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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Rapid IJ (aka Easy Internal Jugular Cannulation)

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viernes, 30 de septiembre de 2016

Hypoxemia Kills

Resuscitation Sequence Intubation - Hypoxemia Kills
R.E.B.E.L.EM - Posted by Salim Rezaie - September 29, 2016
"Clinical Bottom Line:
  • Pre-Intubation Hypoxemia is a risk factor for Peri-Intubation Cardiac Arrest:
  • Options to Improve Hypoxemia:
  • Start with NO DESAT (Nasal Oxygen During Efforts Securing A Tube) at 15LPM + NRB at 15LPM
  • If you don’t get the O2 Sats ≥ 95% think about shunt physiology and consider the following interventions:
    • Intervention 1: NC 15LPM + BVM 15LPM + PEEP Valve 5 – 15cmH20 (Apneic CPAP Recruitment)
    • Intervention 2: Delayed Sequence Intubation (DSI)
    • Intervention 3: Back Up Head Elevated (BUHE) Intubation
  • Many of these interventions can be done simultaneously to ensure no hypoxemia"