Transtracheal Ultrasound Can Confirm Endotracheal Intubations

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Chest Tube, Emergency Procedures, Endotracheal Intubation, medical procedures
More Tags – endotracheal intubation, HPC updates, transtracheal ultrasound
In the emergency department (ED), colorimetric or quantitative capnography is the gold standard for confirmation of endotracheal tube placement. Capnography may be unreliable in patients with severe pulmonary obstruction, greatly reduced pulmonary circulation, or cardiac arrest. Transtracheal ultrasound imaging with…
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GlideScope VL Improves Success of Urgent Intubation by ICU Physicians

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, Endotracheal Intubation, Gastrointestinal diseases, Glidescope Intubation, King Tube, medical procedures, Respiratory diseases
More Tags – direct laryngoscopy, endotracheal intubation, Glidescope intubation, HPC updates, rapid sequence intubation
Use of video laryngoscopy (VL) results in improved glottic views, fewer intubation attempts, and higher intubation success in both operating room and emergency department (ED) patients. Less is known about performance characteristics of VL during urgent inpatient intubations performed in…
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Pre-hospital cardiac arrest patients do best with supraglottic airway or BVM ventilation

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Cardiovascular diseases, Endotracheal Intubation, King Tube, Mechanical Ventilation, Medical General, medical procedures, Respiratory diseases
More Tags – airway management, cardiac arrest, HPC updates, intubation, King tube, supraglottic airways
Cardiac arrest patients who were intubated had similar outcomes to those who had a supraglottic airway device (e.g., King tube) inserted in the pre-hospital setting. A literature review of 5 studies and over 300,000 patients with pre-hospital cardiac arrest demonstrated…
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Does Cricoid Pressure Prevent Aspiration During Endotracheal Intubation?

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, Endotracheal Intubation, Gastrointestinal diseases, Glidescope Intubation, King Tube, Laryngeal Mask Airway, medical procedures, Respiratory diseases
More Tags – cricoid pressure, endotracheal intubation, Glidescope intubation, HPC updates, King tube airway, laryngeal mask airway, rapid sequence intubation
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…
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Should Endotracheal Intubation Become a Videogame?

Dr. Rick Rutherford, M.D., FAAFP
More Articles – Emergency Procedures, Endotracheal Intubation, Gastrointestinal diseases, Glidescope Intubation, Laryngeal Mask Airway, medical procedures, Respiratory diseases
More Tags – endotracheal intubation, GlideScope, HPC updates, intubation, laryngeal mask airway, laryngoscopy
Direct vs Video Laryngoscopy In 1878 William MacEwan first passed a tube into the trachea of an awake patient using his fingers as a guide.  Now health care providers routinely perform endotracheal intubation as a life saving intervention.  Despite over…
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Endotracheal Intubation When You Can’t See the Cords: the Bougie is Your Friend

Hospital Procedure Consultants
More Articles – Emergency Procedures, Endotracheal Intubation, Laryngeal Mask Airway, medical procedures, Respiratory diseases
More Tags – airway management, Bougie, difficult airway management, intubation
Endotracheal Intubation When You Can’t See the Cords: the Bougie is Your Friend This is a problem that every emergency physician or hospitalist faces on occasion and if you haven’t encountered this problem then you haven’t done enough intubations.  There…
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