Recent content by VPIMedic

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    Pre-Hospital post intubation sedation

    You know, Halothane is right in all of his posts. This is not sarcasm. I'll say that the delivery on the last one is a bit rough though. Not trying to suck up here, but some good information is getting lost in this mess. I'm guilty of thumping the sedation/analgesia war drum, not fully...
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    Pre-Hospital post intubation sedation

    Wrong See these papers: Pain from ET tube alone--at it's most: 8. At it's least:5! Rotondi AJ, Chelluri L, Sirio C, et al. Patients' recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Crit Care Med. 2002;30(4):746-52. Lewis KS...
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    Pre-Hospital post intubation sedation

    This is actually a much more complex topic. There are two reasons why this approach is a poor practice IMO. First: it promotes, and reinforces, the appropriately admonished practice of "cookbook medicine." No single agent, nor any broad combination of agents, applies to every patient. Each...
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    Airway question/BVM technique

    More recent paper shows pressure is even lower than originally thought: Anesthesiology. 2014 Feb;120(2):326-34. doi: 10.1097/ALN.0000000000000094. Real-time detection of gastric insufflation related to facemask pressure-controlled ventilation using ultrasonography of the antrum and...
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