the average male and female,
respectively.
Surgical Airway Anatomy
One-third of the ... an inappropriate fix-
ation on the more invasive technique of
endotracheal intubation. As a potentially
life-saving skill, BMV is a critical step in oxy-
genating a patient before and...
... supporting the use
of defasciculating agents prior to succinylcholine
use in brain-injured patients. In practice, suc-
cinylcholine is commonly used to facilitate intu-
bation in this population.
72
Succinylcholine ... mg).
Onset/Duration: Onset is within 5 minutes
(intravenous) or 20 minutes (intramuscular).
Clinical duration is 1 2 hours.
AIRWAY PHARMACOLOGY 22 1
Onset/Duration...
... Emerg Med. 20 05;45(1):
37– 42.
7. Gill MR, Reiley DG, Green SM. Interrater reliabil-
ity of Glasgow Coma Scale scores in the emergency
department. Ann Emerg Med. 20 04;43 (2) :21 5 22 3.
8. Al-Salamah ... airway edema.
It must be appreciated that active airway
interventions such as intubation are not without
complications. Intubation for the indications of
obtaining and maintaining...
... cardiopulmonary
resuscitation. Cardiol Clin. 20 02; 20(1):1– 12.
5. Martin PD, Cyna AM, Hunter WA, et al. Training
nursing staff in airway management for resuscita-
tion. A clinical comparison of the facemask ... also pre-
dicted (see Chap. 11).
B. Defining the failed airway: In the setting
of failed intubation, the inability to maintain
the SaO
2
>90% with BMV defines failed...
... Neonates/infants up to 5 kg
11 /2 Infants 5–10 kg
2 Infants/children 10 20 kg
21 /2 Children 20 –30 kg
3 Children 30–50 kg
LMA ProSeal 11 /2 Infants 5–10 kg
2 Children 10 20 kg
21 /2 Children 20 –30 kg
3 ... kg
2 Infants/children10 20 kg
2. 5 Children 20 –30 kg
3 Children 30–50 kg
Combitube SA 4–6 ft, 122 –186 cm in height
King LT, LT-D, and LTS-D 0 Newborn, <5 kg
1 Infan...
... by applying
2% lidocaine jelly to, and inserting a nasopha-
ryngeal airway, or using a cotton pledget
soaked with 2% lidocaine with epinephrine.
Alternatively, one of the previously men-
tioned ... facilitate
tracheal intubation, and that intubation in turn
is only one facet of airway management.
᭤ RSI IN EMERGENCIES: WHY
USE IT?
RSI is being used increasingly in emergency
depar...
... postintubation
sedation include:
• Midazolam: 0. 025 –0.05 mg/kg IV q 30–60 min
(e.g., 2 5 mg in a 70-kg patient).
• Propofol: 25 –100 µg/kg/min (10–40 mL/h in
a 70-kg patient) by infusion. A 0 .2 0.6 ... in a 70-kg patient)
• Morphine: 0. 025 –0.1 mg/kg q 20 –30 min prn
(e.g., 2 5 mg in a 70-kg patient)
In most circumstances, initial control of the
patient after tracheal intuba...
... patient in whom having adequate levels of
circulating cortisol is thought to be a determi-
nant of outcome.
11, 12
2 62 CHAPTER 17
᭤ Case 17 .2
A 22 -year-old man was ejected from his vehi-
cle in a ... facilitate airway
management in the morbidly obese, includ-
ing laryngoscopy.
2
THE CRITICALLY ILL PATIENT 26 1
• Following successful tracheal intubation in
this patient wi...