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Has Video Finally Killed DL?
More than 1.5 million adults undergo tracheal intubation outside of the operating room each year in the United States. Traditionally, this has been performed with direct laryngoscopy, where a clinician displaces the patient’s tongue and epiglottis with a laryngoscope blade to visualize the vocal cords through the mouth, allowing for direct visualization of the passage of an endotracheal tube. An alternative method for tracheal intubation is video laryngoscopy, where a camera on the distal half of the blade transmits an image to a screen allowing for indirect visualization of the vocal cords and passage of an endotracheal tube without direct line of site.
Induction Reduction?
Rapid sequence intubation (RSI) is frequently performed under emergent conditions in acutely ill patients. RSI is a technique for managing the emergency airway that induces immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent). In properly selected patients, it is a quick, safe, and effective approach that results in optimal intubating conditions. However, one of the feared complications of RSI is post-intubation hypotension leading to cardiovascular collapse. Although there are multiple possible reasons for hypotension post-intubation, the choice and dosing of induction agents has been implicated.
Grand Rounds Recap 9.13.23
Join us to recap another week of UCEM Grand Rounds! We start with a quick hits EKG lecture with Dr. Baez, focusing on common EKG findings associated with electrolyte abnormalities. Dr. Tillotson teaches us how to set up inhaled therapies for our critically-ill patients, while thousands of feet in the air! We then turn to Dr. Chang and learn how to expertly treat pain and perform procedural sedation on the smallest of patients we encounter as emergency physicians.