Intubation – Adult and Peds: Difference between revisions

Latest revision as of 10:43, 26 October 2023

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. See Travis Nelson's presentation below.

Resources/References

Intubation (Adult and Pediatrics) (YKHC Clinical Guideline)
ET CO2 Monitoring in Ventilated Pediatric Patients (YKHC Clinical Guideline)
Respiratory Failure in Children: Stabilization and Management Powerpoint presentation by Drs. Bowman, Gonzales, and Engel (ANMC Pediatric Critical Care)
Kabrhel et al. Orotracheal Intubation. N Engl J Med 2007; 356:e15. DOI: 10.1056/NEJMvcm063574 (video)
Lighthall et al. Laryngeal Mask Airway in Medical Emergencies. N Engl J Med 2013; 369:e26. DOI: 10.1056/NEJMvcm0909669 (video)
Hsiao, J. and Pacheco-Fowler, V. Cricothyroidotomy. N Engl J Med 2008; 358:e25. DOI: 10.1056/NEJMvcm0706755 (video)
Nickson, Chris. Difficult Airway Algorithms. Life in the Fastlane (LITFL), 2020.
Airway Evaluation and Oral Pathology 2019 (PowerPoint Presentation)
Extubation in the ED 2022 (PowerPoint Presentation)

Common ED Procedures
YKHC Clinical Guidelines

@@ Line 1: / Line 1: @@
-*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. See Travis Nelson's presentation below.
 ===Resources/References===
 *[[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)
 * 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)
+* 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:Extubation_in_ED_ppt_by_Travis_Nelson_2022.pdf|Extubation in the ED 2022]] (PowerPoint Presentation)
 [[Common ED Procedures]]
-<br/>[[:category:YKHC Guidelines]]
+<br/>[[:category:YKHC Guidelines|YKHC Clinical Guidelines]]