... 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
departments and selected ... whether the
clinician can easily take over what the
patient is presently doing for him- or her-
self. Especially if difficulty is predicted
in both intubating the patient and...
... 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 a patent airway ... to epinephrine.
Concomitant basic airway management may
well still be indicated in these scenarios, and
depending on the response to treatment, intu-
bation may also be required.
I...
... anatomy of the upper airway.
Emerg Med Clin North Am. 1988 ;6( 4) :63 9 66 9.
5. Tintinalli JE, Claffey J. Complications of nasotra-
cheal intubation. Ann Emerg Med. 1981;10(3):
142–144.
6. Latorre F, Otter ... 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...
... 5–23).
Continuously reading capnographs are being
used increasingly in out-of-operating room (OR)
environments, using infrared spectrometry to
measure and display carbon dioxide concentra-
tion in inspired ... 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
oxygenat...
... laryngeal inlet.
65 68
As with the LMA Fastrach
TM
, the “up-down”
(withdrawing the inflated mask 6 cm, then
readvancing it) will often help release a down-
folded epiglottis.
65 ,66 ,68
If only ... hands-free airway in routine oper-
ating room (OR) cases. It has also been suc-
cessfully used on many occasions in airway
emergencies, both in and out of the OR. It is
reasonably...
... stacking and “auto-PEEP.” Acci-
dental hyperventilation is also undesirable in
the head-injured patient without appropriate
indications. Most self-inflating manual resuscita-
tors contain a volume ... patients requiring airway management in
emergencies will need to be intubated. Most
intubations in emergencies are facilitated by
direct laryngoscopy, so a good starting point for...
... data 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 ... The use of suc-
cinylcholine in open eye surgery. Anesthesiology.
1985 ;62 (5) :63 7 64 0.
68 . Vinik HR. Intraocular pressure changes during
rapid sequence induc...
... goals in man-
aging this patient’s airway include the following:
• Attenuation or control of patient hemody-
namics with judicious pharmacological
intervention, seeking:
⅙ Minimal increase in ... nebulized epinephrine aerosol may
help temporarily shrink the edematous com-
ponent.
12,13
• In certain cases of angioedema, a conserva-
tive approach including the use of epineph-
rine may...