Using Nasal Specs During Intubation Gives You More Time….

Tweet Abstract Study Objective: To evaluate the influence of nasal oxygen (O2) administration on the duration of arterial oxygen saturation (SpO2) ≥95% during simulated difficult laryngoscopy in obese patients. Design: Prospective, randomized, controlled trial. Setting: University hospital. Patients: 30 obese men undergoing general anesthesia. Interventions: After thorough preoxygenation, and using total intravenous anesthesia, simulated difficult […]

Lower tidal volume at initiation of mechanical ventilation may reduce progression to acute respiratory distress syndrome: a systematic review.

Tweet In mechanically ventilated patients without ARDS at the time of endotracheal intubation, the majority of data favors lower tidal volume to reduce progression to ARDS. However, due to significant heterogeneity in the data, no definitive recommendations can be made. Further randomized controlled trials examining the role of lower tidal volumes in patients without ARDS, […]

Noninvasive ventilation immediately after extubation improves weaning outcome after acute respiratory failure.

Tweet Noninvasive ventilation (NIV), as a weaning-facilitating strategy in predominantly chronic obstructive pulmonary disease (COPD) mechanically ventilated patients, is associated with reduced ventilator-associated pneumonia, total duration of mechanical ventilation, length of intensive care unit (ICU) and hospital stay, and mortality. However, this benefit after planned extubation in patients with acute respiratory failure of various etiologies […]

International evidence-based recommendations for point-of-care lung ultrasound

Tweet This document reflects the overall results of the first consensus conference on “point of care” ultrasound. Statements were discussed and elaborated by experts who published the vast majority of papers on clinical use of lung ultrasound in the last 20 years. Recommendations were produced to guide implementation, development and standardisation of lung ultrasound in all relevant settings. Link Here…

Ultrasound in the septic patient – lets RUSH in!

Tweet The RUSH Protocol was first introduced in 2006 by Weingart SD et al, and later published in 2009. It was designed to be a rapid and easy to perform US protocol (link here

Advanced life support and mechanical ventilation

Tweet Is there a need for active ventilation during ALS? Could we go passive? Some discussion….here

High-Frequency Oscillation in Early Acute Respiratory Distress Syndrome

Tweet In conclusion, in adults with moderate-to-severe ARDS, the early application of HFOV targeting lung recruitment — as compared with a ventilation strategy that uses low tidal volume and high PEEP and that permits HFOV only in cases of refractory hypoxemia — does not reduce mortality and may be harmful…link here