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

Are you raising the head of the bed for your intubations?

“The role of a clown and a physician are the same – it’s to elevate the possible and to relieve suffering.” -Patch Adams   Do you regularly raise the head of the bed when you intubate? Well, maybe you should!   A recent manuscript in the American Journal of Emergency Medicine (Turner et al. 2017)Read more

The 52 in 52 Review: Noninvasive ventilation for acute pulmonary edema

“There is nothing like the cure of fresh air for cases of bladder infection, paranoia, and Cartesian thinking.” -Rawi Hage   Title: “The 52 in 52 Review: Noninvasive ventilation in acute cardiogenic pulmonary edema”   Article Citation: Masip J, Roque M, Sánchez B, Fernández R, et al. Noninvasive ventilation in acute cardiogenic pulmonary edema: systematicRead more

The 52 in 52 Review: Noninvasive ventilation for COPD exacerbations

“Ventilation is the profound secret of existence” – Peter Sloterdijk   Article Citation: Brochard L, Mancebo J, Wysocki M, Lofaso F, et al. Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med. 1995 Sep 28;333(13):817-22. PMID: 7651472   What we already know about the topic: Noninvasive ventilation is an often usedRead more