The Experts below are selected from a list of 25647 Experts worldwide ranked by ideXlab platform
Hans Morten Lossius - One of the best experts on this subject based on the ideXlab platform.
-
best practice advice on pre hospital emergency anaesthesia advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.
-
Best practice advice on pre-hospital emergency anaesthesia & advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Background Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. Method This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. Results This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. Conclusion PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.
-
a consensus based template for uniform reporting of data from pre hospital advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2009Co-Authors: Stephen Jm Sollid, David Lockey, Hans Morten LossiusAbstract:Background Advanced Airway Management is a critical intervention that can harm the patient if performed poorly. The available literature on this subject is rich, but it is difficult to interpret due to a huge variability and poor definitions. Several initiatives from large organisations concerned with Airway Management have recently propagated the need for guidelines and standards in pre-hospital Airway Management. Following the path of other initiatives to establish templates for uniform data reporting, like the many Utstein-style templates, we initiated and carried out a structured consensus process with international experts to establish a set of core data points to be documented and reported in cases of advanced pre-hospital Airway Management.
-
Pre-hospital advanced Airway Management by anaesthesiologists: Is there still room for improvement?
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2008Co-Authors: Stephen Jm Sollid, Jon Kenneth Heltne, Eldar Søreide, Hans Morten LossiusAbstract:Background Endotracheal intubation is an important part of pre-hospital advanced life support that requires training and experience, and should only be performed by specially trained personnel. In Norway, anaesthesiologists serve as Helicopter Emergency Medical Service HEMS physicians. However, little is known about how they themselves evaluate the quality and safety of pre-hospital advanced Airway Management. Method Using a semi-structured questionnaire, we interviewed anaesthesiologists working in the three HEMS programs covering Western Norway. We compared answers from specialists and non-specialists as well as full- and part-time HEMS physicians. Results Of the 17 available respondents, most (88%) felt that their continuous exposure to intubations was not sufficient. Additional training was mainly acquired through other clinical practice and mannequin- or cadaver-based skills training. Of the respondents, 77% and 35% reported having experienced difficult and failed intubations, respectively. Further, 59% reported knowledge of Airway Management-related deaths in their HEMS program. Significantly more full- than part-time HEMS physicians had experienced these problems. All respondents had Airway back-up equipment in their service, but 29% were not familiar with all the equipment. Conclusion The majority of anaesthesiologists working as HEMS physicians view pre-hospital advanced Airway Management as a high-risk procedure. Relevant Airway Management competencies for HEMS physicians in Norway seem to be insufficiently trained and maintained. A better-defined level of competence with better training methods and systems seems warranted.
David Lockey - One of the best experts on this subject based on the ideXlab platform.
-
best practice advice on pre hospital emergency anaesthesia advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.
-
Best practice advice on pre-hospital emergency anaesthesia & advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Background Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. Method This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. Results This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. Conclusion PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.
-
a consensus based template for uniform reporting of data from pre hospital advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2009Co-Authors: Stephen Jm Sollid, David Lockey, Hans Morten LossiusAbstract:Background Advanced Airway Management is a critical intervention that can harm the patient if performed poorly. The available literature on this subject is rich, but it is difficult to interpret due to a huge variability and poor definitions. Several initiatives from large organisations concerned with Airway Management have recently propagated the need for guidelines and standards in pre-hospital Airway Management. Following the path of other initiatives to establish templates for uniform data reporting, like the many Utstein-style templates, we initiated and carried out a structured consensus process with international experts to establish a set of core data points to be documented and reported in cases of advanced pre-hospital Airway Management.
Kate Crewdson - One of the best experts on this subject based on the ideXlab platform.
-
best practice advice on pre hospital emergency anaesthesia advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.
-
Best practice advice on pre-hospital emergency anaesthesia & advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Background Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. Method This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. Results This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. Conclusion PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.
Leif Rognås - One of the best experts on this subject based on the ideXlab platform.
