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To intubate or to resuscitate: the effect of simulation-based training on advanced airway management during simulated paediatric resuscitations.
Adv Simul (Lond)
January 2025
Neonatology and Paediatric Intensive Care Medicine, Department of Paediatrics, Philipps-University Marburg, Marburg, Germany.
Background: We aimed to measure the effect of a 2-day structured paediatric simulation-based training (SBT) on basic and advanced airway management during simulated paediatric resuscitations.
Methods: Standardised paediatric high-fidelity SBT was conducted in 12 of the 15 children's hospitals in Hesse, Germany. Before and after the SBT the study participants took part in two study scenarios (PRE and POST scenario), which were recorded using an audio-video system.
Focus on POCUS: Identification of Early Successful Intubation by Point-of-Care Ultrasound Versus End-Tidal Carbon Dioxide: A Prospective Comparative Study.
Turk J Anaesthesiol Reanim
December 2024
Sri Ramachandra Institute of Higher Education and Research, Department of Anaesthesiology and Pain Medicine, Chennai, Tamilnadu, India.
Objective: Successful endotracheal intubation is a key step in advanced airway management. The gold standard confirmation for successful endotracheal intubation is end-tidal carbon dioxide (etCO) monitoring, although recent studies suggest that ultrasound can also be used. In this study, we explored the time-sensitive early recognition of successful endotracheal intubation by comparing ultrasound and etCO monitoring.
View Article and Find Full Text PDFObstructive shock and cardiac arrest due to diaphragmatic hernia after esophageal surgery: a case report.
Surg Case Rep
November 2024
Department of Surgery, Kinki Central Hospital, 3-1 Kurumazuka, Itami, Hyogo, 664-8533, Japan.
Background: We report the exceedingly rare case of diaphragmatic hernia after esophageal surgery resulting in obstructive shock and cardiac arrest.
Case Presentation: An 82-year-old man, who had undergone a robotic-assisted thoracoscopic esophagectomy and gastric tube reconstruction via a subcutaneously route with three-field lymphadenectomy for esophagogastric junction cancer at another hospital 3 months prior, complaining of persistent epigastric pain and nausea. Computed tomography revealed that the proximal jejunum had herniated through the esophageal hiatus into the left thoracic cavity, with dilation of the subcutaneous gastric tube and duodenum.
Deadly shades of green: A cautionary tale of an organic biopesticide poisoning.
Toxicol Rep
December 2024
Department of Emergency Medicine, Karpaga Vinayaga Institute of Medical Sciences & Research Centre, Tamil Nadu, India.
Introduction: Methemoglobinemia is a potentially life-threatening condition characterized by the reduced oxygen-carrying capacity of hemoglobin. With the increasing popularity of natural and herbal biopesticides, there is a growing risk of exposure to substances that can induce this dyshemoglobinemia. This case report highlights the importance of recognizing and promptly treating methemoglobinemia in the context of biopesticide exposure, a concern relevant to various healthcare professionals.
View Article and Find Full Text PDFComprehensive Airway Quality Improvement Program: Reducing Life-Threatening Airway Complications.
Ann Otol Rhinol Laryngol
December 2024
Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.
Article Synopsis
- The study aimed to develop an Airway Quality Improvement Program (AQIP) to enhance care for patients with artificial airways like endotracheal tubes and tracheostomies.
- After implementing AQIP, there was an 8.4% decrease in airway emergencies and a significant reduction in patient hospital stays, indicating improved care outcomes.
- Staff education led to increased comfort levels and knowledge of airway management, with recognition of tracheostomy versus laryngectomy improving notably.
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