当前位置： SCI文献检索 > ANNALS OF EMERGENCY MEDICINE期刊下所有文献 > Flush Rate Oxygen for Emergency Airway Preoxygenation.

Flush Rate Oxygen for Emergency Airway Preoxygenation.

Abstract：

STUDY OBJECTIVE:Recent data suggest that emergency airway preoxygenation with a bag-valve-mask (BVM) device (held with a tight mask seal but without squeezing the bag) is superior to a nonrebreather (NRB) mask at standard oxygen flow rates. We seek to determine whether preoxygenation with an NRB mask with flush rate oxygen (>40 L/min by fully opening a standard oxygen flowmeter) is noninferior to BVM device with standard-flow oxygen (15 L/min). We also seek to compare the efficacy of preoxygenation with NRB mask at flush rate oxygen with both NRB mask with oxygen at 15 L/min and simple mask at flush rate oxygen. METHODS:We performed a crossover trial using healthy volunteers. In random sequence, subjects underwent 3-minute trials of preoxygenation with nonrebreather mask with oxygen at 15 L/min (NRB-15), nonrebreather mask with flush rate oxygen (NRB-Flush), BVM device with oxygen at 15 L/min (BVM-15), and simple mask with flush rate oxygen. The primary outcome measure was the FeO2 in a single exhaled breath. We compared the FeO2 of NRB-Flush to other study groups, using a prespecified noninferiority margin of 10%. RESULTS:We enrolled 26 subjects. Mean FeO2 values for NRB-15, NRB-Flush, BVM-15, and simple mask with flush rate oxygen were 54% (95% confidence interval [CI] 50% to 57%), 86% (95% CI 84% to 88%), 77% (95% CI 74% to 81%), and 72% (95% CI 69% to 76%), respectively. FeO2 for NRB-Flush was noninferior to BVM-15 (difference 8%; 95% CI 5% to 11%). FeO2 for NRB-Flush was higher than both NRB-15 (FeO2 difference 32%; 95% CI 29% to 35%) and simple mask with flush rate oxygen (FeO2 difference 13%; 95% CI 10% to 17%). CONCLUSION:Preoxygenation with NRB-Flush was noninferior to BVM-15. NRB with flush rate oxygen may be a reasonable preoxygenation method for spontaneously breathing patients undergoing emergency airway management.

journal_name

Ann Emerg Med

journal_title

Annals of emergency medicine

authors

Driver BE,Prekker ME,Kornas RL,Cales EK,Reardon RF

doi

10.1016/j.annemergmed.2016.06.018

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

1-6

issue

1

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(16)30296-7

journal_volume

69

pub_type

杂志文章,随机对照试验

相关文献

ANNALS OF EMERGENCY MEDICINE文献大全
  • Conference attendance: do we meet the new residency review committee requirements?

    abstract：STUDY OBJECTIVES:To characterize the attendance at and presenters of conferences given to emergency medicine residents and to determine the ability of emergency medicine residents to attend conferences while working in the emergency department and on off-service rotations. DESIGN:Descriptive study of an anonymous mail...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(95)70288-1

    authors： Austin PE,Brown CK,Dunn KA

    更新日期：1995-03-01 00:00:00

  • Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns: A Cohort Study of Two Thousand Four Hundred Ninety-five Children.

    abstract：STUDY OBJECTIVE:First-aid guidelines recommend the administration of cool running water in the early management of thermal injury. Our objective is to analyze the associations between first aid and skin-grafting requirements in children with burns. METHODS:This cohort study used a prospectively collected registry of p...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2019.06.028

    authors： Griffin BR,Frear CC,Babl F,Oakley E,Kimble RM

    更新日期：2020-01-01 00:00:00

  • Risk factors for apnea in pediatric patients transported by paramedics for out-of-hospital seizure.

