PHARM Podcast 132 Apnoeic Oxygenation in Emergency Intubations with Dr John Sakles

by ketaminh on February 11, 2016

We delve into the question :Is it Essential? on this podcast with Dr John Sakles, EM researcher into ApOx and VL

@ketaminh Based on RCTs in the OR the effect of AP OX is additive to excellent PREOX

— AirwayMan (@JohnCSakles) February 9, 2016

Finally getting around to taking down my Christmas tree… pic.twitter.com/P4U6Calgka

— AirwayMan (@JohnCSakles) February 5, 2016

Hi folks, finally on the podcast I interview Dr John Sakles, emergency physician in Arizona and excellent researcher in emergency airway management. He recently published 2 papers done from one study in his ER looking at introduction of nasal cannula oxygenation for emergency intubations, so called ApOx or apneic oxygenation during intubation attempts. I chat to him about his thoughts on his research into ApOx in emergency intubations and also discuss 2 other recent papers on preoxygenation and nasal oxygenation.

The show notes:

First Pass Success without Hypoxemia is Increased with the Use of Apneic Oxygenation During RSI in the Emergency Department

Apneic oxygenation is associated with a reduction in the incidence of hypoxemia during the RSI of patients with intracranial hemorrhage in the emergency department

Efficacy of Nasal Cannula Oxygen as a Preoxygenation Adjunct in Emergency Airway Management.

Assessment of Common Preoxygenation Strategies Outside of the Operating Room Environment

Podcast ( available here and on iTunes)

Right Click and Choose Save-as to Download the Podcast.

4 Comments Post a comment

Bill Hinckley #

In the fall of 2000, I was an intern in the UC ED, and my attending was John Sakles. In room B Circle 3, I saw a case of angioedema for the first time. I had no idea what was going on with the patient. I thought it was some sort of infection. John, thanks for being gentle with me that night when I gave you my differential diagnosis. And thanks for all your work in advancing emergency airway management!

February 11, 2016

Reply
- ketaminh #
  
  He is a true gentleman and scholar !
  
  February 11, 2016
  
  Reply
  - John C. Sakles #
    
    You guys are too kind. Thank you both for your efforts in advancing the safety of emergency airway management.- JCS
    
    February 15, 2016

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Should we be Using Apneic Oxygenation (ApOx) in the ED? - R.E.B.E.L. EM - Emergency Medicine Blog

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About Prehospital and Retrieval Medicine

What is PHARM? Its the area of clinical medicine involved with the assessment and stabilisation of acutely ill or injured patients in the prehospital setting, who require transport to definitive care. It requires a wide range of skills and knowledge including emergency medicine, paramedicine, critical care and aeromedicine. The working environments span the entire range of those on our planet and challenges placed on prehospital providers are both demanding, mentally and physically. There is no backup, you are the backup and what you bring with you is all you have. We who work in the area and face these challenges in hostile and austere settings choose to, with the belief that a patient's location should not dictate the level of emergency care they deserve and we can provide. This is the discipline.