• When I came into the clinic I was greeted by Patrick and Monica. They showed me around the clinic. I was also introduced to Liah‚ Antinique‚ and the rest of the team. With no hesitation I started to help Antinique with a patient that came in for a dental and a mass removal; it was a schnauzer named Jackpot. Antinique was filling out some information in the records and asked me if I can pull up 0.5ml of hydromorphone and 3.0ml of penicillin. The patient’s records were written on index cards and
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Benchmark: Evidence -Based Practice (EBP) Summary Shannon Marcus Grand Canyon University- NUR-504 Debra Finch-Instructor May 26‚ 2015 Introduction Nasogastric (NG) tube placement is a common procedure done in pediatric and neonatal patient care settings. However‚ there is little research that exists in today’s vast amount of medical information that conclusively proves the safest and most accurate way to verify placement. Although there have been several research
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When a patient cannot control their airway‚ or cannot perform the act of respiration without assistance‚ the need for endotracheal intubation may arise. The practice of endotracheal intubation has been shown to provide a safe and patent airway‚ which can be mechanically ventilated when necessary. The use of an endotracheal tube also protects the patient by preventing aspiration when used correctly‚ and provides an extra rout for medication administration. The use of endotracheal tubes is very
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I think that drug assisted intubation should be kept in the field only if the medics are properly trained. RSI is important to being able to keep an open airway in patients who are at a severe risk of pulmonary aspiration such as patients having an allergic reaction‚ severe burns‚ and etc. This is why it is a hard question to be able to definitively answer either “yes” or “no” to. In my opinion‚ drug assisted intubation in the field should be only in severe cases. When you paralyze a patient‚ you
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between the treatment groups. All infants of 23 weeks’ gestation required intubation in the DR‚ irrespective of treatment group‚ whereas only 3 (14%) of 21 infants of 27 weeks’ required such intubation. For infants who were not intubated in the DR‚ 36 infants (16 CPAP infants and 20 control infants) were subsequently intubated in the NICU by day 7‚ in accordance with the protocol. Overall‚ 80% of studied infants required intubation within the first 7 days of life. The care provided for 52 (95%) of 55
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Board of Registered Nurses; An Explanation of the Scope of RN Practice Including Standardized Procedures (2011)‚ if the licensed health facility‚ BRN and the Medical Board of California considers intubation a “Standardized Procedure” then the RN may be capable of performing the procedure (Example intubation) after all guidelines were completed. The RN must follow these guidelines in accordance to the CA BRN; Specify standard procedure‚ special requirements‚ specific training or education specify initiation
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clinical assessment of performance. Anesthesia‚ 60: 60–64. doi: 10.1111/j.1365-2044.2004.04013.x Rodriguez‚ N.A‚ Oulego‚ E.I.‚ Perez‚ G.L.‚ Cortinas‚ D.J. (2010‚ Oct). Comparison of the Glidescope Video laryngoscope to the standard Macintosh for intubation by pediatric residents in simulated child airway scenarios. Pediatric Emergency Care‚ 26(10)‚ 726-729. doi: 10.1097/PEC.0b013e3181f39b87.
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Bromiley’s airway obstructed in the anaesthetic room and became a ‘can’t intubate‚ can’t ventilate’ (CICV) scenario. It confirms again that a clear plan is needed before any intubation and should any crisis occur this plan should be followed.
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Tube Cuffs Techniques for Lung Separation Double-Lumen Endotracheal Tubes Endobronchial Cuffs Bronchial Blockers Endotracheal Tubes Designed for Laser Surgery Endotracheal Tubes with Additional Ports Special Tubes and Devices to Aid with Intubation Head and Neck Surgery Summary [Respir Care 1999;44(6):661– 683] Key words: endotracheal tube‚ endotracheal tube cuff‚ lung separation‚ artificial airway‚ bronchial blocker. Introduction Unique artificial airways and airway devices have been
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difficulty with tracheal intubation‚ or both.1 In order to identify patients who are expected to have difficult intubation‚ anesthesiologists use several methods before the initiation of anesthesia.2‚ 3 There are several complications associated with the difficult airway such as trauma to the face‚ teeth‚ or airway‚ unnecessary tracheostomy‚ cardiopulmonary arrest‚ brain injury‚ or death.1‚4 The gold standard for the management of difficult intubation is fiberoptic intubation using fiberoptic bronchoscope
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