National survey on airway and difficult airway management in intensive care units

Gómez-Prieto, M.G.; Míguez-Crespo, M.R.; Jiménez-del-Valle, J.R.; González-Caro, M.D.; Marmesat-Ríos, I.; Garnacho‐Montero, José

doi:10.1016/j.medine.2018.09.008

Cited by 5 publications

(7 citation statements)

References 30 publications

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“…Remarkably, the vast majority (83%) of intensivists had placed less than a total of 10 laryngeal mask airways, and half had performed less than 10 intubations using fiberoptic bronchoscopy, despite the fact that a majority (87%) of clinicians expressed a desire to participate in high fidelity mannequin simulations [20]. A Spanish national survey reported that of the 101 ICUs that responded, three quarters had no tracheal intubation or no difficult airway protocols [21]. The authors thus called for the implementation of changes in the ICU that include prospective identification of experts in management of the difficult airway and the development of specific guidelines for management of the ICU patient with difficult airway [21].…”

Section: Airway Management Of the Icu Patientmentioning

confidence: 99%

“…A Spanish national survey reported that of the 101 ICUs that responded, three quarters had no tracheal intubation or no difficult airway protocols [21]. The authors thus called for the implementation of changes in the ICU that include prospective identification of experts in management of the difficult airway and the development of specific guidelines for management of the ICU patient with difficult airway [21]. In Japan, difficult airway management carts are largely unavailable in the ICU, and capnography to confirm correct tracheal tube placement is used in only slightly over half of the patients [22].…”

Section: Airway Management Of the Icu Patientmentioning

confidence: 99%

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Neuromuscular blockade management in the critically Ill patient

Renew¹,

Ratzlaff

Hernandez-Torres³

et al. 2020

j intensive care

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Neuromuscular blocking agents (NMBAs) can be an effective modality to address challenges that arise daily in the intensive care unit (ICU). These medications are often used to optimize mechanical ventilation, facilitate endotracheal intubation, stop overt shivering during therapeutic hypothermia following cardiac arrest, and may have a role in the management of life-threatening conditions such as elevated intracranial pressure and status asthmaticus (when deep sedation fails or is not tolerated). However, current NMBA use has decreased during the last decade due to concerns of potential adverse effects such as venous thrombosis, patient awareness during paralysis, development of critical illness myopathy, autonomic interactions, and even residual paralysis following cessation of NMBA use. It is therefore essential for clinicians to be familiar with evidence-based practices regarding appropriate NMBA use in order to select appropriate indications for their use and avoid complications. We believe that selecting the right NMBA, administering concomitant sedation and analgesic therapy, and using appropriate monitoring techniques mitigate these risks for critically ill patients. Therefore, we review the indications of NMBA use in the critical care setting and discuss the most appropriate use of NMBAs in the intensive care setting based on their structure, mechanism of action, side effects, and recognized clinical indications. Lastly, we highlight the available pharmacologic antagonists, strategies for sedation, newer neuromuscular monitoring techniques, and potential complications related to the use of NMBAs in the ICU setting.

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Section: Airway Management Of the Icu Patientmentioning

confidence: 99%

Section: Airway Management Of the Icu Patientmentioning

confidence: 99%

Neuromuscular blockade management in the critically Ill patient

Renew¹,

Ratzlaff

Hernandez-Torres³

et al. 2020

j intensive care

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“…Опрос проводился 01.03.2019-30. 10.2020 путем онлайн-анкетирования (https://ru.surveymonkey.com/r/HMTX2RR) и рассылки опросников (43 вопроса) по электронной почте врачам анестезиологам-реаниматологам в медицинских организациях различного профиля.…”

Section: материалы и методыunclassified

“…Содержание опроса и выделенные блоки вопросов в целом соответствовали структуре проводимых ранее анкетных опросов врачей анестезиологов-реаниматологов РФ в рамках работы комитета ФАР по ТДП, а также различным зарубежным исследованиям, посвященным всестороннему изучению вопросов поддержания проходимости ВДП [6][7][8][9][10]. Анализировали профессиональный стаж, место работы и объем практической работы респондентов, их первичное образование по специальности, объем и характер полученной во время обучения базовой информации по вопросам ТДП.…”

Section: материалы и методыunclassified

Airway management (review of existing practice in the Russian Federation for 2020). Results of a multicenter study

Андреенко

Bratishchev

Dolbneva

et al. 2021

Annals of Critical Care

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“…Esto ha llevado a algunos autores a establecer que todas las vías aéreas (VA) deben consideradas a priori como vía aérea difícil (VAD). (Gómez-Prieto et al, 2018) Metodología La metodología utilizada para el presente trabajo de investigación, se enmarca dentro de una revisión bibliográfica de tipo documental, ya que nos vamos a ocupar de temas planteados a nivel teórico como es Manejo integral de la vía aérea en pacientes críticos. La técnica para la recolección de datos está constituida por materiales electrónicos, estos últimos como Google Académico, PubMed, Science direct, entre otros, apoyándose para ello en el uso de descriptores en ciencias de la salud o terminología MESH.…”

Section: Introductionunclassified

Manejo integral de la vía aérea en pacientes críticos

Bonilla¹,

Núñez²,

Tumipamba³

et al. 2022

RECIMUNDO

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El control y manejo de la vía aérea son habilidades fundamentales en la reanimación del paciente crítico, siendo uno de los procedimientos más frecuentes en la Unidad de Cuidados Intensivos (UCI). La metodología utilizada para el presente trabajo de investigación, se enmarca dentro de una revisión bibliográfica de tipo documental, ya que nos vamos a ocupar de temas planteados a nivel teórico como es Manejo integral de la vía aérea en pacientes críticos. La técnica para la recolección de datos está constituida por materiales electrónicos, estos últimos como Google Académico, PubMed, Science direct, entre otros, apoyándose para ello en el uso de descriptores en ciencias de la salud o terminología MESH. La información aquí obtenida será revisada para su posterior análisis. El manejo de la vía aérea ya sea en UCI o emergencias requiere un manejo optimo y rápido (como en los casos de la obstrucción de la vía aérea que es una de las mayores causas de morbilidad y mortalidad) y de acuerdo a la valoración que se le haga al paciente cuando llega al centro asistencial, esta valoración puede determinar si la vía aérea está abierta y permeable, por ello la experiencia del médico y el personal que lo asista es determinante en la colocación de la vía aérea en el paciente, y que pueda minimizar los riesgos inherentes que se puedan presentar.

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National survey on airway and difficult airway management in intensive care units

Cited by 5 publications

References 30 publications

Neuromuscular blockade management in the critically Ill patient

Neuromuscular blockade management in the critically Ill patient

Airway management (review of existing practice in the Russian Federation for 2020). Results of a multicenter study

Manejo integral de la vía aérea en pacientes críticos

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