A blog on anaesthesia, intensive care and emergency medicine. In-hospital and outside. Mostly focusing on the critically ill patient. Written by two Scandinavian senior anaesthetic registrars.
This is our way of keeping log of articles and interesting things we come across in our work and on the internet. Should any of you out there stumble across this blog and find it useful then all the better.
Please leave comments or questions if you have any. The best way to keep learning is to keep the conversation going.
- #myoffice http://t.co/HuqcmXPirT 7 hours ago
- ...or just go #FOAMed http://t.co/FLJeONZRac 5 days ago
- My brain is fried #post-ICU-nightshift-brain-meltdown 2 weeks ago
- "My name is Lucas": TEE video shows Lucas CPR in action scancrit.com/2013/05/01/luc… 2 weeks ago
- Crystalloids are lousy volume expanders. We know that. And here's a bit of proof. scancrit.com/2013/04/18/rin… 3 weeks ago
- Helping Babies Breathe - saving newborns in low resource settings with basic intervention scancrit.com/2013/04/25/hel… 3 weeks ago
- #deathbypowerpoint :-P 1 month ago
- Espresso machine in my office adds life quality http://t.co/rxBHjSgsTg 1 month ago
- Airway management
- Code Brown
- Emergency Medicine
- Infectious diseases
- Intensive Care
- Medical teaching
- Prehospital Medicine
- Research and publishing
- Wilderness Medicine
Category Archives: Airway management
A study in Injury looks at what happens to our patients´ blood pressures when we do rapid sequence inductions for intubation. With all the talk of ´permissive hypotension´ in modern trauma management this could be important.
Monitoring sedated patients without airway devices in place is often based on the time machine, the pulse oximeter, showing you what the patient’s oxygen saturation in the lungs were 30 seconds ago. Also, it doesn’t tell you if the patient … Continue reading
Prehospital emergent intubations are messy affairs. There are the risks inherent to intubating a critically ill patient where vomit, blood and secretions risk blocking your laryngoscopy view or risk contaminating the patients airway. The fact that you are performing an … Continue reading
A study in Anesthesia & Analgesia reminds us of why intubating some intensive care patients with succinylcholine can be a bad idea. It demonstrates how the potentially harmful potassium efflux and transient hyperkalemia we get after administering Succinylcholine increases in … Continue reading
A secondary study using data from the ROC PRIMED study suggests there could be something to the warnings about using supraglottic airways (LMAs) for airways in out-of-hospital cardiac arrests. Supraglottic airways were associated with increased mortality.
In Anesthesiology june 2012 there is a case report describing a rare complication after tracheostomy. It describes the creation of an obstructing mucosal flap as sequele after a percutaneous dilatational tracheostomy. As long as the patient was cannulated the flap … Continue reading
The 1959 Frumin study on apneic oxygenation is a classic. It is an elegant demonstration of apnoeic oxygenation. Ie how patients can maintain oxygenation despite total apnea. Elegant, but I’m not so sure the ethical committees that are available to … Continue reading
We use succinylcholine in RSI is for the Cannot-Intubate cannot-ventilato scenarios, where we expect the patients’ spontaneous ventilation to recover before we get in serious trouble. A study by Heier from Anesthesiology 2001 demonstrates how that is not the case. … Continue reading
Dental injuries are responsible for the majority of malpractice claims against anaesthetists. In order to get around that, I am more and more inclined to use video laryngoscopes or fibre optics, when intubating patients with really bad teeth. A small study … Continue reading