Apneic oxygenation during intubation in the emergency department and during retrieval: A systematic review and meta-analysis

Binks, Matthew; Holyoak, Rhys; Melhuish, Thomas; Vlok, Ruan; Bond, Elyse; White, Leigh

doi:10.1016/j.ajem.2017.06.046

Cited by 56 publications

(47 citation statements)

References 9 publications

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“…The results from this review are in keeping with results found with other systematic reviews suggesting that AO via nasal cannulae may reduce the overall incidence of oxygen desaturation. [43][44][45][46][47] When examining the effects of AO on severe oxygen desaturation there are conflicting results. [43][44][45][46][47] Some reviews suggest that AO resulted in a decreased incidence of severe oxygen desaturation, [43][44][45] while others have concluded that there was no difference in AO compared with no AO.…”

Section: Discussionmentioning

confidence: 99%

Does apneic oxygenation prevent desaturation during emergency airway management? A systematic review and meta-analysis

Tan

Loubani

Kureshi

et al. 2018

Can J Anesth/J Can Anesth

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Section: Discussionmentioning

confidence: 99%

Does apneic oxygenation prevent desaturation during emergency airway management? A systematic review and meta-analysis

Tan

Loubani

Kureshi

et al. 2018

Can J Anesth/J Can Anesth

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“…Apneic oxygenation uses nasal cannula to supply oxygen to the nasopharynx during intubation to maintain oxygenation in the absence of patient respiratory effort. The practice could reduce the incidence of hypoxemia during intubation and improve the first‐pass success rate in the ED …”

Section: Preparationmentioning

confidence: 99%

Advancing emergency airway management practice and research

Goto

Hagiwara

et al. 2019

Acute Medicine & Surgery

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Emergency airway management is one of the vital resuscitative procedures undertaken in the emergency department (ED). Despite its clinical and research importance in the care of critically ill and injured patients, earlier studies have documented suboptimal intubation performance and high adverse event rates with a wide variation across the EDs. The optimal emergency airway management strategies remain to be established and their dissemination to the entire nation is a challenging task. This article reviews the current published works on emergency airway management with a focus on the use of airway management algorithms as well as the importance of first‐pass success and systematic use of rescue intubation strategies. Additionally, the review summarizes the current evidence for each of the important airway management processes, such as assessment of the difficult airway, preparation (e.g., positioning and oxygenation), intubation methods (e.g., rapid sequence intubation), medications (e.g., premedications, sedatives, and neuromuscular blockades), devices (e.g., direct and video laryngoscopy and supraglottic devises), and rescue intubation strategies (e.g., airway adjuncts and rescue intubators), as well as the airway management in distinct patient populations (i.e., trauma, cardiac arrest, and pediatric patients). Well‐designed, rigorously conducted, multicenter studies that prospectively and comprehensively characterize emergency airway management should provide clinicians with important opportunities for improving the quality and safety of airway management practice. Such data will not only advance research into the determination of optimal airway management strategies but also facilitate the development of clinical guidelines, which will, in turn, improve the outcomes of critically ill and injured patients in the ED.

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“…Provision of apneic oxygenation has been shown to decrease the incidence of hypoxemia and increase the incidence of first pass success of endotracheal intubation in adult emergency department (ED) and in ICU patients. 7,8 Given infants' and children's high oxygen consumption and low functional residual capacity relative to adults, 9 ApOx has a theoretical benefit of prolonging safe apnea time during intubation.…”

mentioning

confidence: 99%