    abstract：STUDY OBJECTIVE:Apnea is a known complication of pediatric seizures, but patient factors that predispose children are unclear. We seek to quantify the risk of apnea attributable to midazolam and identify additional risk factors for apnea in children transported by paramedics for out-of-hospital seizure. METHODS:This i...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2013.09.015

    authors： Bosson N,Santillanes G,Kaji AH,Fang A,Fernando T,Huang M,Lee J,Gausche-Hill M

    更新日期：2014-03-01 00:00:00

  • Outcome of patients experiencing cardiac arrest with carbon monoxide poisoning treated with hyperbaric oxygen.

    abstract：STUDY OBJECTIVE:We sought to examine the outcome of a subgroup of patients with extreme carbon monoxide (CO) poisoning, specifically those discovered in cardiac arrest, resuscitated, and subsequently treated with hyperbaric oxygen (HBO(2)). Opinions of hyperbaric medicine physicians regarding the treatment of such pati...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2001.115532

    authors： Hampson NB,Zmaeff JL

    更新日期：2001-07-01 00:00:00

  • Interposed abdominal compression-CPR: a case study in cardiac arrest research.

    abstract：:When the abdomen is compressed manually in counterpoint to the rhythm of chest compression, in the performance of interposed abdominal compression-CPR, artificial circulation is approximately doubled in animal experiments and in electronic models of the circulatory system. These studies suggest that external manual co...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)80245-8

    authors： Babbs CF

    更新日期：1993-01-01 00:00:00

  • Older emergency department patients with acute myocardial infarction receive lower quality of care than younger patients.

    abstract：STUDY OBJECTIVE:We assessed the independent relationship between age and the quality of medical care provided to patients presenting to the emergency department (ED) with acute myocardial infarction. METHODS:We conducted a 2-year retrospective cohort study of 2,216 acute myocardial infarction patients presenting urgen...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2004.12.012

    authors： Magid DJ,Masoudi FA,Vinson DR,van der Vlugt TM,Padgett TG,Tricomi AJ,Lyons EE,Crounse L,Brand DW,Go AS,Ho PM,Rumsfeld JS

    更新日期：2005-07-01 00:00:00

  • Effect of standing orders on field times.

    abstract：:Because of discontinuation of base hospital participation, paramedics in a large urban zone of a California emergency medical services (EMS) system serving 1.1 million persons went on emergency standing orders for nearly all calls requiring advanced life support. Subsequently, the base hospital resumed medical control...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(89)80944-8

    authors： Pointer JE,Osur MA

    更新日期：1989-10-01 00:00:00

  • Use of a Supraglottic Airway to Relieve Ventilation-Impeding Gastric Insufflation During Emergency Airway Management in an Infant.

    abstract：:Positive-pressure bag-valve-mask ventilation during emergency airway management often results in significant gastric insufflation, which may impede adequate ventilation and oxygenation. Current-generation supraglottic airways have beneficial features, such as channels for gastric decompression while ventilation is ong...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2016.03.016

    authors： Dodd KW,Strobel AM,Driver BE,Reardon RF

    更新日期：2016-10-01 00:00:00

  • Life-threatening airway obstruction from rattlesnake bite to the tongue.

    abstract：:We describe the case of a 41-year-old man who suffered a bite to the tongue from the Western Diamondback rattlesnake (C atrox). Life-threatening obstruction of his upper airway secondary to massive edema of the tongue and other soft tissue structures quickly followed envenomation. Nasotracheal intubation, IV antivenin...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(87)80584-x

    authors： Gerkin R,Sergent KC,Curry SC,Vance M,Nielsen DR,Kazan A

    更新日期：1987-07-01 00:00:00

  • Treatment of pyelonephritis in an observation unit.

    abstract：STUDY OBJECTIVE:To determine the feasibility of managing patients with acute pyelonephritis as outpatients after initial treatment with IV antibiotics in an emergency department observation unit. DESIGN:Prospective and uncontrolled. SETTING:ED observation unit. TYPE OF PARTICIPANTS:Nonpregnant female patients 14 yea...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)80935-7

    authors： Ward G,Jorden RC,Severance HW

    更新日期：1991-03-01 00:00:00

  • Electronic Mass Casualty Assessment and Planning Scenarios (EMCAPS): development and application of computer modeling to selected National Planning Scenarios for high-consequence events.

