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My Rapid Preoxygenation Technique

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ABCs of Anaesthesia

ABCs of Anaesthesia

3 жыл бұрын

Try this for your next intubation!
If you want to rapidly preoxygenate your patients prior to intubation, try this pressure support method.
You can achieve fast preO2 greater than 80% in only 4 breaths and greater than 90% with a good seal!
This is great for patients with a difficult airway, high BMI, or anyone who's unwell!
Please post any comments or questions below.
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Any questions please email abcsofanaesthesia@gmail.com
Disclaimer:
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information in this course is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant
This document was created using a Contractology template available at www.contractolo....
Informed consent was gained from the patient where relevant
The views presented here are of each individual presenter and does not represent the views of our employing hospitals or ANZCA.

Пікірлер: 7
@atlasko1
@atlasko1 3 жыл бұрын
Why would you have PEEP off? Do you find the patient tolerate the technique better. I have used a similar technique using 10/5 PSVPRO and find it very effective in achieving some recruitment in the obese and respiratory compromised patients. Most tolerate it well but occasionally some patient finds it hard.
@ABCsofAnaesthesia
@ABCsofAnaesthesia 3 жыл бұрын
Great question! I haven’t done a proper study but I feel for the end point of fast pre02, no peep gives more large volume exchanges = faster preox... Peep opens alveoli but doesn’t maximize gas flow and large volumes.. But I can see the value in very obese patients to help keep alveoli open it might help... Should be interesting to do a small study on this!
@AM-kf4bs
@AM-kf4bs Жыл бұрын
Did u take normal tv breaths or 8 vital capacity breaths ??
@ABCsofAnaesthesia
@ABCsofAnaesthesia Жыл бұрын
great question, because i use pressure supported breaths, each breath is a full vital capacity breath with minimal effort, therefore it seems to work more reproducibly and faster than asking a patient to make the effort themselves.
@rohithshetty7821
@rohithshetty7821 3 жыл бұрын
Is that controld mode or is that PSV if it is PSV how is that going to help??
@ABCsofAnaesthesia
@ABCsofAnaesthesia 3 жыл бұрын
It's just PSV, triggered pressure support by the patient's breaths... it seems to just encourage large volume breaths that speed up preoxygenation. Just seems to work really well :) let me know if it doesn't work for you
@rohithshetty7821
@rohithshetty7821 3 жыл бұрын
What about after giving sedation?? (Before intubation)
Watch this for the practical and fast way to check your bronchoscope
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