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ICU Ed and Todd-Cast
CCR24: PREOXI with Kevin Gibbs
Jun 13, 2024
Kevin Gibbs, presenter of the PREOXI trial, talks about challenges in airway management, variability in medical practices, and the importance of pre-oxygenation techniques. The podcast explores the debate over the trial acronym, compares pre-oxygenation methods, and discusses the findings of the Intube study. It delves into the benefits of pre-procedural non-invasive ventilation and the implementation challenges in emergency tracheal intubations.
01:06:08
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Quick takeaways
- Implementing non-invasive ventilation during pre-oxygenation reduces hypoxemia risk during intubations.
- Exclusions in the trial highlighted balancing effective pre-oxygenation with patient safety concerns.
Deep dives
Trial Background and Design
The podcast episode featured a discussion on a multi-center randomized trial focusing on pre-oxygenation techniques during emergency tracheal intubation. Patients were randomized into receiving pre-oxygenation via non-invasive ventilation or face mask, with notable exclusions such as patients already on positive pressure ventilation. The trial design aimed to assess hypoxemia rates as the primary outcome, considering its association with adverse clinical outcomes during intubation procedures.
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Discover
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Listen to the best highlights from the podcasts you love and dive into the full episode