    abstract：:Few tools exist that are sufficiently robust to allow manipulation of key input variables to produce casualty estimates resulting from high-consequence events reflecting local or specific regions of concern. This article describes the design and utility of a computerized modeling simulation tool, Electronic Mass Casua...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2008.09.014

    authors： Scheulen JJ,Thanner MH,Hsu EB,Latimer CK,Brown J,Kelen GD

    更新日期：2009-02-01 00:00:00

  • Verapamil in the treatment of PSVT.

    abstract：:Verapamil is considered by many investigators to be the drug of choice for the acute management of uncomplicated PSVT. Several clinical investigators have demonstrated termination of PSVT in more than 90% of their patients within minutes following IV drug administration. The incidence of reported severe adverse reacti...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,评审

    doi：10.1016/s0196-0644(81)80013-3

    authors： Kuhn M

    更新日期：1981-10-01 00:00:00

  • Beyond tissue plasminogen activator: mechanical intervention in acute stroke.

    abstract：:Mechanical interventions in acute ischemic stroke promise to provide emergency physicians with tools to treat patients in whom conventional thrombolysis might be ineffective or contraindicated, including most patients with stroke who arrive at the emergency department beyond the 3-hour time window for intravenous tiss...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,评审

    doi：10.1067/mem.2003.194

    authors： Leary MC,Saver JL,Gobin YP,Jahan R,Duckwiler GR,Vinuela F,Kidwell CS,Frazee J,Starkman S

    更新日期：2003-06-01 00:00:00

  • Outpatient treatment of deep venous thrombosis: a clinical care pathway managed by the emergency department.

    abstract：STUDY OBJECTIVE:We evaluate the effectiveness and safety of an outpatient clinical care pathway for the initial treatment of acute proximal lower-extremity deep venous thrombosis (DVT) with low molecular weight heparin (LMWH) managed by the emergency department of 2 affiliated community hospitals. METHODS:This observa...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章

    doi：10.1067/mem.2001.113703

    authors： Vinson DR,Berman DA

    更新日期：2001-03-01 00:00:00

  • Automated linking of free-text complaints to reason-for-visit categories and International Classification of Diseases diagnoses in emergency department patient record databases.

    abstract：STUDY OBJECTIVE:The use of the International Classification of Diseases system to describe emergency department (ED) case mix has disadvantages. We therefore developed computer algorithms that recognize a combination of words, word fragments, and word patterns to link free-text complaint fields to 20 reason-for-visit c...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(03)00748-0

    authors： Day FC,Schriger DL,La M

    更新日期：2004-03-01 00:00:00

  • Performance characteristics of clinical diagnosis, a clinical decision rule, and a rapid influenza test in the detection of influenza infection in a community sample of adults.

    abstract：STUDY OBJECTIVE:The accurate diagnosis of influenza remains a diagnostic dilemma. We examine the performance of various strategies for diagnosing influenza infection in an unselected sample of adults during influenza season. METHODS:Consecutive adults presenting to a university emergency department or urgent care clin...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2005.05.020

    authors： Stein J,Louie J,Flanders S,Maselli J,Hacker JK,Drew WL,Gonzales R

    更新日期：2005-11-01 00:00:00

  • Revisiting the "Golden Hour": An Evaluation of Out-of-Hospital Time in Shock and Traumatic Brain Injury.

    abstract：STUDY OBJECTIVE:We evaluate patients with shock and traumatic brain injury who were previously enrolled in an out-of-hospital clinical trial to test the association between out-of-hospital time and outcome. METHODS:This was a secondary analysis of patients with shock and traumatic brain injury who were aged 15 years o...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.annemergmed.2014.12.004

    authors： Newgard CD,Meier EN,Bulger EM,Buick J,Sheehan K,Lin S,Minei JP,Barnes-Mackey RA,Brasel K,ROC Investigators.

