Articles: intubation.
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Critical care medicine · Oct 2020
Multicenter Study Observational StudyImpact of Failure of Noninvasive Ventilation on the Safety of Pediatric Tracheal Intubation.
Noninvasive ventilation is widely used to avoid tracheal intubation in critically ill children. The objective of this study was to assess whether noninvasive ventilation failure was associated with severe tracheal intubation-associated events and severe oxygen desaturation during tracheal intubation. ⋯ Critically ill children are frequently exposed to noninvasive ventilation before intubation. Noninvasive ventilation failure was not independently associated with severe tracheal intubation-associated events or severe oxygen desaturation compared to primary tracheal intubation.
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Eur J Trauma Emerg Surg · Oct 2020
Comparative Study Observational StudyFirst attempt success of video versus direct laryngoscopy for endotracheal intubation by ambulance nurses: a prospective observational study.
The aim of this study was to compare the rate of first attempt success of endotracheal intubation performed by ambulance nurses in patients with a Glasgow Coma Scale (GCS) of 3 using video laryngoscopy versus direct laryngoscopy. ⋯ Although no significant effect on the first attempt success was found, video laryngoscopy did increase the overall success rate. Ambulance nurses had a more positive valuation of the video laryngoscope with respect to success chances.
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Anesthesia and analgesia · Oct 2020
Randomized Controlled TrialThe Effects of a Shoulder Roll During Laryngoscopy in Infants: A Randomized, Single-Blinded, Crossover Study.
The use of a shoulder roll to view the glottic opening during direct laryngoscopy in infants has been recommended but is not evidence based. ⋯ A 2-inch shoulder roll lowers the line of sight of the glottic opening compared with no shoulder roll, without affecting the view of the glottic opening during laryngoscopy in infants.