Tracheostomy disasters

Failing to oxygenate/ventilate(any invasive vent, not just traches) DOPES Displacement too deep (unlikely, unless all of: small patient, low puncture site, and adjustable flange trache) too shallow – opening may be against posterior wall in soft tissue – rapidly expanding subcutaneous emphysema completely out Obstruction sputum plug blood/clot plug inner cannula blockage only kinking speaking […]

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Dexmedetomidine

Here’s a flash card version of the WTET post on Dexmedetomidine Click here to start flashcard deck[qdeck] [q unit=”Pharmacology” topic=”Dexmedetomidine”] Rationale for Dexmedetomidine [a] Sedation practice varies widely around the world. Propofol and Midazolam are the mainstays of sedation, in addition to an opiate as an antitussive. Traditional first line agents act mainly via GABA. […]

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