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Published in Anaesthesia 2014 Aug 2 Authors: Ilyas S et al. Better laryngoscopic views with video laryngoscopy do not equal intubation success. Intubating a trauma patient with cervical spine immobilization can be difficult. Prior studies in this population have shown that video laryngoscopy improves laryngoscopic view and reduces intubation difficulty (NEJM JW Emerg Med Mar 14 2008). […]
Read MoreI thought this was interesting for our providers to know. Published in Emerg Med J 2014 Aug 15; 31:649 Authors: Barkan S et al. Compared with oral midazolam alone, midazolam and ketamine achieved a deeper level of sedation and a higher success rate but led to longer emergency department stays. To compare the efficacy of oral […]
Read MorePublished in JAMA 2014 Jul 16; 312:269 Authors: Jørgensen ME et al. Risk for postoperative adverse cardiovascular events was especially high during the first 9 months after stroke. Stroke is a known risk factor for adverse perioperative outcomes in patients undergoing noncardiac surgery. Whether this relation is time dependent is unclear. Researchers in Denmark examined a […]
Read MorePublished in Anesthesiology 2014 Nov 121:922 Authors: Sonny A et al. A retrospective study suggests no association. Does carotid artery stenosis predispose patients who undergo noncardiac, noncarotid surgery to perioperative stroke? To find out, Cleveland Clinic researchers performed this retrospective study. During a 5-year period, 2110 patients who underwent noncardiac surgery had carotid duplex ultrasonography […]
Read MorePatients who receive epinephrine during resuscitation after cardiac arrest are less likely to survive with a good neurologic outcome, a study in the Journal of the American College of Cardiology suggests. Researchers analyzed data from more than 1500 patients who were successfully resuscitated after an out-of-hospital cardiac arrest and were subsequently treated at a large […]
Read MoreInitiation of tramadol therapy is associated with increased risk of hospitalization for hypoglycemia compared with codeine treatment, according to a case-control study in JAMA Internal Medicine. Using U.K. prescription and hospital databases, researchers identified over 330,000 adults who began treatment with oral tramadol or codeine for noncancer pain between 1998 and 2012. They then matched […]
Read MorePublished in Emerg Med J 2014 Nov 12 Authors: Wimalasena YH et al. Hypoxia occurred in 15% of patients and poor glottic view was the only predictor. To determine the incidence of peri-intubation complications in a physician-staffed Scottish aeromedical transport system, researchers retrospectively analyzed emergent rapid-sequence intubations performed between 2008 and 2012. Of 208 intubations, […]
Read MorePublished in Can J Anaesth 2014 Dec 61:1075 Authors: Zamora J et al. Yes, and it’s all in the grip. Direct laryngoscopy is a complex skill that requires both practice and proper instruction to master; however, specific teaching on handle grip and angle varies. A handle angle of 45° from horizontal is commonly taught as […]
Read MorePublished in N Engl J Med 2014 Dec 10 Authors: Skolnick BE et al. Two well-conducted studies show that it is not. Traumatic brain injury (TBI) is a major cause of mortality and morbidity with large indirect and direct costs to society. TBI was the first neurological disease for which progesterone administration was studied. Many […]
Read MoreThis is for our providers who treat chronic pain. Published in Ann Emerg Med 2014 Dec 17 Authors: Hoppe JA et al. Patients filling opioid prescriptions from an emergency department visit for pain are nearly twice as likely to receive future opioid prescriptions as patients not prescribed opioids at the visit. To elucidate the patterns […]
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