Analgesia During Propofol Sedation: Ketamine Is Safer Than Fentanyl Use of ketamine as an adjunct analgesic agent was associated with fewer adverse events,...
I thought I would start a thread on different VL devices and why they are liked/disliked. McGrath: Likes: Size, portability, felt like a DL blade in the hand ...
Hey all, Can anyone provide a method they prefer the most for deep extubation on pts? Being a resident I have had some days go much faster than others when...
... Ivan, these videos highlight the use of the older fiber-optic based version. They are still useful to watch to see the effect of real-time articulation,...
... Ivan, these videos highlight the use of the older fiber-optic based version. They are still useful to watch to see the effect of real-time articulation,...
Dear Yaqub Your points are all well taken. I would also not have attempted a perc trache in the patient you describe. However in our hospital routine percs are...
Intubate through an Air-Q SGA, leave it in situ, then extubate trachea when spont vent returns at end of case and allow emergence with Air-q James C. DuCanto,...
I keep my patient deep giving Mac 1.2 until extubation ,deflate cuff slowly at the end of operation and watch breathing for 30 seconds on deflated tube .I give...
It's kind of hard to differentiate your reactions from my text - it is best to change the font color, size or type when inserting one's remarks onto someone...
Eric, Â not sure I am switching to Ketamine yet: this paper was designed to show mainly respiratory problems: no wonder there were more with Fentanyl, which...
I think this is of interest to our Emergency Medicine colleagues more so than it is to us anesthesiologists. From what I have been able to gather in attending...
Ok, will reply in red font. ... it not to be particularly advantageous ? I personally cannot think of a bigger success story in airway management since the...
I keep my patients on a low dose remifentanil infusion (about 0.1 mcg/kg/min) wait for them to start breathing spontaneously, then gently extubate, they hardly...
Imran Ahmad
imranahmad36@...
Jan 2, 2009 4:42 am
3078
Harsha, here's some sources that show the objecives of the Glidescope and of the Airtraq are heated to prevent fogging: this is a big advantage: Video...
Don#t know if it#s the best, but if they are breathing 6.5% or so of desflurane/O2/air, or 2.5% or so SEVO/O2/air, I just pull out the ETT....
hunsoon
hunsoon@...
Jan 2, 2009 11:48 am
3080
It would depend on what you mean by deep extubation and what your goals are. I would recommend instillation of 2-4% lidocaine before reversal or lightening the...
Don#t know if it#s the best, but if they are breathing 6.5% or so of desflurane/O2/air, or 2.5% or so SEVO/O2/air, I just pull out the ETT.<<<<<<<<< I guess...
I appreciate all these hints for the "best" technique for deep extubation and may even try the lido "trickle" technique described, but I must confess that I...
I just love Hunsoon's answer, but I think Terry's right: we often think of the deep exubation too late and still do it due to impatience and that's when the...
It's not only the video Airway RIFL but Clarus are switching from optical to video with regular malleable stylets. This is different from the Airway video RIFL...
It's not only the video Airway RIFL but Clarus are switching from optical to video with regular malleable stylets. This is different from the Airway video RIFL...
The Video RIFL Coming January, 2009 Â Ivan Hronek MD Los Angeles, CA http://health.groups.yahoo.com/group/Anesthideas/ Do not fear to be eccentric in opinion,...
Hi Harsha, For what it's worth, I extubate nearly all of my patients asleep, but that probably reflects my caseload (mostly elective, mostly paeds, neuro,...
... For what it's worth I almost always extubate awake. With a decent slug of opioid on board most patients usually just open their eyes when you call their...
Paul, this sounds like a well-thought out way of doing it, I am gonna try and learn the ins and outs of this approach and see if I can make it work for me. I...
Jim, you use an optical scope through an Air-Q laryngeal mask for intubation - do you prefer it to a flexible fiberoptic bonchoscope there as you don't have...
I do prefer the optical stylet to the flexible through the Air-Q because--the scope and the tube go in as ONE unit, and you truly are intubating with the...
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