The use of neuromuscular blocking agents in the emergency department to facilitate tracheal intubation in the trauma patient: help or hindrance?

Abstract:

PURPOSE:The purpose of this study is to examine the relationship between the occurrence of a difficult intubation and (1) the use of neuromuscular blocking agents (NMB) and (2) the presence of airway injuries. It is a retrospective analysis of data from a trauma registry. MATERIALS AND METHODS:Registry records of patients (n = 160) who required emergent endotracheal intubation or establishment of a surgical airway over a 3.5-year period in the emergency department were reviewed. Risk factors for difficult intubations were identified and analyzed using multivariate logistic regression analysis. RESULTS:NMB were used in 75% of patients requiring intubation. Fifteen percent of the intubations were considered difficult. No association was found between the presence of airway injuries and difficult intubations; however, the use of succinylcholine was associated with a lower risk of difficult intubations compared with intubations where a nondepolarizing NMB was used. CONCLUSIONS:The use of succinylcholine may result in fewer difficult intubations in the trauma patient than when a nondepolarizing NMB is used. The presence of airway injuries did not appear to predispose to difficult intubations.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Vijayakumar E,Bosscher H,Renzi FP,Baker S,Heard SO

doi

10.1016/s0883-9441(98)90022-3

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

1-6

issue

1

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(98)90022-3

journal_volume

13

pub_type

杂志文章
  • Determinants of outcome in patients with a clinical suspicion of ventilator-associated pneumonia.

    abstract:INTRODUCTION:In the absence of a reference standard, a probabilistic approach to the diagnosis of ventilator-associated pneumonia (VAP) has been proposed; and clinician judgment augmented by microbiological tests is used to guide therapy for patients having a clinical suspicion of VAP (CSVAP). However, the correlation ...

    journal_title:Journal of critical care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jcrc.2007.12.007

    authors: Muscedere JG,McColl C,Shorr A,Jiang X,Marshall J,Heyland DK,Canadian Critical Care Trials Group.

    更新日期:2008-03-01 00:00:00

  • Changes in internal medicine residents' attitudes about resuscitation after cardiac arrest over a decade.

    abstract:BACKGROUND:Resident physicians' beliefs about cardiopulmonary resuscitation (CPR) may impact their communication with patients about end-of-life care. We sought to understand how these perceptions and experiences have changed in the past decade because both medical education and American society have focused more on th...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2007.12.012

    authors: Deep KS,Griffith CH,Wilson JF

    更新日期:2009-03-01 00:00:00

  • Women are more than twice as likely to die from burns as men in Australia and New Zealand: an unexpected finding of the Burns Evaluation And Mortality (BEAM) Study.

    abstract::While the risk of death after nonthermal trauma and sepsis may be higher for men, sex differences in outcome after burns are inconsistently reported. The Burns Evaluation And Mortality Study examined the outcomes of all patients admitted after thermal injury to the intensive care unit (ICU) at 8 of 9 burn referral cen...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2014.03.021

    authors: Moore EC,Pilcher D,Bailey M,Cleland H

    更新日期:2014-08-01 00:00:00

  • Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation.

    abstract:PURPOSE:The goal of this study was to determine the impact of surgical rib fixation (SRF) in a treatment protocol for severe blunt chest trauma. MATERIALS AND METHODS:Patients with flail chest admitted between September 2009 and June 2010 to our level I trauma center who failed traditional management and underwent SRF...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2013.08.003

    authors: Doben AR,Eriksson EA,Denlinger CE,Leon SM,Couillard DJ,Fakhry SM,Minshall CT

    更新日期:2014-02-01 00:00:00

  • Opinions of families, staff, and patients about family participation in care in intensive care units.

