| Timing of tracheal intubation in traumatic cardiac tamponade: a word of caution. | |
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MedLine Citation:
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PMID: 19059695 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Airway, breathing, and circulation are top priorities in any resuscitation. However, in cardiac tamponade, the decision to intubate the trachea and initiate positive pressure ventilation (PPV) should only be taken after consideration of the deleterious haemodynamic effects of positive intrathoracic pressure. We suggest that the threshold for intubation and PPV should be raised in tamponade and that intubation and PPV should, if possible, be timed so that relief of tamponade can immediately follow. In the trauma setting, emergency thoracotomy is the best approach. When intubation is unavoidable because of very low oxygen saturation or cardiac arrest, high ventilatory pressures should be avoided. |
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Authors:
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Anthony M-H Ho; Colin A Graham; Calvin S H Ng; Janice H H Yeung; Peter W Dion; Lester A H Critchley; Manoj K Karmakar |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-12-06 |
Journal Detail:
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Title: Resuscitation Volume: 80 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-01-19 Completed Date: 2009-05-15 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 272-4 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China. hoamh@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Blood Pressure Cardiac Tamponade / etiology, therapy* Heart Valve Prosthesis Humans Intubation, Intratracheal / methods* Male Middle Aged Pericardiocentesis Positive-Pressure Respiration* Wounds, Stab / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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