AIRWAY MANAGEMENT IN EMERGENCIES - PART 7 ppt

... in a 70 -kg patient) • Morphine: 0.025–0.1 mg/kg q 20–30 min prn (e.g., 2–5 mg in a 70 -kg patient) In most circumstances, initial control of the patient after tracheal intubation can be obtained without ... stacking and “auto-PEEP.” Acci- dental hyperventilation is also undesirable in the head-injured patient without appropriate indications. Most self-inflating manual resuscita- to...

Ngày tải lên: 10/08/2014, 18:20

... goals in man- aging this patient’s airway include the following: • Attenuation or control of patient hemody- namics with judicious pharmacological intervention, seeking: ⅙ Minimal increase in ... nebulized epinephrine aerosol may help temporarily shrink the edematous com- ponent. 12,13 • In certain cases of angioedema, a conserva- tive approach including the use of epineph- rine may...

Ngày tải lên: 10/08/2014, 18:20

... prior written permission of the publisher. 0-0 7- 1 5934 8-9 The material in this eBook also appears in the print version of this title: 0-0 7- 1 470 0 5-0 . All trademarks are trademarks of their respective ... airway edema. It must be appreciated that active airway interventions such as intubation are not without complications. Intubation for the indications of obtaini...

Ngày tải lên: 10/08/2014, 18:20

... hemoglo- bin desaturation will occur before return to an unparalyzed state following 1 mg/kg intra- venous succinylcholine. Anesthesiology. 19 97; 87( 4): 979 –982. 2. Mort TC. Preoxygenation in critically ... an inappropriate fix- ation on the more invasive technique of endotracheal intubation. As a potentially life-saving skill, BMV is a critical step in oxy- genating a patient before...

Ngày tải lên: 10/08/2014, 18:20

... 5–23). Continuously reading capnographs are being used increasingly in out-of-operating room (OR) environments, using infrared spectrometry to measure and display carbon dioxide concentra- tion in inspired ... also pre- dicted (see Chap. 11). B. Defining the failed airway: In the setting of failed intubation, the inability to maintain the SaO 2 >90% with BMV defines failed oxygenat...

Ngày tải lên: 10/08/2014, 18:20

... hands-free airway in routine oper- ating room (OR) cases. It has also been suc- cessfully used on many occasions in airway emergencies, both in and out of the OR. It is reasonably easy to insert, ... latex-free and consist of a large-bore airway tube with proximal stan- dard 15-mm connector, and a bowl-shaped dis- tal cuff which is inflated via a valve on an infla- tion line. Wit...

Ngày tải lên: 10/08/2014, 18:20

... facilitate tracheal intubation, and that intubation in turn is only one facet of airway management. ᭤ RSI IN EMERGENCIES: WHY USE IT? RSI is being used increasingly in emergency departments and selected ... for most awake intubations in the emer- gency, out-of-OR setting. Other tools used for awake intubations include video-based and rigid or semi-rigid fiberoptic scopes. 5 A des...

Ngày tải lên: 10/08/2014, 18:20

... supporting the use of defasciculating agents prior to succinylcholine use in brain-injured patients. In practice, suc- cinylcholine is commonly used to facilitate intu- bation in this population. 72 Succinylcholine ... with metocurine prevents succinylcholine-induced increases in intracranial pressure. Anesthesiology. 19 87; 67( 1):50–53. 71 . Minton MD, Grosslight K, Stirt JA, et...

Ngày tải lên: 10/08/2014, 18:20

... Croskerry P. Critical thinking and decisionmaking: avoiding the perils of thin-slicing. Ann Emerg Med. 2006;48(6) :72 0 72 2. 9. Gladwell M. Blink: The power of thinking with- out thinking. New York: Brown ... and, 271 physiologic challenges, 270 – 271 technical challenges, 271 – 272 bag-mask ventilation in, 48 case presentation, 270 failed intubation in, 272 – 273 postintubation care,...

Ngày tải lên: 10/08/2014, 18:20

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