Comparison of Video Laryngoscopy versus Direct Laryngoscopy during Urgent Endotracheal Intubation; Trial of the Route of Early Nutritional Support in Critically Ⅲ Adults; and Transfusion of Plasma, Platelets, and Red Blood Cells in a 1:1:1 versus a 1:1:2 Ratio and Mortality in Patients with Severe Trauma

摘要

Airway management is a critical skill for the intensivist to master. Training critical care fellows in intubation skills is a difficult challenge: urgent endotracheal intubations in intensive care unit (ICU) settings are associated with complications such as hypoxemia, hemodynamic collapse, and cardiac arrhythmias (2). Joffe and colleagues showed that most internal medicine-based critical care training programs include at least 1 month of airway education during their first year of training (3). Unfortunately, more than half of the programs reported that their fellows had fewer than 10 supervised uses of a video laryngoscope (VL). The first-pass success rate was improved with a VL in the emergency department setting (4). Similar results were seen in retrospective observational studies in the ICU setting when comparing VL with direct laryngoscopy (DL) (5).