by Adam Parks, Kate O'Connell, Richard Hoang | Oct 24, 2019 | Airway, Anesthesiology, Featured, Grand Round Summaries
Here we seek to provide a guide on when to consider awake intubation in the Emergency Department (ED), with an approach to the procedure! The Difficult Airway When assessing patients who may require any form of airway intervention, we should be assessing for two main...
by Hans Rosenberg | Jul 15, 2019 | Airway, Anesthesiology, Critical Care, Journal Club, Resuscitation
Journal Club Summary Casey JD, et al. N Engl J Med. 2019 Feb 28;380(9):811-821. Methodology Score: 3.5/5 Usefulness Score: 3.5/5 Question and Methods: Multicenter, unblinded RCT in 7 ICUs comparing rates of hypoxia in patients undergoing BVM vs no ventilation during...
by Hans Rosenberg | Feb 4, 2019 | Anesthesiology, Full Article, Journal Club
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 2/5 Karlow N, et al. Acad Emerg Med. 2018 Oct;25(10):1086-1097. Question and Methods: This was a systematic review and meta-analysis of low dose ketamine (LDK 0.3 – 0.5mg/kg) vs opioids for acute pain...
by Hans Rosenberg | Nov 5, 2018 | Anesthesiology, Journal Club, landmark
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 5/5 Nath S, et al. Lancet. 2018 Mar 24;391(10126):1197-1204 Question and Methods: This meta-analysis sought to determine, in lumbar punctures, whether atraumatic or conventional (traumatic) spinal needles...
by Jim Yang, Richard Hoang | Nov 1, 2018 | Airway, Anesthesiology, Featured, Grand Round Summaries, Procedural care
In this two part series, we are delving into a few of the many controversies regarding procedural sedation and explore how to reduce resource utilization and ED length of stay. In PART 1, we discussed preprocedural fasting and concluded that adherence to fasting...
by Jim Yang, Richard Hoang | Oct 18, 2018 | Airway, Anesthesiology, Grand Round Summaries, Pediatrics
Procedural sedation is commonly performed in the Emergency Department. It is a critical tool that helps facilitate unpleasant but often necessary procedures that our patients would otherwise not tolerate. However, procedural sedation is also an extraordinarily...
by Hans Rosenberg | Jul 16, 2018 | Airway, Anesthesiology, Critical Care, Journal Club
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 3/5 Driver BE, et al. JAMA. 2018 May 16. doi: 10.1001/jama.2018.6496. Question/Methods: This single-centre, randomized clinical trial enrolled 757 patients to compare first-attempt intubation success...
by Bo Zheng, Richard Hoang | May 3, 2018 | Anesthesiology, Featured, Grand Round Summaries, Resuscitation
In this post, we will discuss the use of neuromuscular blocking agents (NMBAs) for intubation in the Emergency Department; we will focus on considerations in predicted difficult airways (RSI vs. awake intubation), Rocuronium vs. Succinylcholine, and the indications...
by Hans Rosenberg | Mar 26, 2018 | Anesthesiology, Journal Club, Resuscitation
Methodology Score: 3.5/5 Usefulness Score: 3/5 Semler MW, et al. Chest. 2017 Oct;152(4):712-722. Editorial: Should the Ramped Position Be “Sniffed at” in the ICU? Scott JA, et al. Chest. 2017 Oct;152(4):693-694. Question and Methods:...