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Emergency medicine updates: Endotracheal intubation
1SAUSHEC, Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
The American Journal of Emergency Medicine
|September 10, 2024
Summary
Emergency clinicians should stay updated on endotracheal intubation (ETI) evidence. Key updates include airway assessment tools, preoxygenation, medication choices, video laryngoscopy, bougie use, and ultrasound confirmation for better patient care.
Area of Science:
- Emergency Medicine
- Critical Care
- Airway Management
Background:
- Endotracheal intubation (ETI) is a critical skill for emergency clinicians.
- Awareness of current evidence for ETI is essential for optimal patient care.
Purpose of the Study:
- To evaluate key evidence-based updates regarding endotracheal intubation (ETI) for emergency clinicians.
Main Methods:
- Review of recent literature on endotracheal intubation (ETI).
- Analysis of tools for difficult airway prediction.
- Evaluation of techniques for preoxygenation and apneic oxygenation.
- Assessment of medication strategies and device utilization.
Main Results:
- Difficult airway prediction tools are helpful but should be used with clinical judgment.
- Preoxygenation and apneic oxygenation reduce desaturation risk.
- Video laryngoscopy offers advantages, especially for novice users.
- Bougie use on the first attempt and ultrasound for confirmation are recommended.
Conclusions:
- Understanding ETI literature updates enhances emergency department (ED) patient care.
- Nuanced components of ETI require ongoing clinician education.
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