Intubation – Adult and Peds - Revision history

LiamG at 10:43, 26 October 2023

2023-10-26T10:43:30Z

← Older revision		Revision as of 10:43, 26 October 2023
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	*All intubated patients should be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.		*All intubated patients should be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.
	*Rarely, a patient has resolution of the problem indicating intubation (e.g., acute intoxication) and extubation can be considered in low-risk situations.		*Rarely, a patient has resolution of the problem indicating intubation (e.g., acute intoxication) and extubation can be considered in low-risk situations. See Travis Nelson's presentation below.

	===Resources/References===		===Resources/References===
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	* Nickson, Chris. [https://litfl.com/difficult-airway-algorithms/ Difficult Airway Algorithms.] Life in the Fastlane (LITFL), 2020.		* Nickson, Chris. [https://litfl.com/difficult-airway-algorithms/ Difficult Airway Algorithms.] Life in the Fastlane (LITFL), 2020.
	* [[media:Airway Evaluation - 5-7-2019.pdf\|Airway Evaluation and Oral Pathology 2019]] (PowerPoint Presentation)		* [[media:Airway Evaluation - 5-7-2019.pdf\|Airway Evaluation and Oral Pathology 2019]] (PowerPoint Presentation)
			* [[media:Extubation_in_ED_ppt_by_Travis_Nelson_2022.pdf\|Extubation in the ED 2022]] (PowerPoint Presentation)

	[[Common ED Procedures]]		[[Common ED Procedures]]
	<br/>[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]		<br/>[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]

LiamG at 10:40, 26 October 2023

2023-10-26T10:40:34Z

← Older revision		Revision as of 10:40, 26 October 2023
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	*All intubated patients should be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.		*All intubated patients should be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.
	Rarely, a patient has resolution of the problem indicating intubation (e.g., acute intoxication) and extubation can be considered in low-risk situations.		*Rarely, a patient has resolution of the problem indicating intubation (e.g., acute intoxication) and extubation can be considered in low-risk situations.

	===Resources/References===		===Resources/References===

LiamG at 10:40, 26 October 2023

2023-10-26T10:40:25Z

← Older revision		Revision as of 10:40, 26 October 2023
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	*All intubated patients ~~must~~ be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.		*All intubated patients should be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.
			Rarely, a patient has resolution of the problem indicating intubation (e.g., acute intoxication) and extubation can be considered in low-risk situations.

	===Resources/References===		===Resources/References===

JenniferH: /* Resources/References */

2022-12-04T06:55:07Z

Resources/References

← Older revision		Revision as of 06:55, 4 December 2022
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	===Resources/References===		===Resources/References===
	*[[media:Intubation_adult_and_peds.pdf\|Intubation (Adult and Pediatrics)]] (YKHC Clinical Guideline)		*[[media:Intubation_adult_and_peds.pdf\|Intubation (Adult and Pediatrics)]] (YKHC Clinical Guideline)
			*[[media:ET_CO2.pdf\|ET CO2 Monitoring in Ventilated Pediatric Patients]] (YKHC Clinical Guideline)
	*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)		*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)
	* Kabrhel et al. [https://www.nejm.org/doi/full/10.1056/nejmvcm063574 Orotracheal Intubation]. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574 (video)		* Kabrhel et al. [https://www.nejm.org/doi/full/10.1056/nejmvcm063574 Orotracheal Intubation]. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574 (video)

JenniferH: /* Resources/References */

2022-02-10T07:32:19Z

Resources/References

← Older revision		Revision as of 07:32, 10 February 2022
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	* Lighthall et al. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0909669 Laryngeal Mask Airway in Medical Emergencies]. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669 (video)		* Lighthall et al. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0909669 Laryngeal Mask Airway in Medical Emergencies]. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669 (video)
	* Hsiao, J. and Pacheco-Fowler, V. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0706755 Cricothyroidotomy]. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)		* Hsiao, J. and Pacheco-Fowler, V. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0706755 Cricothyroidotomy]. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)
			* Nickson, Chris. [https://litfl.com/difficult-airway-algorithms/ Difficult Airway Algorithms.] Life in the Fastlane (LITFL), 2020.
	* [[media:Airway Evaluation - 5-7-2019.pdf\|Airway Evaluation and Oral Pathology 2019]] (PowerPoint Presentation)		* [[media:Airway Evaluation - 5-7-2019.pdf\|Airway Evaluation and Oral Pathology 2019]] (PowerPoint Presentation)

