... 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 intubation can be obtained
without ... stacking and “auto-PEEP.” Acci-
dental hyperventilation is also undesirable in
the head-injured patient without appropriate
indications. Most self-inflating manual resuscita-
to...
... 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...
... prior written permission of the publisher.
0-0 7- 1 5934 8-9
The material in this eBook also appears in the print version of this title: 0-0 7- 1 470 0 5-0 .
All trademarks are trademarks of their respective ... airway edema.
It must be appreciated that active airway
interventions such as intubation are not without
complications. Intubation for the indications of
obtaini...
... hemoglo-
bin desaturation will occur before return to
an unparalyzed state following 1 mg/kg intra-
venous succinylcholine. Anesthesiology. 19 97; 87( 4):
979 –982.
2. Mort TC. Preoxygenation in critically ... 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...
... 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 easy to insert, ... latex-free and consist
of a large-bore airway tube with proximal stan-
dard 15-mm connector, and a bowl-shaped dis-
tal cuff which is inflated via a valve on an infla-
tion line. Wit...
... 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 ... for most awake intubations in the emer-
gency, out-of-OR setting. Other tools used for
awake intubations include video-based and
rigid or semi-rigid fiberoptic scopes.
5
A des...
... 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 ... with metocurine prevents
succinylcholine-induced increases in intracranial
pressure. Anesthesiology. 19 87; 67( 1):50–53.
71 . Minton MD, Grosslight K, Stirt JA, et...
... Croskerry P. Critical thinking and decisionmaking:
avoiding the perils of thin-slicing. Ann Emerg Med.
2006;48(6) :72 0 72 2.
9. Gladwell M. Blink: The power of thinking with-
out thinking. New York: Brown ... and, 271
physiologic challenges, 270 – 271
technical challenges, 271 – 272
bag-mask ventilation in, 48
case presentation, 270
failed intubation in, 272 – 273
postintubation care,...