Blog

Awake Intubation Topicalization

Compiled from a variety of sources from #FOAMed (specifically, NYSORA and the ACCRAC podcast) and inspired by morning report today with Taryn and Tina, here is a quick and dirty rundown for awake intubation. Firstly, we should be considering this method when the two Venn diagrams of “anatomically challenging” and “enthusiastically cooperative” overlap in theRead more

How-To: Preoxygenation via SIMV Noninvasive Ventilation

Inspired by a morning report discussion from our very own Lara Vanyo on preoxygenation strategies, I thought it would helpful for a brief run-down on the button-pushing needed to perform preoxygenation by way of noninvasive ventilation. The video below is specific to the vents we have at Sinai–Weingart and Elmer have already shown us how toRead more

Use ultrasound for confirmation of endotracheal tube intubation!

“Trust, but verify” -Ronald Reagan   Why would you need ultrasound for tube confirmation? You can confirm placement with direct visualization (sometimes video laryngoscopy), use end tidal CO2, look for color change on colorimetric capnography, listen for bilateral breath sounds, check pulse oximetry, and look for fogging in the tube. In most cases, these methodsRead more

No Sir, You Cannot Eat or Drink While in the Ed

@JoePinero – Much literature has been devoted to the attempt of proving the benefit of fasting as it relates to dangerous aspiration events during intubation or procedural sedation. Despite an overwhelming amount of literature pointing out a lack of benefit to fasting, most radiologist and anesthesiologists are very upset if they find out that theirRead more