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Case Report: Upper Airway Obstruction in the Emergency Department

By Ryan Yavorsky, DO, Jonathan Glauser, MD, FACEP, MBA | on January 6, 2023 | 0 Comment
Airway
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ACEP Now: Vol 42 – No 01 – January 2023

Dr. Yavorsky is an attending physician at MetroHealth Medical Center in Cleveland, Ohio.

Dr. Glauser is professor of emergency medicine at Case Western Reserve University at MetroHealth Cleveland Clinic in Cleveland, Ohio.

References

  1. OCathain E, Gaffey M. Upper Airway Obstruction. StatPearls [Internet] website. https://www.ncbi.nlm.nih.gov/books/ NBK564399/. Published January 2021. Updated October 22, 2020. Accessed December 23, 2022.
  2. Venezia D, Wackett A, Remedios A, Tarsia V. The case for teaching face-to-face (tomahawk, icepick or inverse) intubation. Annals of Emergency Medicine. 2010;56(3). doi:10.1016/j.annemergmed.2010.06.340
  3. Hill J. So you want to tomahawk somebody?–taming the SRU. University of Cincinnati College of Medicine website. https://www.tamingthe sru.com/blog/procedural-education/so-you-want-to-tomahawksomebody? Published April 14, 2014. Accessed April 29, 2021. Accessed December 23, 2022.
  4. Godlewski C. The “reverse c-mac tomahawk”: A novel approach to the difficult airway and sedation in patients unable to lie supine. Anesthesia Experts website. https://anesthesiaexperts.com/uncategorized/reverse-c-mac-tomahawk-approach-difficult-airwaysedation-patients-unable-lie-supine/. Published February 15, 2018. Accessed December 23, 2022.
  5. White S, Levitan R, High K, Stack L. Airway. In: Knoop K, Stack L, Storrow A, Thurman R., eds. The Atlas of Emergency Medicine. Fourth edition. McGraw Hill; 2016.
  6. Gaszynski, T. Face-to-face intubation in morbidly obese. NIH website. https://clinicaltrials.gov/ct2/ show/NCT04959149. Published Jul1, 2021. Accessed December 23, 2022.
  7. Julliard D, Vassiliadis J, Bowra J, et al. Comparison of supine and upright face-to-face cadaver intubation. Am J Emerg Med. 2022;56:87-91.
  8. Jeong H, Chae M, Seo H, Yi J-W, Kang J-M, Lee B-J. Face-to-face intubation using a lightwand in a patient with severe thoracolumbar kyphosis: A case report. BMC Anesthesiol. 2018;18(1).
  9. Venn R, Hell J, Grounds R. Respiratory effects of dexmedetomidine in the surgical patient requiring intensive care. Crit Care. 2000;4(5):302-308.
  10. Hell, J., Venn, R., Cusack, R. et al. Respiratory effects of dexmedetomidine in the ICU. Crit Care. 2000;4(1):193. https://doi.org/10.1186/cc913.

Pages: 1 2 3 4 | Single Page

Topics: airway obstructionaxe intubationCase ReportsIntubationtomahawk intubation

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