By James Adams
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Schade K, Borzotta A, Michaels A. Intracranial malposition of nasopharyngeal airway. J Trauma 2000;49:967-8. 6. Arslantas A, Durmaz R, Cosan E, et al. Inadvertent insertion of a nasogastric tube in a patient with head trauma. Childs Nerv Syst 2001;17:112-14. 7. Murphy MF, Walls RM. Identification of the difficult and failed airway. In: Walls RM, Murphy MF, editors. Manual of emergency airway management. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 81-93. html. 8. Walls RM. The emergency airway algorithms.
41 The choice of sedative agent for a given clinical scenario differs according to the pathophysiologic parameters that the clinician observes or anticipates to occur during the attempt at RSI. Hemodynamic instability, elevated intracranial pressure, and bronchospasm are some of the most common complicating factors that the clinician must consider during preparation for sedation. 2. The most commonly used sedatives in current emergency practice include midazolam (Versed) and etomidate (Amidate).
24-26 Alternatively, continuous positive airway pressure or bilevel positive airway pressure can provide a constant level of positive pressure support or two levels of pressure support, respectively, through a tightly fitted mask that fits over the nose or the mouth and nose27,28; if applied in a timely manner in the correct patient, the need for intubation might be averted. 19 Application of the bag and mask requires proper patient positioning and correct application of a mask seal. 19 A proper mask seal is obtained by opposing the mask to the facial skin to create a good air seal.
Emergency medicine by James Adams