Intubation

It sounds a short step away from lunacy to say that one week, one email could change your life. “Congratulations! You have been selected to participate in the Harvard Medical School Medscience Summer Program.” It felt like a dream to me as I rushed down the stairs to tell my parents. The application was a shot in the dark, I desperately wanted to be accepted to the program, but I never imagined I would be one of the applicants out of thousands from across the country to be chosen. I took the…

anesthetics and their potential to cause a malignant hyperthermia-like syndrome or rhabdomyolysis exists (4). Therefore, regional anesthesia may offer advantages for avoiding many of these problems with reduced drug doses, avoidance of tracheal intubation and decreased postoperative opioid requirement (5, 6). We used a caudal block which has been shown to have beneficial impact on respiratory physiology in healthy spontaneously ventilating children under propofol infusion with LMA (7).…

hypoxemia no longer exist. Universally the primary consideration in anaesthesia is “Safety”. While the techniques of Induction and Intubation enjoyed more attention and emphasis throughout the…

Some of the nursing diagnosis based on the above assessment can be listed below: A. Ineffective airway clearance related to excessive secretions B. Ineffective breathing pattern related to decreased lung expansion C. Risk for aspiration D. Disturbed sleeping pattern related to fragmented sleep E. Deficient knowledge related to lack of exposure to previous knowledge 1. Nursing diagnosis: Ineffective airway clearance related to excessive secretions Defining characteristics • Tachypnea, dyspnea •…

is used, adequate motor block, and excellent analgesia, no airway manipulation, intact reflexes, and no risk of aspiration. In the present study, The HR and MABP showed significant increase in group II after intubation which can be explained by the stress response to laryngoscopy and intubation. While the hemodynamic parameters remained almost stable in group I. Injection of local anesthetic into the paravertebral space results in unilateral block of somatic and sympathetic nerve which lead to…

here that sometimes the term DNR is confusing since the interpretation varies between organisations. Some people may interpret DNR as not performing CPR without intubation, others may interpret DNR as utilising drugs only (Clark et al., 1994), and likewise some people may read it by avoiding all lifesaving intervention such as intubation, chest compression, and drugs (Keffer & Keffer, 1992). For most relevant interpretation, DNR orders might apply only to resuscitation (Burkhardt & Nathaniel,…

An 18-year-old male is brought to the emergency department by the emergency medical services (EMS) after suffering severe injuries as a passenger in an automobile accident. The driver apparently lost control of the vehicle and ran off the road into a tree. The driver and passenger were found soon after by a passerby when the car caught on fire. Due to the force and extensive damage to the vehicle, both passengers were trapped until they could be extracted by emergency personnel, 20 minutes…

locate the board manager, several minutes later, I located a physician who had left the labor and deliver room. I requested help from him. We went into room four. “ They were concerned about the possibility of her miscalculation of the appropriate intubation technique. “Why did you allow the procedure to continue if there was improper care of the patient?” Dr. Jull…

Aspiration is inhalation of foreign material below the vocal cords. In anesthesia practice, the inhalation of gastric content is rare 1 per 2000-3000 cases occurrence, however the consequences of the complication can be detrimental (Raghavendran, Nemzek, Napolitano, Knight, 2011). Presentation of the pulmonary aspiration ranges from silent aspiration, where the patient does not experience any symptoms, to the development of acute lung injury (ALI). The mortality rate after development of ALI…

However, for long-term, gastrostomy tube inserted endoscopically or jejuostomy tube surgically inserted are also preferred .Nasogastric route is not preferred for short-term due to risk of aspiration. Mr. J was admitted due to pneumonia, he requires intubation and says that when he tries to swallow, food gets caught in his throat. This means he is at risk of aspiration. In addition, enteral feeding is preferred to parenteral feeding due to less infection and preserves gut integrity by preventing…