-
anaesthetist provided pre hospital advanced Airway Management in children a descriptive study
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2015Co-Authors: Mona Tarpgaard, Troels Martin Hansen, Leif RognåsAbstract:Pre-hospital advanced Airway Management has been named one of the top-five research priorities in physician-provided pre-hospital critical care. Few studies have been made on paediatric pre-hospital advanced Airway Management. The aim of this study was to investigate pre-hospital endotracheal intubation success rate in children, first-pass success rates and complications related to pre-hospital advanced Airway Management in patients younger than 16 years of age treated by pre-hospital critical care teams in the Central Denmark Region (1.3 million inhabitants). A prospective descriptive study based on data collected from eight anaesthetist-staffed pre-hospital critical care teams between February 1st 2011 and November 1st 2012. Primary endpoints were 1) pre-hospital endotracheal intubation success rate in children 2) pre-hospital endotracheal intubation first-pass success rate in children and 3) complications related to prehospital advanced Airway Management in children. The pre-hospital critical care anaesthetists attempted endotracheal intubation in 25 children, 13 of which were less than 2 years old. In one patient, a neonate (600 g birth weight), endotracheal intubation failed. The patient was managed by uneventful bag-mask ventilation. All other 24 children had their tracheas successfully intubated by the pre-hospital critical care anaesthetists resulting in a pre-hospital endotracheal intubation success rate of 96 %. Overall first pass success-rate was 75 %. In the group of patients younger than 2 years old, first pass success-rate was 54 %. The total rate of Airway Management related complications such as vomiting, aspiration, accidental intubation of the oesophagus or right main stem bronchus, hypoxia (oxygen saturation < 90 %) or bradycardia (according to age) was 20 % in children younger than 16 years of age and 38 % in children younger than 2 years of age. No deaths, cardiac arrests or severe bradycardia (heart rate <60) occurred in relation to pre-hospital advanced Airway Management. Compared with the total population of patients receiving pre-hospital advanced Airway Management in our system, the overall success rate following pre-hospital endotracheal intubations in children is acceptable but the first-pass success rate is low. The complication rates in the paediatric population are higher than in our pre-hospital advanced Airway Management patient population as a whole. This illustrates that young children may represent a substantial pre-hospital Airway Management challenge even for experienced pre-hospital critical care anaesthetists. This may influence future training and quality insurance initiatives in paediatric pre-hospital advanced Airway Management.
-
pre hospital advanced Airway Management by experienced anaesthesiologists a prospective descriptive study
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2013Co-Authors: Leif Rognås, Troels Martin Hansen, Hans Kirkegaard, Else TonnesenAbstract:We report data from the first Utstein-style study of physician-provided pre-hospital advanced Airway Management. Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced Airway Management. Data collection took place from February 1st 2011 to October 31st 2012. Included were patients of all ages on whom pre-hospital advanced Airway Management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced Airway Management. The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced Airway Management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No Airway Management related deaths occurred. The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Pre-hospital advanced Airway Management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system.
Peter Temesvari - One of the best experts on this subject based on the ideXlab platform.
-
best practice advice on pre hospital emergency anaesthesia advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.
-
Best practice advice on pre-hospital emergency anaesthesia & advanced Airway Management
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2019Co-Authors: Kate Crewdson, David Lockey, Wolfgang Voelckel, Peter Temesvari, Hans Morten LossiusAbstract:Background Effective and timely Airway Management is a priority for sick and injured patients. The benefit and conduct of pre-hospital emergency anaesthesia (PHEA) and advanced Airway Management remains controversial but there are a proportion of critically ill and injured patients who require urgent advanced Airway Management prior to hospital arrival. This document provides current best practice advice for the provision of PHEA and advanced Airway Management. Method This best practice advice was developed from EHAC Medical Working Group enforced by pre-hospital critical care experts. The group used a nominal group technique to establish the current best practice for the provision of PHEA and advanced Airway Management. The group met on three separate occasions to discuss and develop the guideline. All members of the working party were able to access and edit the guideline online. Results This EHAC best practice advice covers all areas of PHEA and advanced Airway Management and provides up to date evidence of current best practice. Conclusion PHEA and advanced Airway Management are complex interventions that should be delivered by appropriately trained personnel using a well-rehearsed approach and standardised equipment. Where advanced Airway interventions cannot be delivered, careful attention should be given to applying basic Airway interventions and ensuring their effectiveness at all times.