Tag Archives: Airway

FOAM Eye-Catchers 10: Apnoeic Oxygenation – new trial questions value of NODESAT

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A new RCT called the FELLOW trial examining the benefits of NODESAT (Nasal Oxygenation During Attempts at Larngoscopy) has been published online and Emcrit has just released a podcast interviewing the leader author. There is also a brief review of this paper at emlitofnote.

This is a RCT in a single medical ICU randomising patients to NODESAT or usual care. Surprisingly it found no benefit in the primary outcome – the lowest measured arterial oxygen saturation.

However there was some key aspects of this trial that seriously affect its generalisability to ED and operating room patients: Continue reading →

FOAM Eye-Catchers 7: SMACC GOLD Highlights

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Having recently returned from the FOAM-ite mecca, SMACC GOLD, in this edition I take a look at just a few of the many highlights.  Given there were frequently 3 speakers on at the same time, there were many talks that I missed so this is not an all inclusive list by any means. Continue reading →

Bite-Sized Basics: Preoxygenation

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This is our very first Bite-Sized Basics post and the topic is Preoxygenation.

Preoxygenation (PreOx) is a critical step performed prior to intubation or sedation to extend the period of safe apnoea. We take a look at:

– how best to perform it and the choice of Preox devices in the ED

– what to do when we run into problems achieving PreOx

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