    abstract:PURPOSE:The aims of the study were to assess opinions of caregivers, families, and patients about involvement of families in the care of intensive care unit (ICU) patients; to evaluate the prevalence of symptoms of anxiety and depression in family members; and to measure family satisfaction with care. MATERIALS AND ME...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2010.03.001

    authors: Garrouste-Orgeas M,Willems V,Timsit JF,Diaw F,Brochon S,Vesin A,Philippart F,Tabah A,Coquet I,Bruel C,Moulard ML,Carlet J,Misset B

    更新日期:2010-12-01 00:00:00

  • Injection of agitated saline to detect recirculation with transthoracic echocardiography during venovenous extracorporeal oxygenation: A pilot study.

    abstract:PURPOSE:We assessed the security and efficiency of intravenously injected agitated saline in conjunction with transthoracic echocardiography to identify recirculation in patients supported with a venovenous extracorporeal membrane oxygenation (VV ECMO) device. MATERIALS AND METHODS:We injected agitated saline 4 consec...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.08.017

    authors: Pierrakos C,Collot V,Van Lieshout H,De Doncker M,Delcourt S,Gottignies P,Devriendt J,De Bels D

    更新日期:2017-02-01 00:00:00

  • Increased atrial contraction contribution to left ventricular filling during early septic shock.

    abstract:PURPOSE:To assess the atrial systolic function and the contribution of atrial contraction to left ventricular (LV) filling in septic shock patients as compared with healthy volunteers. METHODS:Twenty-seven septic patients evaluated during first 48 h of ICU admission and compared with 27 healthy volunteers. Left atrial...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2019.09.006

    authors: Monge García MI,Del Rio Lechuga A,Fletcher N,Gil Cano A

    更新日期:2019-12-01 00:00:00

  • Furosemide and Albumin for Diuresis of Edema (FADE): A parallel-group, blinded, pilot randomized controlled trial.

    abstract:PURPOSE:To assess the feasibility of a trial evaluating whether hyperoncotic albumin, in addition to diuretics, improves diuresis and facilitates liberation from mechanical ventilation in critically ill adults. MATERIALS AND METHODS:We randomized 46 hemodynamically stable patients with hypoalbuminemia, prescribed diur...

    journal_title:Journal of critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcrc.2018.07.020

    authors: Oczkowski SJW,Klotz L,Mazzetti I,Alshamsi F,Chen ML,Foster G,Meade MO,Hamielec C

    更新日期:2018-12-01 00:00:00

  • Sepsis in Haiti: Prevalence, treatment, and outcomes in a Port-au-Prince referral hospital.

    abstract:PURPOSE:Developing countries carry the greatest burden of sepsis, yet few descriptive data exist from the Western Hemisphere. We conducted a retrospective cohort study to elucidate the presentation, treatment, and outcomes of sepsis at an urban referral hospital in Port-au-Prince, Haiti. MATERIALS AND METHODS:We studi...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.09.031

    authors: Papali A,Verceles AC,Augustin ME,Colas LN,Jean-Francois CH,Patel DM,Todd NW,McCurdy MT,West TE,Haiti REsource Limited Intensive Care (Haiti-RELIC) Study Group.

    更新日期:2017-04-01 00:00:00

  • Is positive end-expiratory pressure suitable for liver recipients with a rescue organ offer?

    abstract:PURPOSE:Rescue organ offers may help to overcome the organ shortage. However, because of initial poor liver function, the recipient may develop a severe lung injury with the requirement for higher positive end-expiratory pressure (PEEP) levels to achieve adequate oxygenation. Positive end-expiratory pressure has been a...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2009.11.002

    authors: Saner FH,Olde Damink SW,Pavlaković G,Sotiropoulos GC,Radtke A,Treckmann J,Beckebaum S,Cicinnati V,Paul A

    更新日期:2010-09-01 00:00:00

  • Liquid ventilation attenuates pulmonary oxidative damage.

