Oxygenation strategies prior to and during prehospital emergency anaesthesia in UK HEMS practice (PREOXY survey).
Adam Jonathan BoultonAmar MashruRichard LyonPublished in: Scandinavian journal of trauma, resuscitation and emergency medicine (2020)
Pre-oxygenation is universal amongst UK HEMS services and is most frequently delivered by bag-valve-mask without PEEP or non-rebreathable face masks, whereas apnoeic oxygenation by nasal cannula is highly variable. Multiple services carry Mapleson C circuits, however many services are unable to deliver PEEP due to the equipment they carry. Clinicians are regularly manually ventilating patients during the apnoeic phase of PHEA. The identified variability in clinical practice may indicate uncertainty and further research is warranted to assess the impact of different strategies on clinical outcomes.
Keyphrases
- healthcare
- primary care
- clinical practice
- end stage renal disease
- cross sectional
- ejection fraction
- blood flow
- public health
- emergency department
- chronic kidney disease
- newly diagnosed
- cardiac arrest
- mitral valve
- palliative care
- aortic stenosis
- affordable care act
- extracorporeal membrane oxygenation
- obstructive sleep apnea
- coronary artery disease
- respiratory failure
- health insurance