Publications by authors named "Ljungqvist H"

Article Synopsis
  • An emergent front of neck airway (FONA) is essential in 'can't intubate, can't oxygenate' scenarios and can sometimes be the primary airway management method; surgical techniques for FONA are generally preferred.
  • This study analyzed FONA instances in Finnish helicopter emergency medical services (HEMS) from 2012 to 2019, finding a low overall incidence, with only 22 cases reported.
  • Although FONA was successful in all attempts, on-scene mortality was notable at 36%, and 30-day mortality reached 90%, highlighting the serious nature of situations requiring this intervention.*
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Article Synopsis
  • A study evaluated the impact of a standard operating procedure (SOP) for prehospital anaesthesia in helicopter emergency medical services (HEMS) on patient outcomes from January 2012 to August 2019.
  • The results showed a significant reduction in 1-day mortality during the SOP implementation period and an improvement in the first-pass success rate of tracheal intubation, although there was no difference in 30-day mortality.
  • The findings suggest hospitals should consider adopting an SOP for prehospital anaesthesia due to the improvements in immediate performance indicators.
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Background: Lower intubation first-pass success (FPS) rate is associated with physiological deterioration, and FPS is widely used as a quality indicator of the airway management of a critically ill patient. However, data on FPS's association with survival is limited. We aimed to investigate if the FPS rate is associated with 30-day mortality or physiological complications in a pre-hospital setting.

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Background: High first-pass success rate is achieved with the routine use of C-MAC videolaryngoscope and Frova introducer. We aim to identify potential reasons and subgroups associated with failed intubation attempts, analyse actions taken after them and study possible complications.

Methods: We conducted a retrospective observational study of adult intubated patients at a single helicopter emergency medical service unit in southern Finland between 2016 and 2018.

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Background: Earlier studies have shown variable results regarding the success of paediatric emergency endotracheal intubation between different settings and operators. We aimed to describe the paediatric population intubated by physician-staffed helicopter emergency medical service (HEMS) and evaluate the factors associated with overall and first-pass success (FPS).

Methods: We conducted a retrospective observational cohort study in Finland including all children less than 16 years old who required endotracheal intubation by a HEMS physician from January 2014 to August 2019.

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Background Context: Data on the long-term outcome after fusion for isthmic spondylolisthesis are scarce.

Purpose: To study patient-reported outcomes and adjacent segment degeneration (ASD) after fusion for isthmic spondylolisthesis and to compare patient-reported outcomes with a control group.

Study Design/setting: A prospective study including a cross-sectional control group.

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A major challenge associated with the determination of the unbound brain-to-plasma concentration ratio of a drug (K(p,uu,brain)), is the error associated with correction for the drug in various vascular spaces of the brain, i.e., in residual blood.

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