Impossible Intubation Essay

The Association of Anaesthetists of Great Britain and Ireland (AAGBI, 2010) accentuated that when looking after a patient during anaesthetic care, the anaesthetic nurse must be competent in any circumstances for the safety of patient. On the case of Mrs D, there was an obvious need to communicate, so the anaesthetic nurse needs to be trained and encouraged appropriately (Mellanby, Podmore and McNarry, 2014). It is evident that the anaesthetic nurse needs to be confident enough when looking after patients to voice any concerns to the assembled team, regardless of how senior or intimidating they may appear (NMC, 2015). The anaesthetic nurse said that she communicated with the anaesthetists during this critical incident. Yet, the anaesthetists

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In a retrospective study conducted by Wimalasena, Burns, Reid, Ware, and Habig (2015), airway registry data spanning a four year time frame was analyzed to evaluate the association between the introduction of apneic oxygenation during RSI and the prevalence of oxygen desaturation (Level of Evidence: IV; Appendix A.2). Data was collected on all patients intubated between September 2009 and July 2013 from the Greater Sydney Area Helicopter Emergency Medical Services (N=728). The emergency anesthesia standard operating procedure (SOP) was updated in July 2011, introducing apneic oxygenation during intubation as standard practice.

My patient is 79-year old, male that was brought the University of Kentucky medical center emergency department via ambulance on January 14, 2017. The patient was smoking while using home oxygen, when he fell asleep. The EMS responded to a home fire.

The work of an anesthesiologist is fulfilling with many benefits. A person would desire to become an anesthesiologist because there is a high standard of excellence due to a low percentage of doctors in this special field, not to mention the high salary. This occupation benefits the doctor through a feeling of personal gratification while receiving a great education. The community benefits through his or her help relieving the pain accompanied by surgery. Becoming an anesthesiologist involves extensive education and training, while also having many requirements and a good salary range.

Anesthesia was developed in order to block or prevent pain during medical procedures. Anesthesia has been the backbone of the medical world for around 100 years now. Early anesthetics were primitive and many patients simply did not trust anesthetics. Anesthesia is still a risky process even in todays advanced medical world. Anesthesia is not used to treat or diagnose any specific disease; the sole purpose is to aid both the patient and surgeon through procedures. However, anesthesia is used in different ways based on the magnitude of the procedure. There are three levels of anesthesia which include; local, regional, and general anesthesia. An anesthesiologist determines which type of anesthesia will be needed.

Lack of enough trained staff in conscious sedation available at the time of the procedure

I would tell the doctor to stop if he didn’t start and grab a manual ventilator and try to find a replacement mechanical ventilator.

ICU patients suffer from a broad range of pathologies, requiring MV, sedation and use of multiples devices, which do not allow patients to protect their airway (Augustyn. 2007; Kollef. 2004).

A previous history of difficult intubation was noted. BMI, neck circumference, mouth opening, thyromental distance and sterno mental distance was measured. Modified Mallampati classification, presence or absence of impaired temporomandibular joint mobility (inability to move the lower teeth in front of the upper teeth or retrognathia), limited neck movement (inability to extend and flex the neck to a range around 90°), and the presence or absence of abnormally protruding upper teeth were also recorded. Then, the Wilson risk sum score was calculated.

Patients and methods: After approval by ethical committee, 120 adult patients (ASA I-III) with anticipated difficult airway were included in this prospective study. Patients were randomly allocated to three equal groups to undergo tracheal intubation using either C-MAC D-blade (group 1), Airtraq (group 2), or Fiberoptic technique (group 3) after standardized induction of anesthesia. Intubation data, blood pressure, heart rate, and SpO2 were evaluated.

There have been several studies attempting to clearly identify the risk factors for the extubational difficulty. First of all, Demling et al. prospectively investigated the use of standard criteria for extubation in 700 patients in ICU, but could not find any good predictors for extubation failure (Demling et al., 1988). Leak test is still the controversial routine choice of many practitioners used to predict the potential occurrence for airway edema evaluating whether the airway caliber is sufficient for ventilation (Chung et al., 2006; Ding et al., 2006; Kriner, Shafazand & Colice, 2005). In one study, the evaluation of the leak test in 72 spontaneously breathing ICU patients indicated that the presence of a cuff leak may associated with

The review found that 29% of patients had to be intubated in the emergency department as

Critical care is medical care given to patients who required closed and continuous monitoring from specially trained clinical providers, and usually takes place in intensive care units or a trauma center. Most of the time, the patients are critically ill and susceptible for serious complications, and thus, they are placed in special units. Critical care units are also known for its high-technology equipment with advanced interventions and treatment. These conditions are well known to be contributing factors of psychological stress experienced by the patients and their families. A recent study in India found that there is a significant elevation of stress, depression and anxiety level among patients admitted to ICU compared to those in wards

After a review of the clinical information provided by Hampton Homecare Incorporated, the Medical Director has determined that Continuous Positive Air Pressure Device (midair pressure to keep airway open), Humidifier (add cool or warm moist air to passages to keep from drying out), and face mask (mask covers mouth and nose and delivers moist air) is not medically necessary. Based on the InterQual guideline criteria (a decision based program to determine medical need) for a Continuous Positive Air Pressure Device (midair pressure to keep airway open), the clinical guidelines were not met because there was no proper mask fitting or selection and appropriate pressure settings. You have not used a continuous positive airway pressure device for