Article
Critical Care Medicine
Natalie Napolitano, Lee Polikoff, Lauren Edwards, Keiko M. Tarquinio, Sholeen Nett, Conrad Krawiec, Aileen Kirby, Nina Salfity, David Tellez, Gordon Krahn, Ryan Breuer, Simon J. Parsons, Christopher Page-Goertz, Justine Shults, Vinay Nadkarni, Akira Nishisaki
Summary: This study aimed to determine if apneic oxygenation (AO) delivered via nasal cannula during tracheal intubation (TI) reduces adverse TI-associated events (TIAEs) in children. The study found that AO utilization was associated with a lower incidence of adverse TIAEs, but after further adjusting for patient and provider characteristics, AO utilization was not independently associated with the occurrence of adverse TIAEs and the occurrence of hypoxemia was not different.
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)
Review
Anesthesiology
Vincenzo Russotto, Lua S. Rahmani, Matteo Parotto, Giacomo Bellani, John G. Laffey
Summary: Tracheal intubation is a common and high-risk procedure in critical care, with potential adverse events that increase the risk of death. Critically ill patients have a higher risk of peri-intubation complications due to their deranged physiology. Preoxy-genation strategies have been studied, but evidence on interventions to mitigate haemodynamic collapse after intubation is inconclusive. Airway management in COVID-19 patients is challenging due to the added risk of infection for healthcare workers. This review aims to update the evidence for intubation in critically ill patients, focusing on understanding peri-intubation risks and evaluating interventions to prevent or mitigate adverse events.
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2022)
Article
Emergency Medicine
Matthew E. Prekker, Ashley R. Bjorklund, Carrie Myers, Lauren Harvey, Gabriella B. Horton, Jack Goldstein, Sarah C. Usher, Robert F. Reardon, Aaron Robinson, Ashley M. Strobel, Brian E. Driver
Summary: This study observed the use of bougie during emergency tracheal intubation in children and compared the success rate and complications between patients with and without bougie use. The results showed that the success rate of first-attempt intubation was 72% with bougie use and 78% without bougie use. The incidence of procedural complications was 38% in the bougie group and 51% in the no bougie group. The study suggests the need for a randomized clinical trial to determine the effect of bougie use in pediatric emergency intubation.
ANNALS OF EMERGENCY MEDICINE
(2023)
Article
Critical Care Medicine
Vincenzo Russotto, Elena Tassistro, Sheila N. Myatra, Matteo Parotto, Laura Antolini, Philippe Bauer, Jean Baptiste Lascarrou, Konstanty Szuldrzynski, Luigi Camporota, Christian Putensen, Paolo Pelosi, Massimiliano Sorbello, Andy Higgs, Robert Greif, Antonio Pesenti, Maria Grazia Valsecchi, Roberto Fumagalli, Giuseppe Foti, Giacomo Bellani, John G. Laffey
Summary: This study aimed to identify modifiable factors associated with cardiovascular instability/collapse during tracheal intubation in critically ill patients. The results showed that older age, higher heart rate, lower systolic blood pressure, lower oxygen saturation, and the use of propofol as an induction agent were associated with this event. Peri-intubation cardiovascular instability/collapse was associated with an increased risk of ICU and 28-day mortality, and propofol use was found to be a modifiable intervention significantly associated with this risk.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Review
Critical Care Medicine
Sheila Nainan Myatra
Summary: Recent interventions have focused on reducing the risks associated with tracheal intubation in critically ill patients, such as minimizing repeated attempts, optimizing peri-intubation oxygenation, and careful selection of drugs to improve patient safety and first pass success rates.
CURRENT OPINION IN CRITICAL CARE
(2021)
Article
Pediatrics
Vijay Kumar, Suresh Kumar Angurana, Arun Kumar Baranwal, Karthi Nallasamy
Summary: This study compared the rate of post-extubation airway obstruction (PEAO) between nasotracheal and orotracheal intubation in mechanically ventilated critically ill children. The results showed no significant difference in PEAO rate between the two methods.
FRONTIERS IN PEDIATRICS
(2021)
Editorial Material
Critical Care Medicine
Brendan Burke, William Tierney, Rachel Georgopoulos, Samir Q. Latifi, Hemant S. Agarwal
Summary: Involvement of the upper airway in the systemic lupus erythematosus (SLE) disease process is uncommon, but can lead to severe complications such as acute tracheal necrosis. Prompt airway evaluation and treatment are crucial for the recovery of SLE patients with rare upper airway involvement.