    更新日期：2015-07-01 00:00:00

  • Painless abruptio placentae associated with disseminated intravascular coagulation and syncope.

    abstract：:Abruptio placentae is a complication of pregnancy associated with significant morbidity and mortality for both fetus and mother. The presence of uterine pain and tenderness traditionally has been considered a useful criterion for distinguishing abruptio placentae from other causes of bleeding in pregnancy. We report t...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)81040-6

    authors： Mechem CC,Knopp RK,Feldman D

    更新日期：1992-07-01 00:00:00

  • Efficacy and safety of transcutaneous low-impedance cardiac pacing in human volunteers using conventional polymeric defibrillation pads.

    abstract：STUDY OBJECTIVES:To assess the safety and efficacy of transcutaneous cardiac pacing using low-impedance defibrillation-type, self-adhesive polymer electrode pads positioned in the same anatomic sites typical of such pad placement in emergency defibrillation attempts. DESIGN:Prospective, randomized, single-blinded norm...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0196-0644(05)80058-7

    authors： Chapman PD,Stratbucker RA,Schlageter DP,Pruzina SP

    更新日期：1992-12-01 00:00:00

  • Comparison of cardiopulmonary resuscitation training methods for parents of infants at high risk for cardiopulmonary arrest.

    abstract：STUDY OBJECTIVES:To compare three different methods of teaching CPR to parents of infants at high risk for sudden cardiopulmonary arrest and to identify characteristics that predict difficulty in learning CPR. METHODS:We conducted a prospective, multicenter clinical trial of 480 parents and other infant caretakers. Su...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/s0196-0644(98)70133-7

    authors： Dracup K,Moser DK,Doering LV,Guzy PM

    更新日期：1998-08-01 00:00:00

  • Derivation of a decision rule for the use of radiography in acute knee injuries.

    abstract：STUDY OBJECTIVE:To derive a highly sensitive decision rule for the selective use of radiography in acute knee injuries. DESIGN:Prospectively administered survey. SETTING:Emergency departments of two university hospitals. PARTICIPANTS:Convenience sample of 1,047 adults with acute knee injuries. RESULTS:Attending eme...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(95)70106-0

    authors： Stiell IG,Greenberg GH,Wells GA,McKnight RD,Cwinn AA,Cacciotti T,McDowell I,Smith NA

    更新日期：1995-10-01 00:00:00

  • The Efficacy of Antivenin Latrodectus (Black Widow) Equine Immune F(ab')2 Versus Placebo in the Treatment of Latrodectism: A Randomized, Double-Blind, Placebo-Controlled, Clinical Trial.

    abstract：STUDY OBJECTIVE:The antivenom currently available for treatment of systemic black widow envenomation (latrodectism) is composed of equine whole immunoglobin. Although considered effective, it has been associated with anaphylaxis and 2 reported fatalities. We test the efficacy and safety of new equine antivenom composed...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.annemergmed.2019.02.007

    authors： Dart RC,Bush SP,Heard K,Arnold TC,Sutter M,Campagne D,Holstege CP,Seifert SA,Lo JCY,Quan D,Borron S,Meurer DA,Burnham RI,McNally J,Garcia-Ubbelohde W,Anderson VE

    更新日期：2019-09-01 00:00:00

  • Missed opportunities for appropriate anticoagulation among emergency department patients with uncomplicated atrial fibrillation or flutter.

    abstract：STUDY OBJECTIVE:Emergency department (ED) patients with atrial fibrillation or flutter are at risk of stroke, and guidelines recommend anticoagulation for patients with increased cardiovascular risk. Emergency physicians have a unique opportunity to provide appropriate anticoagulation for such patients, and we wished t...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2013.04.004

    authors： Scheuermeyer FX,Innes G,Pourvali R,Dewitt C,Grafstein E,Heslop C,MacPhee J,Ward J,Heilbron B,McGrath L,Christenson J

