Article
Medicine, General & Internal
Yili Dai, Joseph Harold Walline, Heng Yu, Huadong Zhu, Jun Xu, Xuezhong Yu
Summary: This study investigated tracheal intubation procedures in Chinese emergency departments and found a relatively high first-pass success rate but also a high rate of complications. Future education should focus on induction drugs and traditional intubation techniques.
FRONTIERS IN MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Matthias Evermann, Imme Roesner, Doris -Maria Denk-Linnert, Shahrokh Taghavi, Walter Klepetko, Konrad Hoetzenecker, Thomas Schweiger
Summary: In this study, all patients who underwent surgical repair of tracheobronchial injury at the Department of Thoracic Surgery, Medical University of Vienna between January 1999 and May 2021 were retrospectively analyzed. Patient characteristics, surgical variables, postoperative morbidity, and mortality were retrieved and analyzed.
ANNALS OF THORACIC SURGERY
(2022)
Article
Medicine, General & Internal
Christophe A. Fehlmann, Michele Chan, Romain Betend, Fiona Novotny-Court, Melanie Suppan, Georges L. Savoldelli, Laurent Suppan
Summary: The success rate of prehospital endotracheal intubation is not dependent on the medical specialty background of the physician, but anesthesiologists are more likely to proceed with intubation in patients without cardiac arrest.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Anesthesiology
Amr E. Abouleish, Charles W. Whitten, Mark E. Hudson
Summary: Measuring the clinical productivity of individual anesthesiologists is complex due to various confounding factors. Comparing work in anesthesia care with other clinical care is difficult due to differences in billing units. Understanding the impact of organizational differences, staffing models, and case load management is crucial for assessing individual and group productivity in anesthesia care.
Article
Pediatrics
Peier Zhuang, Weikai Wang, Minghua Cheng
Summary: The study found that changing head position can influence the depth of the endotracheal tube, especially in head extension. It is recommended to use reinforced endotracheal tubes in pediatric patients to reduce tube displacement.
FRONTIERS IN PEDIATRICS
(2022)
Article
Anesthesiology
Carlee A. Clark, Robert A. Mester, Amanda T. Redding, Dulaney A. Wilson, Lydia L. Zeiler, Wanda R. Jones, Jerry G. Reves, Scott T. Reeves, John J. Schaefer
Summary: This study found that only about 20% of anesthesiologists could successfully place an invasive airway in a simulated clinical setting. By using mobile simulation and mastery-based training pedagogy, the researchers were able to improve the success rate and speed of invasive airway placement, and found that the skills learned lasted for at least 15 months.
ANESTHESIA AND ANALGESIA
(2022)
Article
Critical Care Medicine
Kevin P. Seitz, Alexandra B. Spicer, Jonathan D. Casey, Kevin G. Buell, Edward T. Qian, Emma J. Graham Linck, Brian E. Driver, Wesley H. Self, Adit A. Ginde, Stacy A. Trent, Sheetal Gandotra, Lane M. Smith, David B. Page, Derek J. Vonderhaar, Jason R. West, Aaron M. Joffe, Kevin C. Doerschug, Christopher G. Hughes, Micah R. Whitson, Matthew E. Prekker, Todd W. Rice, Pratik Sinha, Matthew W. Semler, Matthew M. Churpek
Summary: A recent randomized trial showed that using a bougie did not increase the success rate of intubation in critically ill adults. This study aimed to use a machine learning model to predict individual treatment effects based on patient characteristics using data from the trial.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2023)
Article
Medicine, General & Internal
M. E. Prekker, B. E. Driver, S. A. Trent, D. Resnick-Ault, K. P. Seitz, D. W. Russell, J. P. Gaillard, A. J. Latimer, S. A. Ghamande, K. W. Gibbs, D. J. Vonderhaar, M. R. Whitson, C. R. Barnes, J. P. Walco, I. S. Douglas, V Krishnamoorthy, A. Dagan, J. J. Bastman, B. D. Lloyd, S. Gandotra, J. K. Goranson, S. H. Mitchell, H. D. White, J. A. Palakshappa, A. Espinera, D. B. Page, A. Joffe, S. J. Hansen, C. G. Hughes, T. George, J. T. Herbert, N. Shapiro, S. G. Schauer, B. J. Long, B. Imhoff, L. Wang, J. P. Rhoads, K. N. Womack, D. R. Janz, W. H. Self, T. W. Rice, A. A. Ginde, J. D. Casey, M. W. Semler
Summary: This study compares the success rates of tracheal intubation on the first attempt using video laryngoscopy versus direct laryngoscopy in critically ill adults. The findings indicate that among critically ill patients undergoing intubation in emergency departments and ICUs, the use of video laryngoscopy resulted in a higher incidence of successful intubation on the first attempt compared to direct laryngoscopy.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Editorial Material
Anesthesiology
Michael F. F. Aziz, Lauren Berkow
Summary: This article discusses the debate on whether videolaryngoscopy (VL) should be the standard of care for tracheal intubation. Dr Aziz argues in favor of VL being the standard of care, while Dr Berkow challenges that assertion. The benefits of VL include improved first-pass success rates, reduced risk of intubation failure and esophageal intubation, and benefits in difficult airway patients. However, VL is not without complications and does not guarantee a 100% success rate. The transition to VL as the standard of care may lead to a decline in competency in other airway techniques.
