2017
DOI: 10.1016/j.jemermed.2016.11.013
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Awake Laryngoscopy in the Emergency Department

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Cited by 14 publications
(13 citation statements)
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“…Alternatively, this study provides the option to use 4% xylocaine gargle with equal efficacy in reduction of bouts of cough. The anesthetic effect given by 4% xylocaine gargle was suitable for performing the VLS [33][34][35]. However, the risk of aerosols generation during the gargle was found to be more.…”
Section: Discussionmentioning
confidence: 99%
“…Alternatively, this study provides the option to use 4% xylocaine gargle with equal efficacy in reduction of bouts of cough. The anesthetic effect given by 4% xylocaine gargle was suitable for performing the VLS [33][34][35]. However, the risk of aerosols generation during the gargle was found to be more.…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, etomidate—which is a nonbenzodiazepine sedative—has been shown to be relatively hemodynamically neutral [ 4 , 5 ], which means there is actually no need for dose reduction in shocked patients [ 11 ]. Ketamine is a particularly suitable agent in this situation due to sympathomimetic properties [ 3 , 5 , 12 , 13 ]. In addition, some neuromuscular blocking agents have indirect cardiovascular effects through histamine release and parasympathetic activity which should also be taken into consideration [ 3 5 , 12 ].…”
Section: Discussionmentioning
confidence: 99%
“…Ketamine is a particularly suitable agent in this situation due to sympathomimetic properties [ 3 , 5 , 12 , 13 ]. In addition, some neuromuscular blocking agents have indirect cardiovascular effects through histamine release and parasympathetic activity which should also be taken into consideration [ 3 5 , 12 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Inexpensive disposable in‐line manometers are available for BVMs and their use is recommended to avoid excessive manual ventilation pressures, which can increase the risk of gastric insufflation and regurgitation . Alternatively, avoiding RSI altogether and performing an awake intubation is sometimes the most prudent course of action in the physiologically compromised patient . It is worth noting that a HNFC system can also be used during awake intubations to prevent desaturation …”
mentioning
confidence: 99%