NODESAT -Preoxygenation and Prevention of Desaturation During Emergency Airway Management

October 16

by Jonathan Downham

NODESAT -Preoxygenation and Prevention of Desaturation During Emergency Airway Management

This article reviews preoxygenation and peri-intubation oxygenation techniques to minimize the risk of hypoxemia during emergency tracheal intubation of adult patients. It introduces a risk-stratification approach based on initial pulse oximetry level in response to oxygen administration and provides recommendations about specific techniques based on periprocedural risk. Techniques reviewed include positioning, preoxygenation and denitrogenation, use of positive pressure devices to increase mean airway pressure, and passive apneic oxygenation during tracheal intubation efforts. Link here...

DKA in Critical Care

Mobilisation in Critical Care- Barriers and Culture

Mobilisation in the ICU raises two big questions: is it safe, and will staff embrace it?In this discussion, Jonathan explores both sides of the story:Safety first:Large prevalence studies show mobilisation is happening, though often inconsistently.A systematic review of 1,800+ sessions found serious adverse events in only 0.6% — most minor and short-lived.Even patients on CRRT can safely mobilise

Episode 1- Mobilisation in the ICU

SummaryFor much of critical care history, immobility was the norm: patients were sedated, kept still, and “protected.” But decades of research have revealed the hidden costs — profound muscle wasting, delirium, and long-term disability.Jonathan explores how our understanding of mobilisation in ICU has evolved — from the recognition of harm caused by bedrest, to the

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NODESAT -Preoxygenation and Prevention of Desaturation During Emergency Airway Management