Critical Care Refresher Course: Respiratory and Airways Management

Management of Tracheostomy (Waldmann)

EPIC Study 1992 – 12% of ICU pts had tracheostomy insitu

On the Right Trach – http://www.ncepod.org.uk/2014report1/downloads/OnTheRightTrach_Summary.pdf 

NAP4 – http://www.rcoa.ac.uk/document-store/nap4-executive-summary

Tracheostomy: Epidemiology, Indications, Timing, Technique, and Outcomes – http://rc.rcjournal.com/content/59/6/895.full

Meta-analysis comparison of open versus percutaneous tracheostomy. – https://www.ncbi.nlm.nih.gov/pubmed/17334304
TRACMAN trial – https://www.ncbi.nlm.nih.gov/pubmed/23695482 

Tracheostomy Global collaborative – http://globaltrach.org/

Protective Lung Ventilation (Gattinoni)

Aim of resp support is to buy time whilst minimising damage

Modeling the time-course of ventilator-induced lung injury: what can we learn from interspecies discrepancies? http://link.springer.com/article/10.1007/s00134-011-2394-y

Lung anatomy, energy load, and ventilator-induced lung injury https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4679691/

Driving Pressure and Survival in the Acute Respiratory Distress Syndrome — http://www.nejm.org/doi/full/10.1056/NEJMsa1410639#t=article

 

Management of bariatric patients (Rubulotta)

WHO interactive map on epidemiology of obesity – http://www.ncdrisc.org/map-obesity-prevalence.html 

Neck circumference – height ratio in predicting sleep-related breathing disorder https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4773632/ 

STOP-BANG for OSA screening – http://www.stopbang.ca/osa/screening.php

Ventilation strategies in obese pts undergoing surgery: quantitative systematic review & meta-analysis http://bja.oxfordjournals.org/content/109/4/493.full

Protective Ventilation With Higher Versus Lower PEEP During General Anesthesia for Surgery in Obese Patients (PROBESE) protocols – https://clinicaltrials.gov/ct2/show/NCT02148692 

High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial – http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60416-5/abstract?rss=yes