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@anaes_journal
๐ผ๐ฃ๐๐๐จ๐ฉ๐๐๐จ๐๐ is the official journal of @Assoc_Anaes with comprehensive coverage in peri-operative medicine, critical care and pain. IF 7.5.
ID: 625689011
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2044 03-07-2012 16:34:36
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Sam Ghali, M.D. Anaesthesia, ICU, ED, PHEM CAPNOGRAPHY is THE only reliable way to confirm correct position of a tracheal tube. In life and in cardiac arrest. Clinical signs are of close to zero value. Look for sustained exhaled CO2: ie - goes up & down with ventilation - sustained - above 1
Joey Hospital ๐๐ Sam Ghali, M.D. Just in case this is not ironicโฆ.. -the tube fogs in 70% of oesophageal intubations -chest rises in many oesophageal intubations Studies collated here โฆ-publications.onlinelibrary.wiley.com/doi/full/10.11โฆ And the potential for โIโve got misting, chest rise and now Iโll look at the capnographโ to cause
The majority of our X responders agree with Whaite et al in โSterile gowns for spinal anaesthesia โ environmental cost without clinical gain?โ Low incidence of infection & large volume of waste - is it time for new national guidance and more research? โฆ-publications.onlinelibrary.wiley.com/doi/full/10.11โฆ
Could the over-generous use of opioids at induction be implicated as a cause of cardiac arrest in obstetric patients w haemorrhage? Should they be treated like trauma patients ie with judicious use of opioids and an induction with drugs like ketamine? ๐โฆ-publications.onlinelibrary.wiley.com/doi/full/10.11โฆ
้้ขใใฆ๏ผใซๆใฎ้ใซ่บซไฝๆฉ่ฝใซๅ้กใๆฑใใไบบใฏ59๏ผ ใซใ้ใใใฎใซใ้้ขๅพใฎใชใใใฉใญใผใฏ25๏ผ ๆชๆบใจใใ่กๆใฎ็ตๆใๅ ฅ้ขใใฆใใไปใๅคงไธๅคซใ ใใใใจๅฎๅฟใใใฎใงใฏใชใใใใฎๅพใใใฃใใใใฉใญใผใใไฝๅถใๅฟ ่ฆใงใใญใ โฆ-publications.onlinelibrary.wiley.com/doi/10.1111/anโฆ ๏ผ้ขๅบใฎใจใใใณใน
In adults with anticipated difficult airway management Would you use: โข hyperangulated VL? OR โข Macintosh VL? The percentage of glottic opening (POGO) was 89% in HAVL & 54% in MAC VL. Is this difference in POGO clinically relevant? UKE Hamburg ๐โฆ-publications.onlinelibrary.wiley.com/doi/10.1111/anโฆ
Can โcardiac anaesthetic inductionโ - high-dose opioids with a โฌ๏ธ dose of induction drug - be implicated in maternal cardiac arrest in haemorrhaging patients? Should we do a 'trauma induction' with eg ketamine instead? ๐โฆ-publications.onlinelibrary.wiley.com/doi/10.1111/anโฆ x.com/Anaes_Journal/โฆ
In adults with anticipated difficult airway management, compared with MAC VL, HAVL had: ๐better glottic view โฌ๏ธsuccess of the first-line technique โก๏ธfaster tracheal intubation in more difficult cases โฌ๏ธfirst attempt success rates UKE Hamburg ๐โฆ-publications.onlinelibrary.wiley.com/doi/10.1111/anโฆ
Hyperangulated blades are used with stylets that match the blade curvature. More complex than MAC VL as requires: โข hand eye co-ordination & guidance of the ETT โข ETT advancement โข stylet withdrawal to allow advancement through VCs UKE Hamburg ๐โฆ-publications.onlinelibrary.wiley.com/doi/10.1111/anโฆ
How does liberal use of opioids in a hypovolaemic patient worsen haemodynamic status? Haemorrhage โก๏ธ โฌ๏ธ volume of distribution & clearance โก๏ธ doubled plasma concentrations of fentanyl Fentanyl obtunds activation of the SNS ๐โฆ-publications.onlinelibrary.wiley.com/doi/10.1111/anโฆ x.com/Anaes_Journal/โฆ
๐Hyperangulated vs. Macintosh videolaryngoscopy in adults with anticipated difficult airway management: a randomised controlled trial UKE Hamburg ๐โฆ-publications.onlinelibrary.wiley.com/doi/10.1111/anโฆ
