Articles: intubation.
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Letter Multicenter Study
Videolaryngoscopy--an answer to difficult laryngoscopy?
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Intensive care medicine · Apr 2008
Multicenter StudyDuration of adrenal inhibition following a single dose of etomidate in critically ill patients.
To determine the incidence and duration of adrenal inhibition induced by a single dose of etomidate in critically ill patients. ⋯ A single bolus infusion of etomidate resulted in wide adrenal inhibition in critically ill patients. However, this alteration was reversible by 48 h following the drug administration. The empirical use of steroid supplementation for 48 h following a single dose of etomidate in ICU patients without septic shock should thus be considered. Concomitant serum cortisol and 11beta-deoxycortisol dosages are needed to provide evidence for adrenal insufficiency induced by etomidate in critically ill patients.
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Rev Esp Anestesiol Reanim · Apr 2008
Multicenter Study[Lo-Pro Adult Color GlideScope: experience in 350 cases].
The aim of this study was to describe our experience in managing the new adult color model of the Lo-Pro GlideScope in a diverse group of patients. ⋯ The rate of successful tracheal intubation is high with the new Lo-Pro Adult Color GlideScope when it is used by trained staff, even in patients with difficult airways. It is also a useful device for intubating awake patients.
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Randomized Controlled Trial Multicenter Study Comparative Study
Nasal CPAP or intubation at birth for very preterm infants.
Bronchopulmonary dysplasia is associated with ventilation and oxygen treatment. This randomized trial investigated whether nasal continuous positive airway pressure (CPAP), rather than intubation and ventilation, shortly after birth would reduce the rate of death or bronchopulmonary dysplasia in very preterm infants. ⋯ In infants born at 25-to-28-weeks' gestation, early nasal CPAP did not significantly reduce the rate of death or bronchopulmonary dysplasia, as compared with intubation. Even though the CPAP group had more incidences of pneumothorax, fewer infants received oxygen at 28 days, and they had fewer days of ventilation. (Australian New Zealand Clinical Trials Registry number, 12606000258550.).
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Intensive Crit Care Nurs · Feb 2008
Multicenter StudyPain related to tracheal suctioning in awake acutely and critically ill adults: a descriptive study.
The purpose of this secondary data analysis of findings from a larger procedural pain study was to examine several factors related to pain during tracheal suctioning. In addition to tracheal suctioning, other procedures studied included turning, wound drain removal, femoral catheter removal, placement of a central venous catheter, and wound dressing change. A total of 755 patients underwent the tracheal suctioning procedure that was performed primarily in intensive care units (93%). ⋯ Surgical, younger, and non-white patients reported higher pain intensities. Although mean pain intensity during tracheal suctioning was mild, almost the half of the patients reported moderate-to-severe pain. Individualized pain management must be performed by healthcare providers in order to respond to patients' needs as they undergo painful procedures such as tracheal suctioning.