• Am J Emerg Med · Aug 2017

    Review

    Pre-oxygenation: Implications in emergency airway management.

    • Ali Pourmand, Chelsea Robinson, Kelsey Dorwart, and Francis O'Connell.
    • Emergency Medicine Department, George Washington University, Washington, DC, United States. Electronic address: apourmand@mfa.gwu.edu.
    • Am J Emerg Med. 2017 Aug 1; 35 (8): 1177-1183.

    AbstractTransient oxygen desaturation during emergency department intubation is an event with potentially devastating consequences. Pre-oxygenation is an important means of increasing a patient's oxygen reserve and duration of safe apnea prior to intubation. In the emergent setting, important modifications to pre-oxygenation techniques need to be considered to best manage critically ill patients. In this review, we discuss recent updates in pre-oxygenation techniques and evaluate the evidence supporting both commonly used and newly emerging techniques for pre-oxygenation, assessing nature and level of illness, the best delivery method of oxygen, using delayed sequence intubation in patients who cannot tolerate non-invasive pre-oxygenation and using apneic oxygenation via nasal cannula and non-rebreather mask during intubation.Copyright © 2017 Elsevier Inc. All rights reserved.

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