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Management of Chronic Neuromuscular Respiratory Failure in the Intensive Care Unit.
Semin Respir Crit Care Med
October 2024
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas.
Article Synopsis
- - The seminar focuses on managing critically ill patients with chronic neuromuscular diseases (cNMD), emphasizing the importance of understanding the severity and progression of their illness for effective decision-making.
- - It covers systemic complications related to critical illness, specific cardiac support needs, and factors to consider when intubating these patients due to their underlying conditions.
- - The discussion includes mechanical ventilation options—both noninvasive and invasive—highlighting the need to tailor treatment goals for each patient and reviewing various strategies for transitioning from invasive to noninvasive support or considering tracheostomy.
Association between multiple intubation attempts and complications during emergency department airway management: A national emergency airway registry study.
Am J Emerg Med
November 2024
Department of Emergency Medicine, Lahey Hospital and Medical Center, Burlington, MA, United States of America.
Article Synopsis
- The study aimed to assess how multiple attempts at emergency airway intubation in the emergency department (ED) increase the risk of complications.
- An analysis of data from a multicenter registry showed that out of 15,079 intubation cases, complications occurred in 14% of patients, with hypoxia being the most common major issue.
- The results indicated that the odds of major complications significantly increased with each additional intubation attempt, emphasizing the need for effective airway management strategies.
Propofol administration for induction is associated with peri-intubation instability in trauma critical care unit patients.
Am J Surg
December 2024
Department of Surgery, The University of Oklahoma, 800 Stanton L Young Blvd, Oklahoma City, Ok, 73104, USA.
Introduction: Peri-intubation hypotension is associated with increased hospital length of stay and morbidity. Propofol is associated with alterations in hemodynamics. We hypothesize that using propofol for induction leads to peri-intubation hypotension in trauma critical care patients.
View Article and Find Full Text PDFAnd those who were seen dancing: Human interactions with fungi and vice versa.
Biomed J
June 2024
Freelance Journalist, Berlin, Germany. Electronic address:
This issue of the Biomedical Journal features a special section exploring mycobiota. Three articles examine the role of fungi in common metabolic disorders in, Clostridium difficile infection, and in immunocompromised patients. Additionally, the potential and challenges of the metaverse in healthcare are reviewed, alongside a holistic approach to improve patient outcomes in pancreatic cancer.
View Article and Find Full Text PDFComparison of nebulisation 0.75% ropivacaine with 2% lignocaine for attenuation of haemodynamic response due to intubation: A prospective randomised study.
J Perioper Pract
April 2024
Nizam's Institute of Medical Sciences, Hyderabad, India.
Introduction: Laryngoscopy and intubation are associated with the reflex response of hypertension, tachycardia and other intraoperative complications. Nebulised route drug administration and entropy-guided induction enable optimal intubating conditions.
Aims: To compare pre-induction nebulisation between 0.
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