    更新日期：2013-12-01 00:00:00

  • World Health Assembly Resolution 60.22 and its importance as a health care policy tool for improving emergency care access and availability globally.

    abstract：:The recent adoption of World Health Assembly Resolution 60.22, titled "Health Systems: Emergency Care Systems," has established an important health care policy tool for improving emergency care access and availability globally. The resolution highlights the role that strengthened emergency care systems can play in red...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2011.10.018

    authors： Anderson PD,Suter RE,Mulligan T,Bodiwala G,Razzak JA,Mock C,International Federation for Emergency Medicine (IFEM) Task Force on Access and Availability of Emergency Care.

    更新日期：2012-07-01 00:00:00

  • Foodborne botulism in a six-month-old infant caused by home-canned baby food.

    abstract：:Previously reported cases of botulism in infants have been diagnosed as infant botulism; that is, botulism caused by intestinal colonization by Clostridium botulinum with intraluminal production and absorption of toxin. Foodborne botulism is caused by ingestion of preformed toxin. We describe an unusual case of foodbo...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2003.259

    authors： Armada M,Love S,Barrett E,Monroe J,Peery D,Sobel J

    更新日期：2003-08-01 00:00:00

  • Diagnosis of Traumatic Eye Injuries With Point-of-Care Ocular Ultrasonography in the Emergency Department.

    abstract：STUDY OBJECTIVE:Traumatic eye injuries are common emergency department presentations worldwide, and diagnosis may be delayed because of concurrent injuries and lack of guidelines in regard to the utility of clinical examination, computed tomography (CT), and point-of-care ultrasonography. In this study, we compare poin...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2019.02.001

    authors： Ojaghihaghighi S,Lombardi KM,Davis S,Vahdati SS,Sorkhabi R,Pourmand A

    更新日期：2019-09-01 00:00:00

  • Initial test of emergency procedure performance in temporary negative pressure isolation by using simulation technologies.

    abstract：STUDY OBJECTIVE:The potential of infectious disease spread in diseases such as tuberculosis, infectious disease epidemic such as avian flu and the threat of terrorism with agents capable of airborne transmission have focused attention on the need for increased surge capacity for patient isolation. Total negative pressu...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2007.04.017

    authors： Davis MA,Landesman R,Tadmor B,Hopmeier M,Shenhar G,Barker T,Pozner CN,Binstadt ES,Nelson S,Look R,Shubina M,Walls RM

    更新日期：2008-04-01 00:00:00

  • Crisis intervention in an emergency setting.

    abstract：:The situational crisis is a period of acute disorganization of affective cognitive and behavioral function precipitated by a traumatic life experience. We review the clinical features of a situational crisis and the four phases of the crisis sequence. Special emphasis is placed on the practical principles of treatment...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(83)80513-7

    authors： Rabin PL,Hussain G

    更新日期：1983-05-01 00:00:00

  • Occupational fatalities in emergency medical services: a hidden crisis.

    abstract：STUDY OBJECTIVE:We estimate the occupational fatality rate among emergency medical services (EMS) personnel in the United States. METHODS:We undertook descriptive epidemiology of occupational fatalities among EMS providers. Analysis was conducted by using data from 3 independent fatality databases: the Census of Fatal...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2002.128681

    authors： Maguire BJ,Hunting KL,Smith GS,Levick NR

    更新日期：2002-12-01 00:00:00

  • Accuracy of blood pressure measurements made aboard helicopters.

    abstract：:Hemodynamically unstable patients will benefit from therapy to control their blood pressure only if this pressure can be determined with accuracy. We compared the accuracy of arterial blood pressure measurements taken aboard helicopters by palpation with a Doppler device and with an oscillometric device. Twenty critic...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(88)80401-3

    authors： Low RB,Martin D

    更新日期：1988-06-01 00:00:00