    abstract:PURPOSE:Liquid perfluorochemicals reduce the production of reaction oxygen species by alveolar macrophages. We sought to determine whether the use of liquid perfluorochemicals in vivo during liquid ventilation would attenuate oxidative damage to the lung. MATERIALS AND METHODS:Healthy infant piglets (n = 16) were inst...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/s0883-9441(99)90004-7

    authors: Steinhorn DM,Papo MC,Rotta AT,Aljada A,Fuhrman BP,Dandona P

    更新日期:1999-03-01 00:00:00

  • The effect of framing on surrogate optimism bias: A simulation study.

    abstract:PURPOSE:To explore the effect of emotion priming and physician communication behaviors on optimism bias. MATERIALS AND METHODS:We conducted a 5 × 2 between-subject randomized factorial experiment using a Web-based interactive video designed to simulate a family meeting for a critically ill spouse/parent. Eligibility i...

    journal_title:Journal of critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcrc.2015.11.015

    authors: Patel D,Cohen ED,Barnato AE

    更新日期:2016-04-01 00:00:00

  • Full Outline of UnResponsiveness score and Glasgow Coma Scale in medical patients with altered sensorium: interrater reliability and relation to outcome.

    abstract:PURPOSE:Full Outline of UnResponsiveness, or FOUR score (FS), is a recently described scoring system for evaluation of altered sensorium. This study examined interrater reliability for FS and Glasgow Coma Scale (GCS) among medical patients with altered mental status and compared outcome predictability of GCS, FS, and S...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.06.009

    authors: Gujjar AR,Jacob PC,Nandhagopal R,Ganguly SS,Obaidy A,Al-Asmi AR

    更新日期:2013-06-01 00:00:00

  • Patient-ventilator dyssynchronies: Are they all the same? A clinical classification to guide actions.

    abstract::Patient ventilatory dyssynchrony (PVD) is a mismatch between the respiratory drive of the patient and ventilatory assistance. It is a complex event seen in almost all ventilated patients and at any ventilator mode, with uncertain significance and prognosis. Due to its different pathophysiological mechanisms, there is ...

    journal_title:Journal of critical care

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcrc.2020.07.016

    authors: Damiani LF,Bruhn A,Retamal J,Bugedo G

    更新日期:2020-12-01 00:00:00

  • Thoracic ultrasound: Potential new tool for physiotherapists in respiratory management. A narrative review.

    abstract::The use of diagnostic ultrasound by physiotherapists is not a new concept; it is frequently performed in musculoskeletal physiotherapy. Physiotherapists currently lack accurate, reliable, sensitive, and valid measurements for the assessment of the indications and effectiveness of chest physiotherapy. Thoracic ultrasou...

    journal_title:Journal of critical care

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcrc.2015.10.014

    authors: Le Neindre A,Mongodi S,Philippart F,Bouhemad B

    更新日期:2016-02-01 00:00:00

  • Safety of peripheral administration of phenylephrine in a neurologic intensive care unit: A pilot study.

    abstract::Integral to the management of the neurocritically injured patient are the prevention and treatment of hypotension, maintenance of cerebral perfusion pressure, and occasionally blood pressure augmentation. When adequate volume resuscitation fails to meet perfusion needs, vasopressors are often used to restore end-organ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.04.004

    authors: Delgado T,Wolfe B,Davis G,Ansari S

    更新日期:2016-08-01 00:00:00

  • A critical appraisal of the accuracy of the RIFLE and AKIN classifications in defining "acute kidney insufficiency" in critically ill patients.

    abstract:PURPOSE:The lack of a consensus definition for acute kidney injury (AKI) has led to a great deal of discrepancies and confusion in the literature in this field. Thus, the RIFLE (Risk of renal dysfunction, Injury to the kidney, Failure of kidney function, Loss of kidney function and End-stage renal disease) and Acute Ki...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.06.012

    authors: Valette X,du Cheyron D

    更新日期:2013-04-01 00:00:00

  • Fluid resuscitation mediates the association between inhalational burn injury and acute kidney injury in the major burn population.

