Airway management practices in emergency medicine residencies

Ma, O.John; Bentley, Burton; DeBehnke, Daniel J.

doi:10.1016/0735-6757(95)90156-6

Cited by 48 publications

(16 citation statements)

References 11 publications

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“…DJP imported, merged, and organized the data, performed all statistical analyses, prepared all tables, and contributed, by writing or editing, to all sections of the manuscript. dency training in emergency medicine emphasizes airway management, including use of rapid sequence intubation (RSI), defined as intubation after rapid induction and paralysis (1,2). Several previous studies, mostly with small samples, have reported intubation success rates within single institutions, but comprehensive large multicenter studies are lacking (3)(4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Emergency Airway Management: A Multi-Center Report of 8937 Emergency Department Intubations

Walls

Brown

Bair

et al. 2011

The Journal of Emergency Medicine

222

182

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Section: Introductionmentioning

confidence: 99%

Emergency Airway Management: A Multi-Center Report of 8937 Emergency Department Intubations

Walls

Brown

Bair

et al. 2011

The Journal of Emergency Medicine

222

182

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“…1,3,4,6,[8][9][10][11][12][13][28][29][30][31][32] The evidence supporting the use of RSI in the ED has further evolved over the years, coming mainly from prospective observational and retrospective studies (Table).…”

Section: Conclusion : Le Rôle Des Non-anesthésiologistes Dans L'assismentioning

confidence: 99%

“…This literature and a number of airway courses (e.g., the U.S. based Airway Course® and the Canadian-based Airway Interventions and Management Education Program -AIME®) suggest RSI be considered the default method of intubation unless a contraindication precludes it. In the U.S. and Canada, EP manage the vast majority of patients requiring emergency intubation [1][2][3][4][5][6][7] and, in most of these centres, neuromuscular blocking agents (NMBAs) are used to facilitate intubation as part of a rapid-sequence intubation. 1,[3][4][5][6]8 This practice has raised some concern in the anesthesia community.…”

Section: Conclusion : Le Rôle Des Non-anesthésiologistes Dans L'assismentioning

confidence: 99%

“…In the U.S. and Canada, EP manage the vast majority of patients requiring emergency intubation [1][2][3][4][5][6][7] and, in most of these centres, neuromuscular blocking agents (NMBAs) are used to facilitate intubation as part of a rapid-sequence intubation. 1,[3][4][5][6]8 This practice has raised some concern in the anesthesia community. However, to date, there has been no review in the anesthesia literature on the current state of the published evidence on the use of RSI by nonanesthesiologists.…”

Section: Conclusion : Le Rôle Des Non-anesthésiologistes Dans L'assismentioning

confidence: 99%

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Acute airway management in the emergency department by non-anesthesiologists

Kovács

Law

Ross

et al. 2004

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : The responsibility of acute airway management often falls into the hands of non-anesthesiologists. Emergency physicians now routinely use neuromuscular blockade to facilitate intubation. The literature in support of this practice has almost exclusively been published in emergency medicine (EM) journals. This body of literature is presented and issues of educational support are discussed.S So ou ur rc ce e: : A narrative review of the literature on the practice of airway management by non-anesthesiologists.P Pr ri in nc ci ip pa al l f fi in nd di in ng gs s: : A significant proportion of acute airway management occurring outside the operating room is being performed by non-anesthesiologists. Rapid sequence intubation (RSI) is recognized as a core procedure within the domain of EM. RSI is being performed routinely by emergency physicians practicing in larger centres. Anesthesiologist support for the practice of RSI by nonanesthesiologists has been weak. Formal educational support outside of postgraduate training in the form of dedicated programs for advanced airway management are now being offered. The majority of the literature on the use of RSI by non-anesthesiologists represents retrospective case series, observational studies and registry data published in EM journals. The reported success rates for RSI performed by non-anesthesiologists is high. Complication rates are significant, however reporting consistency has been poor. C Co on nc cl lu us si io on ns s: : The role of non-anesthesiologists in acute airway management is significant. Despite shortcomings in methodology, current evidence and practice supports the use of RSI by trained emergency physicians. Constructive collaborative efforts between anesthesiology and EM need to occur to ensure that educational needs are met and that competent airway management is provided. Objectif : La responsabilité de l'assistance respiratoire d'urgence revient souvent à des médecins non-anesthésiologistes. Les urgentistes utilisent maintenant de routine le bloc neuromusculaire pour faciliter l'intubation. La documentation à l'appui de cette pratique a été publiée presque exclusivement dans les journaux de médecine d'urgence (MU). Nous présentons l'ensemble de ces documents et exposons les questions de formation. Source : Une revue traditionnelle de la documentation sur la pratique de l'assistance respiratoire par des non-anesthésiologistes. Constatations principales : Une proportion significative de l'assistance respiratoire d'urgence, réalisée à l'extérieur de la salle d'opéra-tion, relève de non-anesthésiologistes. L'intubation en séquence rapide (ISR) est reconnue comme une intervention centrale dans le domaine de la MU. L'ISR est généralement réalisée par des urgentistes dans les grands centres. Le soutien anesthésiologique pour la pratique de l'ISR

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“…It should be differentiated from rapid sequence induction, which is the classic anesthesia term used to describe the induction of anesthesia. 1 RSI is now a standard part of training in emergency medicine residencies 2 and is increasingly taught in pediatric resuscitation courses.…”

Section: Introductionmentioning

confidence: 99%