Emergency management of the airway outside the operating room

Bogdonoff, David L.; Stone, David J.

doi:10.1007/bf03008378

Cited by 14 publications

(2 citation statements)

References 186 publications

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“…[11][12][13][14][15][16][17][18][19][20] Discussion of each article with one of the airway teaching attendings, demonstrating adequate article knowledge of general principles, is required for successful rotation completion. Articles for the first month focus on ASA standards, as well as flexible fiberoptic techniques.…”

Section: Curriculummentioning

confidence: 99%

Resident training in advanced airway management

Dunn

Connelly

Robbins

2004

Journal of Clinical Anesthesia

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Section: Curriculummentioning

confidence: 99%

Resident training in advanced airway management

Dunn

Connelly

Robbins

2004

Journal of Clinical Anesthesia

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“…Measurement of human respired carbon dioxide (CO 2 ) using capnography has demonstrated promises application in numerous areas of medicine, including monitoring of airway patency, quality of CPR efforts, and as indicators of abnormal gas exchange [1][2][3][4][5]. Due to the well-known difference observe with coaching and patient effort, a recommendation for the evaluation of the peak expiratory flow rate (PEFR) and forced expiratory volume in 1-second (FEV1) require consideration of the best of three efforts [6,7].…”

Section: Introductionmentioning

confidence: 99%

Carbon Dioxide Waveform Features During Pre and Post Treatment Asthmatic Patient in Emergency Department

2023

Summer 2023 Int’l Conference Proceedings BSHESS-23, PICEST-23, IIETH-23, ICABE-23, IL2ES2-23 &Amp; IBMEL-23

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Capnography, measured respired carbon dioxide in human respiration, is showing promising use in various areas of medicine, including monitoring of airway patency, quality of CPR efforts, and as indicators of abnormal gas exchange. The quantitative characterization of the carbon dioxide (CO 2 ) waveforms has potentially been shown to indicate changes in respiratory airflow, which may be clinical use in discriminating asthmatic severity. The potential clinical application must be evaluated by identifying CO 2 waveform indices which change significantly during an acute asthmatic attack. Hence, we aim to assess the CO 2 waveform indices (Area and Slope), extracted computationally from three different regions, upward expiratory (4-10 mmHg and 11-15 mmHg) and alveolar phase during pre-and post-treatment using newly developed human respiration, carbon dioxide (CO 2 ) measurement device. We recruited 23 asthmatic patients via convenience sampling method.A signal processing algorithm was applied for automatic segmentation and feature computations, and a paired sample t-test, and Box-whisker plot was performed to know the significant difference of features during the preand -post intervention. We found that both the parameters (Area and Slope) were most notable for lower part of expiratory phase (4-10 mmHg, p<0.05), followed by the alveolar period (p<0.05), while upper part of upward expiratory phase (11-15 mmHg) was insignificant for Area (p > 0.05) and significant for slope (p < 0.05). Thus, the inclusion of the features above into the lately developed device may have the potential for the assessment of respiratory distress conditions like asthma in and out of clinical settings as a patient-independent method.

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Emergency airway management (1)

Crosby

Reid

1993

Can J Anaesth

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Stone are to be commended on their prudent and practical review of the topic of airway management outside of the operating room. ~ However, the one conclusion that we did not find ourselves in agreement with the authors on concerned the management of the adult patient with epiglottis. Bogdonoff and Stone seem to support routine intubation of the adult with epiglottitis. This differs from our management which has been one of selective intubation. 2It has been our institutional experience that adults with epiglottitis always present with severe sore throat and less commonly (29% of patients) is respiratory distress a presenting feature. It is our impression that adults usually come to hospital earlier in the course of the illness than do children, are more able to communicate their distress than are young children and are less likely to present with the dramatic airway compromise seen in the paediatric patient with epiglottitis. The diagnosis in the adult may be safely made with indirect (mirror) examination or with nasal fibreoptic laryngoscopy and, although this is well tolerated in the adult, direct examination of the paediatric airway in the emergency room is ill-advised. Adult patients without evidence of respiratory distress should be provided with supplemental humidified oxygen, intravenous antibiotics are started and they should be observed in a critical care setting. There must be the capability to intervene quickly to secure the airway should airway compromise occur. It is our opinion, shared by others, that "sudden respiratory arrest" usually occurs in patients presenting already in extremis or in those presenting in respiratory distress, who are then admitted to hospital without close observation. 3 Our experience, which is supported by a review of 812 cases from the otolaryngology literature, suggests that intubation, properly carded out in adult patients presenting with respiratory distress, will be required in about 20% of patients.

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Emergency management of the airway outside the operating room

Abstract: Emergency management of the airway outside the operating room

Cited by 14 publications

References 186 publications

Resident training in advanced airway management

Resident training in advanced airway management

Carbon Dioxide Waveform Features During Pre and Post Treatment Asthmatic Patient in Emergency Department

Emergency airway management (1)

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