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Emergency Medicine educational podcast. We are committed to providing high quality education to improve the care of the emergency patient in Maine, northern New England and beyond.
Episodes
Monday Jun 17, 2019
Monday Jun 17, 2019
Check out our post on the Down East EM blog for shownotes, references, and more.
When you're intubating a patient, twiddling your thumbs waiting for your induction and paralytic to work, do you ever ask yourself "hmm, should I be bagging this patient?"
In this podcast we talk about that very question and the new data from the PREVENT trial.
Full article [pubmed]
Author: Jason Hine MD and Sam Potter MD
Peer Reviewer: Jeff Holmes MD
6 years ago
Hi Herb, in terms of BVM peri-intubation, I think the two questions that come into play there are "is my patient at high risk for desaturation?" and "are they at high risk for aspiration?". If the first answer is no I will keep flush rate NC oxygen on during the apneic period and not bag. If yes to question 1, on to question 2. If not high risk for aspiration then gentle BVM during the apneic period (45-60 sec) is fine. If they are high risk for aspiration I would consider ketamine based DSI (delayed sequence intubation) so they continue to respire during the induction phase.
6 years ago
BTW Jason this is Herbie DeMerchant, nice to get bits of wisdom from you again
6 years ago
In terms of BVM, do you have a length of time that you would do this, or do measures such as SaO2 andcapmography control this? Thanks Herb D RN