Article
Medicine, General & Internal
Vincenzo Russotto, Sheila Nainan Myatra, John G. Laffey, Elena Tassistro, Laura Antolini, Philippe Bauer, Jean Baptiste Lascarrou, Konstanty Szuldrzynski, Luigi Camporota, Paolo Pelosi, Massimiliano Sorbello, Andy Higgs, Robert Greif, Christian Putensen, Christina Agvald-Ohman, Athanasios Chalkias, Kristaps Bokums, David Brewster, Emanuela Rossi, Roberto Fumagalli, Antonio Pesenti, Giuseppe Foti, Giacomo Bellani
Summary: This observational study on intubation practices in critically ill patients from an international sample of 197 sites across 29 countries found that major adverse peri-intubation events, particularly cardiovascular instability, occurred frequently.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Anesthesiology
Vincenzo Russotto, Jean Baptiste Lascarrou, Elena Tassistro, Matteo Parotto, Laura Antolini, Philippe Bauer, Konstanty Szuldrzynski, Luigi Camporota, Christian Putensen, Paolo Pelosi, Massimiliano Sorbello, Andy Higgs, Robert Greif, Giacomo Grasselli, Maria G. Valsecchi, Roberto Fumagalli, Giuseppe Foti, Pietro Caironi, Giacomo Bellani, John G. Laffey, NTUBE Study Investigators
Summary: Videolaryngoscopy is associated with higher first-pass intubation success rates in critically ill patients and does not increase the risk of major adverse events.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Review
Critical Care Medicine
Craig Steven Jabaley
Summary: This article is one of the selected ten reviews from the Annual Update in Intensive Care and Emergency Medicine 2023. Other selected articles can be found at https://www.biomedcentral.com/collections/annualupdate2023. More information about the Annual Update in Intensive Care and Emergency Medicine is available at https://link.springer.com/bookseries/8901.
Article
Health Care Sciences & Services
Chih-Pin Yang, Hsiang-Ning Luk, Jason Zhensheng Qu, Alan Shikani
Summary: This article introduces the use of the Shikani video-assisted intubating stylet and technique as a safe, speedy, and effective way to intubate COVID-19 patients. By using this technique, the risk of COVID-19 exposure for airway personnel can be minimized.
Article
Anesthesiology
Luis Sequera-Ramos, Elizabeth K. Laverriere, Annery G. Garcia-Marcinkiewicz, Bingqing Zhang, Pete G. Kovatsis, John E. Fiadjoe
Summary: This study compared the first-attempt success rate and complications of sedated tracheal intubation versus tracheal intubation under general anesthesia in children with difficult airways. The results showed that sedation and general anesthesia had a similar rate of first-attempt success. However, 27.6% of the sedation cases needed to be converted to general anesthesia to complete tracheal intubation. The overall rate of complications was similar between the groups, and the rate of severe complications was low.
Article
Dermatology
Fujin Chen, Xiaobo Wang, Yujie Pan, Bukao Ni, Jianhua Wu
Summary: This study investigated the association between body mass index (BMI) and pressure ulcers in critically ill patients using data from a database. The results showed a U-shaped correlation between BMI and pressure ulcers, with the risk decreasing rapidly and reaching its minimum at a BMI of 27.5 kg/m2, followed by a slow increase. The risk was highest among underweight patients and lowest among overweight patients, highlighting the need for targeted prevention strategies.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Anesthesiology
James Peyton, Raymond Park, Steven J. Staffa, Stefano Sabato, Thomas W. Templeton, Mary Lyn Stein, Annery G. Garcia-Marcinkiewicz, Edgar Kiss, John Edem Fiadjoe, Britta Von Ungern-Sternberg, Franklin Chiao, Patrick Olomu, David Zurakowski, Pete G. Kovatsis
Summary: The study found that, in infants weighing less than 5 kg, the success rate of tracheal intubation using standard-shaped videolaryngoscope blades was significantly higher than using non-standard-shaped blades. Therefore, in children within this weight range, using standard-shaped videolaryngoscope blades is a sensible choice for tracheal intubation.
BRITISH JOURNAL OF ANAESTHESIA
(2021)