Apnoeic Oxygenation: Essential in Prehospital RSI

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APNOEIC OXYGENATION CLIFF REID Director of Training Greater Sydney Area HEMS ESSENTIAL IN PREHOSPITAL RSI SYDNEYHEMS.COM/LTC

Transcript of Apnoeic Oxygenation: Essential in Prehospital RSI

APNOEIC OXYGENATION

CLIFF REID Director of Training Greater Sydney Area HEMS

ESSENTIAL IN PREHOSPITAL RSI

SYDNEYHEMS.COM/LTC

Image Credit: Mayo Clinic Proceedings 1998

DEC 2010 NOV 2011JUL 2011

WHEN DID ALL THIS START?

DEC 2010 NOV 2011JUL 2011

WHEN DID ALL THIS START?NOV 1959

FRUMIN MJ, EPSTEIN RM, COHEN G. Apneic oxygenation in man. Anesthesiology. 1959 Nov;20:789–98.

Sherren P, Tricklebank S, Glover G. Development of a standard operating procedure and checklist for rapid sequence induction in the critically ill.

Scand J Trauma Resusc Emerg Med. 2014 Sep 11;22(1):41.

“STANDARDS OF PRACTICE AND

MONITORING SHOULD BE SIMILAR

TO THOSE RECOMMENDED FOR

IN-HOSPITAL ANAESTHESIA”

RR 0.68, (CI 0.47 - 0.98)

NO SIGNIFICANT

CONFOUNDING BY ANY

AVAILABLE VARIABLES

DO WE NEED AN RCT?

JUST ONE COMPONENT

FIRST PASS SUCCESS DL

APNOEIC OXYGENATION

CLIFF REID Director of Training Greater Sydney Area HEMS

ESSENTIAL IN PREHOSPITAL RSI

SYDNEYHEMS.COM/LTC