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Over the past three decades, a variety of non-invasive hemodynamic devices have been developed. However, none of the existing methods, such as transthoracic echocardiography, esophageal Doppler ultrasound, plethysmography, thoracic impedancemetry, or sublingual capnography, fully embody the ideal characteristics of reliability, reproducibility, rapid response, ease of use, comprehensive safety, affordability, and continuous monitoring capacity. Among these, echocardiography stands out as a particularly effective approach, meeting many of these criteria due to its widespread availability, relative ease of use, and critical role in detecting anatomical abnormalities and basic changes in myocardial function.

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A two-person verbal check to confirm tracheal intubation: evaluation of practice changes to prevent unrecognised oesophageal intubation.

Br J Anaesth

December 2024

Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals NHS Foundation Trust, Bath, UK; School of Medicine, University of Bristol, Bristol, UK. Electronic address:

Article Synopsis
  • Despite national efforts to highlight the importance of capnography for confirming tracheal intubation, deaths from unrecognized esophageal intubation persist, prompting the adoption of a two-person verbal check during the intubation process.
  • In a study across two hospitals, one implemented a one-step check and the other a two-step check, collecting feedback from anaesthetists and assistants via anonymous questionnaires throughout the process.
  • The majority of participants felt that the two-person checks enhanced communication and teamwork, with high support for continued use; 82% of intubators and 94% of assistants intended to use this method for future intubations.
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EEG bispectral index sensor guidance improves accuracy and safety of procedural sedation.

Clin Radiol

December 2024

Dept. of Radiology, The Christie NHS Foundation Trust, Manchester, UK; Minnova Medical Foundation CIC, Wilmslow, UK. Electronic address:

Purpose: To re-audit compliance with an amended sedation protocol following the latest national guidelines. To confirm the improved safety achieved through EEG guidance for drug administration during procedural sedation.

Materials And Methods: Following the revision of the departmental protocol, 14 standards were set.

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The Theatre Recovery and Anaesthetic Nurse Capnography Education (TRACE) project is a multidisciplinary quality improvement project. The overall aim is to educate anaesthetic and recovery nurses on the correct use of capnography and educate non-consultant hospital doctors on the guidelines on from the Project for Universal Management of Airways group. This project addresses technical aspects of task performance such as correct waveform identification and interpretation, troubleshooting abnormal waveforms and establishing routine checks of capnography both pre-induction and post-intubation.

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