Articles tagged "endotracheal intubation"

Troubleshooting Difficult Intubations

by Joseph Esherick, M.D., FAAFP, FHM

Have you ever been able to see the vocal cords during direct laryngoscopy but you weren’t able to pass the endotracheal tube cuff beyond the cords? This occurs not too infrequently during endotracheal intubation and I am going to share a trick for this.

Video laryngoscopy has a superior first pass success rate compared with direct laryngoscopy in the ICU

by Joseph Esherick, M.D., FAAFP, FHM

Video laryngoscopy has a superior first pass success rate and lower rate of difficult intubations and esophageal intubations compared with direct laryngoscopy for ICU intubations.

Steroids are beneficial for hospitalized patients with community-acquired pneumonia

by Joseph Esherick, M.D., FAAFP, FHM

Steroids appear to decrease mortality, need for mechanical ventilation, ARDS, and hospital length of stay for patients admitted for community-acquired pneumonia (CAP).

Predictors of failed intubations using video laryngoscopy such as failed Glidescope intubations

by Joseph Esherick, M.D., FAAFP, FHM

The overall success rate for Glidescope intubations was 97%. Success for Glidescope intubation following direct laryngoscopy and success in patients with predictors of difficult direct laryngoscopy were 94% and 96%, respectively.

GlideScope VL Improves Success of Urgent Intubation by ICU Physicians

by Joseph Esherick, M.D., FAAFP, FHM

In a randomized study, first-attempt intubation success was nearly twice as high with GlideScope video laryngoscopy compared with direct laryngoscopy in ICU patients requiring urgent intubation.

Does Cricoid Pressure Prevent Aspiration During Endotracheal Intubation?

by Joseph Esherick, M.D., FAAFP, FHM

There has always been some controversy about the utility of applying cricoid pressure (aka Sellick Maneuver) during rapid sequence intubation for the purpose of preventing aspiration. Theoretically, applying pressure on the cricoid cartilage posteriorly should occlude the esophagus against the vertebrae and therefore prevent passive regurgitation of gastric contents into the oropharynx.

Simulation Based Training Improves Airway Management Skills

by Joseph Esherick, M.D., FAAFP, FHM

Simulation-based procedural training has been shown to improve procedural competence, safety, operator confidence and most importantly patient safety for every bedside procedure studied. Now, a new systematic review and meta-analysis confirms that simulation-based training in airway management improves procedural competence with direct laryngoscopy, endotracheal intubation, video laryngoscopy, laryngeal mask airway insertion, and King tube airway insertion.