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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Image Acquisition using Portable Sonography for Emergency Airway Management
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Airway management practices among emergency physicians: An observational study.

M Jishnu1, Sanjeev Bhoi1, Ankit Kumar Sahu1

  • 1Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.

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|November 10, 2022
PubMed
Summary

Emergency airway management practices in India show varied outcomes. Rapid sequence intubation is common, but complications like desaturation and intubation errors highlight the need for improved training and quality control in emergency medicine.

Keywords:
Airway managementemergency physiciansintubationobservational study

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Area of Science:

  • Emergency Medicine
  • Critical Care
  • Anesthesiology

Background:

  • Emergency airway management is crucial for patient stabilization.
  • Limited research exists on airway practices in low-to-middle-income countries like India.
  • Emergency Medicine as a specialty is developing in India.

Purpose of the Study:

  • To identify current emergency airway management practices in a tertiary care center in India.
  • To analyze the techniques, medications, and outcomes of emergency endotracheal intubation.
  • To provide data that could inform national airway registries and quality improvement initiatives.

Main Methods:

  • Prospective, observational study in an emergency department over 16 months.
  • Included 166 patients undergoing emergency endotracheal intubation.
  • Collected data on patient demographics, intubation indications, methods, medications, physician specialty, checklists, vitals, and adverse events.

Main Results:

  • Rapid sequence intubation (RSI) was used in 72.9% of cases, primarily with etomidate and rocuronium.
  • Direct laryngoscopy was the predominant technique (95%).
  • First-pass success rate was 78.3%, with a 58.4% incidence of adverse events (desaturation, mainstem intubation, equipment failure).

Conclusions:

  • RSI is the most frequent method for emergency airway management.
  • Significant heterogeneity exists in practices and associated complications.
  • Regular surveillance, quality improvement, and enhanced training are essential for optimal patient care.