Difficult intubation caused by subglottic tracheal stenosis
A frustrating type of difficult intubation occurs when you are able to cannulate the trachea, but are unable to pass the endotracheal tube. This case is of a patient who had a decannulated tracheostomy and developed subglottic tracheal stenosis.
Therapeutic Hypothermia: The History of General Refrigeration (Podcast 02)
The Targeted temperature management Trial compared outcomes for therapeutic hypothermia at 33°C versus 36°C for cardiac arrest patients with persistent coma. It may very well be practice changing. Or maybe not. Before we can figure out what “truth” this research study may have uncovered, we will look at the development of therapeutic hypothermia and what the literature has already told us.
Asystole While Removing a Central Venous Catheter
Transient vagal stimulation from the removal of the CVC and carotid massage from holding pressure to achieve hemostasis can lead to excessive vagal tone which caused blockage of the AV node leading to transient asystole cardiac arrest.
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