    abstract:BACKGROUND:It is known that acute respiratory distress syndrome and acute lung injury are independent risk factors for developing acute kidney injury (AKI) through complex pathophysiologic mechanisms. Our specific aim is to evaluate the risk factors for AKI postburn injury and whether inhalation thermal injury is an in...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.10.008

    authors: Kumar AB,Andrews W,Shi Y,Shotwell MS,Dennis S,Wanderer J,Summitt B

    更新日期:2017-04-01 00:00:00

  • Aeration changes induced by high flow nasal cannula are more homogeneous than those generated by non-invasive ventilation in healthy subjects.

    abstract:BACKGROUND:Non-invasive mechanical ventilation (NIV) is a standard respiratory support technique used in intensive care units. High-Flow Nasal Cannula (HFNC) has emerged as an alternative, but further evidence is needed. The lung aeration and diaphragm changes achieved with these two strategies in healthy subjects have...

    journal_title:Journal of critical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcrc.2019.06.009

    authors: Pérez-Terán P,Marin-Corral J,Dot I,Sans S,Muñoz-Bermúdez R,Bosch R,Vila C,Masclans JR

    更新日期:2019-10-01 00:00:00

  • African American race, obesity, and blood product transfusion are risk factors for acute kidney injury in critically ill trauma patients.

    abstract:PURPOSE:Acute kidney injury (AKI) is a common source of morbidity after trauma. We sought to determine novel risk factors for AKI, by Acute Kidney Injury Network (AKIN) criteria, in critically ill trauma patients. MATERIALS AND METHODS:A prospective cohort of 400 patients admitted to the intensive care unit of a level...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.02.002

    authors: Shashaty MG,Meyer NJ,Localio AR,Gallop R,Bellamy SL,Holena DN,Lanken PN,Kaplan S,Yarar D,Kawut SM,Feldman HI,Christie JD

    更新日期:2012-10-01 00:00:00

  • Predicting the need for nonstandard tracheostomy tubes in critically ill patients.

    abstract:PURPOSE:Few guidelines exist regarding the selection of a particular type or size of tracheostomy tube. Although nonstandard tubes can be placed over the percutaneous kit dilator, clinicians often place standard tracheostomy tubes and change to nonstandard tubes only after problems arise. This practice risks early trac...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.05.025

    authors: Pandian V,Hutchinson CT,Schiavi AJ,Feller-Kopman DJ,Haut ER,Parsons NA,Lin JS,Gorbatkin C,Angamuthu PG,Miller CR,Mirski MA,Bhatti NI,Yarmus LB

    更新日期:2017-02-01 00:00:00

  • Decision-making in ICU - A systematic review of factors considered important by ICU clinician decision makers with regard to ICU triage decisions.

    abstract:BACKGROUND:The ICU is a scarce resource within a high-stress, high-stakes, time-sensitive environment where critically ill patients with life-threatening conditions receive expensive life-sustaining care under the guidance of expert qualified personnel. The implications of decisions such as suitability for admission in...

    journal_title:Journal of critical care

    pub_type:

    doi:10.1016/j.jcrc.2018.11.027

    authors: Gopalan PD,Pershad S

    更新日期:2019-04-01 00:00:00

  • Recovery of cough after extubation after coronary artery bypass grafting: A prospective study.

    abstract:PURPOSE:This study aims to evaluate the effect of intubation for coronary artery bypass grafting (CABG) on the cough reflex, an important airway protection mechanism. MATERIALS:Eighty-six participants (70 males) underwent cough reflex texting (CRT) before intubation for CABG to establish baseline threshold for reflexi...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2015.03.013

    authors: Kallesen M,Psirides A,Huckabee ML

    更新日期:2015-08-01 00:00:00

  • Intensive care unit-acquired hypernatremia is an independent predictor of increased mortality and length of stay.

