How long will my throat feel like crap post #intubation?
Aka at what point do I whine at spouse to take me to urgent care to see if I picked up a secondary infection (I don't THINK so but I've been wrong before) or if they oopsed my hyoid or something (hashtag #hypermobile worries)? The alternative is I just heal slowly from that shit and wahhh.
(Tomorrow will be 1 week #postop, if that helps at all.)
#intubation #hypermobile #postop #hysterectomypostop #hysterectomyrecovery
New Osler Shortcut video - the PREPARE 2 trial
#meded #medtwitter #emergencymedicine #emergencyphysician #intensivist #intensivecare #intensivecaremedicine #ICU #criticalcare #criticalcaremedicine #FOAMed #FOAMcc #intubation #medmastodon
#MedEd #medtwitter #emergencymedicine #emergencyphysician #intensivist #intensivecare #intensivecaremedicine #ICU #CriticalCare #CriticalCareMedicine #FOAMed #FOAMcc #intubation #MedMastodon
Tldr: yaw, don't roll during #intubation
https://www.medrxiv.org/content/10.1101/2023.08.22.23294387v1
Still quantifying the impact of 3-axis #rotation on #intubation.
Making progress...
#intubation has multiple steps: "(1) initiating the procedure and positioning the patient, (2) inserting the direct #laryngoscopy blade, (3) achieving the optimal laryngeal view, (4) inserting the #endotracheal tube, (5) verifying tube placement, and (6) securing the endotracheal tube." They are all important but I see the most opportunity to improve (4). https://pubmed.ncbi.nlm.nih.gov/35451970
#intubation #laryngoscopy #endotracheal
So #intubation is a two-handed procedure. It appears most #simulations are focused almost entirely on what the left hand does. It is assumed that if you can get a view of the cords, you can intubate. This is far from true.
Referenced link: https://medicalxpress.com/news/2023-06-video-laryngoscope-successful-intubation.html
Discuss on https://discu.eu/q/https://medicalxpress.com/news/2023-06-video-laryngoscope-successful-intubation.html
Originally posted by Phys.org / @physorg_com: http://nitter.platypush.tech/medical_xpress/status/1669760765476175884#m
RT by @physorg_com: Study shows video #laryngoscope increases successful #intubation on first attempt @nejm https://www.nejm.org/doi/10.1056/NEJMoa2301601 https://medicalxpress.com/news/2023-06-video-laryngoscope-successful-intubation.html
A study found intubating ppl early for #COVID pneumonia (vs late) was better to avoid dying. Although, Dr. Griffin pointed out that the study only looked at patients who all ultimately needed #intubation. It didn’t look at those who managed to avoid intubation, who generally do better. “It’s not a glowing endorsement for popping those tubes right in within the first 24 hours.” Avoiding intubation is still the overall goal, but if you need it, you should do it earlier than later. 11/
USB Borescope Lets Doctors Hone Intubation Skills on the Cheap https://hackaday.com/2023/04/30/usb-borescope-lets-doctors-hone-intubation-skills-on-the-cheap/ #MedicalHacks #endotracheal #laryngoscope #intubation #borescope #medical #usb
#MedicalHacks #endotracheal #laryngoscope #intubation #borescope #medical #USB
USB Borescope Lets Doctors Hone Intubation Skills on the Cheap - One of the most critical skills in emergency medicine is airway management. Withou... - https://hackaday.com/2023/04/30/usb-borescope-lets-doctors-hone-intubation-skills-on-the-cheap/ #medicalhacks #endotracheal #laryngoscope #intubation #borescope #medical #usb
#usb #medical #borescope #intubation #laryngoscope #endotracheal #medicalhacks
With or without VL, intubation should be performed with a head elevation with a pillow of 7 cm and no neck extension.
Effect of head and neck positions on tracheal intubation using a McGRATH MAC video laryngoscope: A randomised, prospective study
#intubation #Airway #eja #anesthesiology #CriticalCare
#intubation geometry. I posted this on the bird site two years ago. This needs more attention. Maxillary arch and #laryngoscope in grey. Different tube locations in colours. Key things is the anterior displacement at the level of the #glottis.
I'm pretty sure that swinging the tube into the pink position by sliding down beside the molars and having the tube upright is what differentiates experienced intubators from novices.
As far as I know this has not been previously described. Please share and tag in #CriticalCare and #anaesthesia specialists.
#intubation #laryngoscope #glottis #criticalcare #anaesthesia
Shall we read another @hauschildt story together?
Consider Mr Todd, 77-year-old Black retired autoworker, who came to the #ICU multiple times and was a high-risk #intubation, and was full code
Source: https://journals.sagepub.com/doi/10.1177/00221465221143088
Heute 4 #Querdulies am Nebentisch gehabt. 🤮 "Alle wurden grundlos Intubiert." Das erzähle ich meinen Nachbar. Er wollte keine #Intubation und liegt jetzt auf dem Friedhof. 😔 #radebeul #Dresden
#querdulies #intubation #radebeul #dresden
Pop resus quiz :
You've resuscitated a patient from a spontaneous VF arrest. The patient remains unresponsive 1 minute after restoration of a palpable peripheral pulse.
How long do you wait to see if the patient will "wake up" before intubating them?
#medtwitter #resuscitation #intubation #FOAMed #MedMastodon
At the #localmall I saw two #toddlers #WithoutMasks.
I didn't say anything then, but I'm saying it now;
#CovidisNOTOver.
PLEASE #MaskUp and #MaskYourKids.
An #intubation makes you far less free than a mask ever will.
#intubation #maskyourkids #MaskUp #CovidIsNotOver #withoutmasks #toddlers #localmall
Airway management #foamed multimedia 🎥 on #vimeo https://vimeopro.com/airwaymanagementacademy/airway-management-academy-multimedia-library #med #mastodon #video #airway #anaesthesia @ketaminh @NaveenEipe @BobFunnekotter #meded #foamcc #icu #paramedic #doctors #medicine #airwaymanagent #science #intubation #oxygen #anesthesiology
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#introductions Hi #mastodon Things I am interested in #airway #anaesthesia #teaching #airambulance #intensivecare #icu #emergency #education #airwayassessment #airways #intubation #oxygen #ventilation #research #medicine #hospital #healthcare #ecmo #micu #ambulance #ems #travel
#travel #ems #ambulance #micu #ecmo #healthcare #hospital #medicine #research #ventilation #oxygen #intubation #airways #airwayassessment #education #emergency #icu #intensivecare #airambulance #teaching #anaesthesia #airway #mastodon #introductions