JenniferH at 08:49, 20 November 2020

2020-11-20T08:49:14Z

← Older revision		Revision as of 08:49, 20 November 2020
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	* Hsiao, J. and Pacheco-Fowler, V. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0706755 Cricothyroidotomy]. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)		* Hsiao, J. and Pacheco-Fowler, V. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0706755 Cricothyroidotomy]. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)
	* [[media:Airway Evaluation - 5-7-2019.pdf\|Airway Evaluation and Oral Pathology 2019]] (PowerPoint Presentation)		* [[media:Airway Evaluation - 5-7-2019.pdf\|Airway Evaluation and Oral Pathology 2019]] (PowerPoint Presentation)


	[[Common ED Procedures]]		[[Common ED Procedures]]
	<br/>[[:category:YKHC Guidelines]]		<br/>[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]

JenniferH: /* Resources/References */

2020-10-21T21:20:18Z

Resources/References

← Older revision		Revision as of 21:20, 21 October 2020
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	* Lighthall et al. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0909669 Laryngeal Mask Airway in Medical Emergencies]. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669 (video)		* Lighthall et al. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0909669 Laryngeal Mask Airway in Medical Emergencies]. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669 (video)
	* Hsiao, J. and Pacheco-Fowler, V. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0706755 Cricothyroidotomy]. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)		* Hsiao, J. and Pacheco-Fowler, V. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0706755 Cricothyroidotomy]. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)
			* [[media:Airway Evaluation - 5-7-2019.pdf\|Airway Evaluation and Oral Pathology 2019]] (PowerPoint Presentation)

	[[Common ED Procedures]]		[[Common ED Procedures]]
	<br/>[[:category:YKHC Guidelines]]		<br/>[[:category:YKHC Guidelines]]

JenniferH: /* Resources/References */

2020-10-07T20:10:49Z

Resources/References

← Older revision		Revision as of 20:10, 7 October 2020
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	*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)		*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)
	* Kabrhel et al. [https://www.nejm.org/doi/full/10.1056/nejmvcm063574 Orotracheal Intubation]. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574 (video)		* Kabrhel et al. [https://www.nejm.org/doi/full/10.1056/nejmvcm063574 Orotracheal Intubation]. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574 (video)
	* Lighthall et al. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0909669 Laryngeal Mask Airway in Medical Emergencies]. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669		* Lighthall et al. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0909669 Laryngeal Mask Airway in Medical Emergencies]. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669 (video)
			* Hsiao, J. and Pacheco-Fowler, V. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0706755 Cricothyroidotomy]. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)

	[[Common ED Procedures]]		[[Common ED Procedures]]
	<br/>[[:category:YKHC Guidelines]]		<br/>[[:category:YKHC Guidelines]]

JenniferH: /* Resources/References */

2020-10-07T20:09:02Z

Resources/References

← Older revision		Revision as of 20:09, 7 October 2020
Line 4:		Line 4:
	*[[media:Intubation_adult_and_peds.pdf\|Intubation (Adult and Pediatrics)]] (YKHC Clinical Guideline)		*[[media:Intubation_adult_and_peds.pdf\|Intubation (Adult and Pediatrics)]] (YKHC Clinical Guideline)
	*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)		*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)
	* Kabrhel et al. [https://www.nejm.org/doi/full/10.1056/nejmvcm063574 Orotracheal Intubation]. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574		* Kabrhel et al. [https://www.nejm.org/doi/full/10.1056/nejmvcm063574 Orotracheal Intubation]. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574 (video)
			* Lighthall et al. [https://www.nejm.org/doi/full/10.1056/NEJMvcm0909669 Laryngeal Mask Airway in Medical Emergencies]. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669

	[[Common ED Procedures]]		[[Common ED Procedures]]
	<br/>[[:category:YKHC Guidelines]]		<br/>[[:category:YKHC Guidelines]]

JenniferH: /* Resources/References */

2020-10-07T20:07:43Z

Resources/References

← Older revision		Revision as of 20:07, 7 October 2020
Line 4:		Line 4:
	*[[media:Intubation_adult_and_peds.pdf\|Intubation (Adult and Pediatrics)]] (YKHC Clinical Guideline)		*[[media:Intubation_adult_and_peds.pdf\|Intubation (Adult and Pediatrics)]] (YKHC Clinical Guideline)
	*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)		*[https://www.yumpu.com/en/document/read/30583331/respiratory-failure-in-children-stabilization-anthc Respiratory Failure in Children: Stabilization and Management] Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)
	* https://www.nejm.org/doi/full/10.1056/~~NEJMvcm1300964~~		* Kabrhel et al. [https://www.nejm.org/doi/full/10.1056/nejmvcm063574 Orotracheal Intubation]. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574

	[[Common ED Procedures]]		[[Common ED Procedures]]
	<br/>[[:category:YKHC Guidelines]]		<br/>[[:category:YKHC Guidelines]]