ANESTHESIA AND ANALGESIA
(2023)
Article
Emergency Medicine
Peter S. Antkowiak, Shin-Yi Lai, Ryan C. Burke, Margaret Janes, Tarek Zawi, Nathan I. Shapiro, Carlo L. Rosen
Summary: The objective of this study was to evaluate the characteristics and financial costs of malpractice cases among different healthcare providers. The findings showed that advanced practice providers and trainees accounted for 21% of malpractice cases and 33% of total gross indemnity paid. Understanding the differences in malpractice claims in emergency care settings can help mitigate provider risk.
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Quentin Le Bastard, Philippe Pes, Pierre Leroux, Yann Penverne, Joel Jenvrin, Emmanuel Montassier
Summary: The aim of this study was to determine risk factors predicting tracheal intubation-related complications in the prehospital setting. The study included 1915 patients from three mobile ICUs, and found that Cormack and Lehane grade >2, BMI >30, difficult intubation, and tracheal intubation requiring more than one operator were all independent predictors of complications.
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Otorhinolaryngology
Atsunobu Tsunoda, Yuko Kobayashi, Miri Tou, Kenji Sonoda, Shinpei Arai, Takashi Anzai, Fumihiko Matsumoto
Summary: The emergency endonasal endotracheal intubation under videoendoscopic observation is an effective method for upper airway stenosis cases encountered in ENT clinics. It was successful in all four cases discussed, showing its potential in various medical settings.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2021)
Article
Critical Care Medicine
Akira Nishisaki, Anthony Lee, Simon Li, Ronald C. Sanders, Calvin A. Brown, Kyle J. Rehder, Natalie Napolitano, Vicki L. Montgomery, Michelle Adu-Darko, G. Kris Bysani, Ilana Harwayne-Gidansky, Joy D. Howell, Sholeen Nett, Alberto Orioles, Matthew Pinto, Asha Shenoi, David Tellez, Serena P. Kelly, Melinda Register, Keiko Tarquinio, Dennis Simon, Conrad Krawiec, Justine Shults, Vinay Nadkarni
Summary: Effective implementation of a quality-improvement bundle was associated with a decrease in adverse tracheal intubation-associated events that was sustained for 24 months.
CRITICAL CARE MEDICINE
(2021)
Article
Anesthesiology
Audrey De Jong, Thomas Sfara, Yvan Pouzeratte, Joris Pensier, Amelie Rolle, Gerald Chanques, Samir Jabes
Summary: Using a Macintosh-style videolaryngoscope as a first-intention device for tracheal intubation is associated with a significant increase in the proportion of easy tracheal intubation.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Anesthesiology
Jun-Le Liu, Jian-Wen Jin, Li-Li Lin, Zhong-Meng Lai, Jie-Bo Wang, Jian-Sheng Su, Liang-Cheng Zhang
Summary: The study found that risk factors for emergent endotracheal intubation (ETI) after esophagectomy include older age, smoking history, and longer stay time in the postanesthesia care unit (PACU). ETI also affects the overall survival (OS) of patients.
BMC ANESTHESIOLOGY
(2022)