    abstract:PURPOSE:The purpose of this study is to examine the impact of hypernatremia acquired after intensive care unit (ICU) admission on mortality and length of stay (LOS). MATERIALS AND METHODS:Data for this observational study were collected from patients admitted between January 1, 2008, and September 30, 2010 to 344 ICUs...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.11.013

    authors: Waite MD,Fuhrman SA,Badawi O,Zuckerman IH,Franey CS

    更新日期:2013-08-01 00:00:00

  • Association between transient acute kidney injury and morbidity and mortality after lung transplantation: a retrospective cohort study.

    abstract:PURPOSE:Acute kidney injury (AKI) is a common occurrence after lung transplantation (LTx). Whether transient AKI or early recovery is associated with improved outcome is uncertain. Our aim was to describe the incidence, factors, and outcomes associated with transient AKI after LTx. MATERIALS AND METHODS:We performed a...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2014.07.024

    authors: Fidalgo P,Ahmed M,Meyer SR,Lien D,Weinkauf J,Kapasi A,Cardoso FS,Jackson K,Bagshaw SM

    更新日期:2014-12-01 00:00:00

  • Prediction of pulmonary edema by plasma protein levels in patients with sepsis.

    abstract:PURPOSE:The difficulties of fluid therapy in patients with septic shock are to maintain sufficient vascular volume while preventing pulmonary edema formation. Thus, it is important to find a biomarker that can reliably predict pulmonary edema formation after fluid loading. We evaluated the association of plasma protein...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.08.007

    authors: Zhang Z,Lu B,Ni H,Sheng X,Jin N

    更新日期:2012-12-01 00:00:00

  • Improving the 2007 Infectious Disease Society of America/American Thoracic Society severe community-acquired pneumonia criteria to predict intensive care unit admission.

    abstract:PURPOSE:To improve 2007 Infectious Disease Society of America/American Thoracic Society (IDSA/ATS) severity criteria to predict intensive care unit (ICU) admission in patients hospitalized with pneumonia. METHODS:A composite score that included the 2007 IDSA/ATS criteria for severe pneumonia and additional significant...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.09.010

    authors: Sibila O,Meduri GU,Mortensen EM,Anzueto A,Laserna E,Fernandez JF,El-Sohl A,Restrepo MI

    更新日期:2013-06-01 00:00:00

  • Multiple-organ effect of normobaric hyperoxia in neonatal rats.

    abstract:PURPOSE:Prolonged exposure to normobaric hyperoxia (NH) is associated with blood leukocyte activation and sequestration in the lung. Whether NH-induced leukocyte activation and sequestration can affect extrapulmonary organs or blood cellular profile has not been systematically investigated. We studied simultaneous chan...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2005.09.057

    authors: Torbati D,Tan GH,Smith S,Frazier KS,Gelvez J,Fakioglu H,Totapally BR

    更新日期:2006-03-01 00:00:00

  • Management of ventilator associated pneumonia with a new antibiotic adjuvant entity (ceftriaxone+sulbactam+disodium edetate) - A novel approach to spare carbapenems.

    abstract:BACKGROUND:Ventilator associated pneumonia (VAP) is one of the most serious nosocomial infections in Intensive Care Unit (ICU). The aim of this study was to evaluate a new approach to spare the carbapenems for the management of patients diagnosed with VAP due to Acinetobacter baumannii (A. baumannii). METHOD:This retr...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.04.002

    authors: Sathe P,Maddani S,Kulkarni S,Munshi N

    更新日期:2017-10-01 00:00:00

  • Changing trends in the use of seizure prophylaxis after traumatic brain injury: a shift from phenytoin to levetiracetam.

    abstract:PURPOSE:Current guidelines for traumatic brain injury (TBI) recommend antiepileptic drugs (AEDs) for 7 days after injury to decrease posttraumatic seizure risk. Phenytoin decreases seizure risk 73% vs placebo during this time. Levetiracetam (LEV) is an alternative; however, no published data validate comparable efficac...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.11.020

    authors: Kruer RM,Harris LH,Goodwin H,Kornbluth J,Thomas KP,Slater LA,Haut ER

    更新日期:2013-10-01 00:00:00