Own the Oxygen!
aka Ruling the Resus Room 008
Weingart SD, Levitan RM. Preoxygenation and Prevention of Desaturation During Emergency Airway Management. Ann Emerg Med. 2012 Mar;59(3):165-75.e1. PMID: 22050948.
I gave a talk on this paper soon after it was epublished last year. Here is the slide show, it’s an easy question and answer format so that you can get the main messages with a minimum of fuss:
I was thinking of uploading a ‘voiced over’ version, again because the paper is SO DAMN IMPORTANT, but now I don’t have too…
Further Reading
- LITFL’s Own the Airway online video resource compendium
- EMCrit.org has a great page of resources on preoxygenation, reoxygenation and deoxygenation. The Scott Weingart approach to ‘delayed sequence intubation’ is described in Emcrit Podcast 40. Finally, don’t miss Podcast 70 – Airway Management with Rich Levitan
- Levitan R. NO DESAT! EP Monthly Dec 9, 2010. [fulltext online]
CLINICAL CASES
Resus Room Reflection
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.
After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.
He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.
His one great achievement is being the father of three amazing children.
On Twitter, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC
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Nick thank you for the presentation. Well communicated. Wiengart updated his recommendation of the non-breather flow rate. Last I can find, he recommends only 15L/min and simultaneous using 15L/min NC. The higher flow rates were better, but less “elegant.” 02:40 @ https://emcrit.org/dsi/
Thanks for the presentation Chris. Well communicated. Weingart, last I know, now recommends only 15 L/min via non-rebreather and simultaneous use of a 15 L/ NC. The higher non-rebreather flow worked better for preoxygentation but was less “elegant”. I tried to drop a link, but the spam filter prohibited. It’s EMCrit podcast #137 at 2:40.