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Feedback from French nursing staff in gerontology
Published in Maria Łuszczyńska, Marvin Formosa, Ageing and COVID-19, 2021
Pauline Gouttefarde, Chloé Gaulier, Sébastien Rabier, Vincent Augusto, Caroline Dupré, Solène Dorier, Jessica Guyot, Nathalie Barth
End-of-life management is a criterion that particularly impacts healthcare professionals, who reported that they did not always feel they are acting ethically or doing quality work. In our interviews, this feeling of powerlessness with regard to death is expressed. Sometimes the husband and the wife were in the same service and so we had the wife transferred so that she could hold the husband’s hand as he was dying. We tried to be as humane as possible but this was not always the case.(Anaesthesiologist – Resuscitator, COVID resuscitation)
Neonatal resuscitation and stabilization
Published in Janet M Rennie, Giles S Kendall, A Manual of Neonatal Intensive Care, 2013
Janet M Rennie, Giles S Kendall
Before the baby can breathe effectively the airway must be open. The best way to achieve this is to place the baby on his back with the head in the neutral position, i.e. with the neck neither flexed nor extended. Most newborn babies have a relatively prominent occiput, which will tend to flex the neck if the baby is placed on his back on a flat surface. This can be avoided by placing some support under the baby’s shoulders, but be careful not to overextend the neck.If the baby is very floppy it may also be necessary to apply chin lift or jaw thrust.A resuscitator skilled in intubation may elect to intubate early in resuscitation to achieve rapid control of the airway, e.g. immediately in a baby born with no heart rate or in a very preterm infant. To intubate a baby, lie him flat or slightly extend his neck. Even moderate flexion pushes the larynx into a very anterior position that makes it difficult to visualize. Insert the blade of the laryngoscope into the vallecula and pull the epiglottis forward to reveal the larynx. Press lightly on the cricoid cartilage (with the fifth finger of the hand holding the laryngoscope) and the view of the larynx is improved. See Procedures (p. 358) for more detail.
Clinical Presentation of the Lightning Victim
Published in Christopher J. Andrews, Mary Ann Cooper, Mat Darveniza, David Mackerras, Lightning Injuries: Electrical, Medical, and Legal Aspects Editors, 1992
C. J. Andrews, M. A. Cooper, M. J. Eadie
The ambulance arrived at 3:32, when attempts at use of an automatic cycling respirator failed, and the victim was rushed to the hospital at 3:38 p.m. The boy scout found the pulse still present at this point. During transportation, attempts at ventilation with the resuscitator again failed. The ambulance arrived at the Baltimore City Hospital at 3:45 p.m.; the body had not been seen to breathe at any time, and the artificial respiration had ceased some time before 3:38 p.m.
Removing endobronchial needle-like foreign bodies in two school-age children
Published in Acta Oto-Laryngologica Case Reports, 2023
Following standard anesthesia for patients with tracheal foreign bodies (while maintaining spontaneous breathing), a rigid bronchoscope was inserted, and 100% oxygen was administered at 2 L/min through the side port. The anesthetist controlled the patient’s breathing with the assistance of the manual resuscitator. The tip of a needle-like foreign body was found within the right upper lobe bronchus, accompanied by granulation tissue surrounding the bronchial wall. Since the foreign body was located in the bronchus of the right upper lobe, the rigid bronchoscope could only explore the opening of the right upper lobe bronchus and could not provide a clear view of the entire foreign body. During the removal, the foreign body could not pass through the lumen of the rigid bronchoscope, indicating that it was more complex than a simple needle-like foreign body and that the distal end might have had an enlarged, non-radiopaque portion. The foreign body was securely grasped by the bronchial forceps, and both the bronchial forceps along with the foreign body were simultaneously withdrawn together with the rigid bronchoscope.
Prehospital Mechanical Ventilation: An NAEMSP Position Statement and Resource Document
Published in Prehospital Emergency Care, 2022
Amado Alejandro Baez, Zaffer Qasim, Susan Wilcox, William B. Weir, Patrick Loeffler, Bradley Michael Golden, Daniel Schwartz, Michael Levy
Prehospital mechanical ventilation is delivered during approximately 4% of annual EMS activations in the United States (2). Most of the data on prehospital care of critically ill patients are limited and include both interfacility transports and scene calls. Recent studies demonstrate that most prehospital transport patients undergoing mechanical ventilation (73-83%) receive ventilation with volume control, while a minority receives more advanced modes of ventilation (3,4). For the majority of intubated patients requiring prehospital ventilation, a transport ventilator is not available and a manual bag-valve-mask resuscitator (BVM) is used to provide ventilation, even for patients transported by air (5).
Are Pediatric Manual Resuscitators Only Fit for Pediatric Use? A Comparison of Ventilation Volumes in a Moving Ambulance
Published in Prehospital Emergency Care, 2023
Gregory Sun, Susan Wojcik, Jennifer Noce, Nicholas Cochran-Caggiano, Tracie DeSantis, Steven Friedman, Derek R. Cooney, Chrisitan Knutsen
Additionally, many clinicians lack familiarity and comfort with pediatric manual resuscitators. Adult patients requiring assisted ventilations are far more common and thus ventilation with an adult manual resuscitator is a more practiced skill. The emphasis placed on avoiding barotrauma in children may also have contributed to the significantly decreased volumes while using the pediatric manual resuscitator (17). Including a demonstration on how to ventilate adults using a pediatric manual resuscitator and providing training sessions on the use of pediatric manual resuscitators in adults could have limited the differences in ventilatory volumes.