Retrospective cohort study by Patanwala and colleagues including 233 head injured patients that required RSI with either rocuronium or suxamethonium. The results reveal that sux was associated with increased mortality in the most severely injured subset, compared with roc. In patients with less severe injury there was no significant difference between the two NMBs. Interesting… Continue reading Roc or Sux in RSI of TBI Patients?
Published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine in 2015. “In this systematic review, we did not identify any studies that investigated the supine position and loss of airway patency in trauma patients. However, we found that the supine position was associated with worse airway patency in patients with reduced levels of consciousness in… Continue reading SJTREM – Review Article on Airway Patency in Supine, Unconscious Patients
“Ideal intubation conditions should be obtained through the use of airway manipulation techniques and appropriate medication choice for rapid sequence intubation in patients who are neurologically injured.” Bucher et al, USA. Journal of Emergency Medicine, 2015 Dec. Read the abstract here.
“…PEEP has no significant effect on cerebral and systemic hemodynamics…” Interesting reading about the effects of peep ! Effects of PEEP on the intracranial system of patients with head injury and subarachnoid hemorrhage: the role of respiratory system compliance. Caricato et al, Italy. The Journal of Trauma, 2005 Mar. Abstract available here.
An interesting take on anaesthesia induction and intubation of the acute neuro-patient by EMCrit’s Scott Weingart. Listen to the podcast here.
Abstract: Impact of tracheostomy timing on outcome after severe head injury. Neurocrit Care. Rizk et al 2011.