With rising popularity of rocuronium, this publication is a timely addition to debate regarding the ultimate paralytic in RSI. As we’ll see, the debate is definitely not settled. Rocuronium was demonstrated to be not non-inferior to succinylcholine. But we’ll see that extrapolating this study to general practice may be difficult. Depending on the camp you’re in, you may find succinylcholine gets one leg up on roc or you’ll identify one of many problems with this study that keeps rocuronium as your paralytic of choice.
Category: Article Review
PrePARE Trial with Dave Janz
Putting a fluid bolus during intubation into question, the Pragmatic Care Trials group and lead author Dave Janz re-examines yet another adage of “routine care.”
PreVent Trial and Interview with Jon Casey
Jon Casey discusses the nuances of the PreVent trial and rebukes criticism.
BEAM Article with Brian Driver Interview
Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation success Among Patients with Difficult Airways Undergoing Emergency Intubation. JAMA May 2018. It’s been a year since Brian and his team […]
ET-CO2 and the Ultimate Low-Flow State: Interview with author James Brown
Interview with author James Brown of 2017 Resuscitation article on tube confirmation in low-flow states.
ENDAO Trial and Interview with Nick Caputo
Nick Caputo works at Lincoln Medical Center, a single ED with 175,000 visits a year. He did a general surgery internship, an emergency medicine residency at Lincoln Medical Center and a Critical Care Retrieval fellowship in Australia. He’s now published the second prospective study showing no difference in O2 sats with apneic oxygenation. Check out the Q&A below.
Bougie and the FPS with Interview by Brian Driver
Hennepin breeds a culture of bougie use 80% of the time. Brian Driver’s study shows a FPS of 95%. Let’s chat with the author in the this article review and interview.
Ramped Versus Sniffing Position: the Debate Continues
“A Multicenter, Randomized Trial of Ramped Position versus Sniffing Position during Endotracheal Intubation of Critically Ill Adults.” Semler et al. Chest 2017. Is there enough data to change the ramped trend? Objective: The ramped position has […]
Don’t Intubate in Cardiac Arrest?
Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival Anderson et al. JAMA, January 2017 Objective: to determine whether intubation during adult in-hospital arrest was associated with increased survival to discharge. Methods: First, […]
Etomidate vs Ketamine in Trauma
Comparison of Etomidate and Ketamine for Induction During Rapid Sequence Intubation of Adult Trauma Patients Upchurch et al. Annals of Emergency Medicine. January 2017. Objective: to compare outcomes between etomidate and ketamine in trauma patients […]