Airway management is a crucial skill for emergency physicians (EPs) and a defining element of the specialty of emergency medicine. With the addition to our practice of rapid sequence intubation, EPs successfully perform laryngoscopy and orotracheal intubation in 99 percent of cases. However, the remaining 1 percent of patients who may need alternative airway management poses a quandary for EPs....

Laryngoscopy and orotracheal intubation is associated with haemodynamic response and a rise in plasma concentrations of catecholamine like noradrenaline, adrenaline and dopamine. The hemodynamic response to laryngoscopy and intubation was described in 1940 by Reid and Brace1. Rise in sympathetic hormones during intubation is associated with complications in high risk patients which can increase...

OBJECTIVE To compare the effectiveness of the C-MAC® video laryngoscope (CMAC) to the direct laryngoscope (DL) when used to rescue a failed first attempt intubation in the emergency department (ED). METHODS Data were prospectively collected on all patients intubated in an academic ED center over a five-year period from February 1, 2009 to January 31, 2014 when both the CMAC and the DL were av...

ABSTRACT Purpose to verify the efficacy of speech therapy in early return oral intake patients with post-orotracheal intubation dysphagia. Methods It was a double-blinded randomized controlled trial for two years intensive care units hospital. Study inclusion criteria were orotracheal intubation>48hours, age≥18 old, clinical stability, and Exclusion tracheotomy, score 4 7 Functional Oral Int...

1. Santoni BG, Hindman BJ, Puttlitz CM, Weeks JB, Johnson N, Maktabi MA, Todd MM: Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation. ANESTHESIOLOGY 2009; 110:24–31 2. Nolan JP, Wilson ME: Orotracheal intubation in patients with potential cervical spine injuries. An indication for the gum elastic bougie. Anaes...