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

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

— AirwayMan (@JohnCSakles) February 9, 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)

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  1. 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!

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