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RT @VirtueOfNothing: The consensus guidelines for airway management were published early in the pandemic @Anaes_Journal 📑 https://t.co/oHC…
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43,687 followers
RT @VirtueOfNothing: The consensus guidelines for airway management were published early in the pandemic @Anaes_Journal 📑 https://t.co/oHC…
3,988 followers
The consensus guidelines for airway management were published early in the pandemic @Anaes_Journal 📑 https://t.co/oHCD7Yh2MK Our subsequent Cochrane review update in 2022 has solidified the position of VL as a cornerstone of safe airway management: 🔖 htt
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An important call to @RCoANews to make GPAS more explicit on what airway training standards are expected of all anaesthetists, among other safety interventions. 🔗https://t.co/dMcma48L4b Glad to see our review helped inform this essential recommendation:
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RT @doctimcook: @VirtueOfNothing @Anaes_Journal The key here is that it is already established that VL is better than DL. https://t.co/wzX…
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RT @doctimcook: @VirtueOfNothing @Anaes_Journal The key here is that it is already established that VL is better than DL. https://t.co/wzX…
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RT @doctimcook: @VirtueOfNothing @Anaes_Journal The key here is that it is already established that VL is better than DL. https://t.co/wzX…
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RT @doctimcook: @VirtueOfNothing @Anaes_Journal The key here is that it is already established that VL is better than DL. https://t.co/wzX…
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@VirtueOfNothing @Anaes_Journal The key here is that it is already established that VL is better than DL. https://t.co/wzXiZLMBO1 & https://t.co/mGSgDfbH31 The key question is "which VL/VLs is/are best?" My personal belief is some signiifcantly poor
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@jjibber717 @AirwayMxAcademy @cliffreid @emcrit @precordialthump @OSWinNSW @drgeoffhealy @NicholasChrimes @jducanto @PBSherren @docpgb Cochrane review Hypoxaemia reduced significantly in -Mac blade -channeled blade Non-significantly -HAVL https://t.co/m
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@Wouralia 2016 Cochrane data indicated a decrease in airway trauma with VL https://t.co/PFeLS4H7of 2022 update was uncertain about impact on dental trauma https://t.co/mGSgDfbH31 however I agree use of VL is no excuse for poor technique. Indeed both sh
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RT @doctimcook: @TupaEmondi @SafeAirway There are no guarantees but the evidence is very clear indeed VL not only improves view at laryngo…
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RT @doctimcook: @TupaEmondi @SafeAirway There are no guarantees but the evidence is very clear indeed VL not only improves view at laryngo…
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RT @doctimcook: @TupaEmondi @SafeAirway There are no guarantees but the evidence is very clear indeed VL not only improves view at laryngo…
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RT @doctimcook: @TupaEmondi @SafeAirway There are no guarantees but the evidence is very clear indeed VL not only improves view at laryngo…
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RT @doctimcook: @TupaEmondi @SafeAirway There are no guarantees but the evidence is very clear indeed VL not only improves view at laryngo…
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@TupaEmondi @SafeAirway There are no guarantees but the evidence is very clear indeed VL not only improves view at laryngoscopy but also the efficacy & effectiveness of tracheal intubation This is no longer usefully debatable https://t.co/PFeLS4H7o
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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RT @VirtueOfNothing: Please take a moment to read the following & consider whether your practice may need tweaks: Hansel 2023: Clinical t…
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RT @VirtueOfNothing: Please take a moment to read the following & consider whether your practice may need tweaks: Hansel 2023: Clinical t…
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RT @VirtueOfNothing: Please take a moment to read the following & consider whether your practice may need tweaks: Hansel 2023: Clinical t…
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RT @VirtueOfNothing: Please take a moment to read the following & consider whether your practice may need tweaks: Hansel 2023: Clinical t…
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RT @VirtueOfNothing: Please take a moment to read the following & consider whether your practice may need tweaks: Hansel 2023: Clinical t…
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RT @VirtueOfNothing: Please take a moment to read the following & consider whether your practice may need tweaks: Hansel 2023: Clinical t…
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RT @EricJaegerTNG: Another Case of Missed Esophageal Intubation Tragic, inexcusable & utterly preventable. Sustained waveform EtCO2 (“poo…
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Another Case of Missed Esophageal Intubation Tragic, inexcusable & utterly preventable. Sustained waveform EtCO2 (“poor trace, wrong place”) is the ONLY acceptable means of verification. Clinical signs are NOT reliable. Read the guidelines linked b
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Please take a moment to read the following & consider whether your practice may need tweaks: Hansel 2023: Clinical tests for OI 🔗 https://t.co/aYQMVChKYr Chrimes 2022: PUOI Guidelines 🔗 https://t.co/aODu5VTnuh Hansel 2022: VL vs DL Cochrane SR 🔗 h
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@jjibber717 @Anaes_Journal When actually measured it’s nowhere near 100% reliable (FPS or success). DL FPS in theatres ≈ 90% FPS in ED/ICU << 80% Unexpected Grade 3 view about 6% & that gap is the space into which complications & harm emer
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@jjibber717 @Anaes_Journal This is simply not what the evidence shows. VL is intrinsically better then DL The benefits clearly extend to the experienced. Improved safety follows. https://t.co/79SbxRWheO And https://t.co/PFeLS4H7of And https://t.
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@SimonJacobs23 @dennisdoc1 Sorry, aber das Thema ist echt durch. Wer sowas anordnet, sollte sich sehr gut überlegen, wie er das im Zweifel vor einem sachkundigen Fachgutachter rechtfertigen will, wenn es dazu inzwischen zig Metaanalysen gibt. .. https://t
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@Fionafionakel @VirtueOfNothing's Cochrane review up next VL outperforms DL @fionafionakel #SOA23 https://t.co/Qf7it2qaNP
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RT @GAMCLondon: First paper in @elboghdadly's top 4! Take home: 60% less likely to have oesophageal intubation with a hyperangulated blade…
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RT @GAMCLondon: First paper in @elboghdadly's top 4! Take home: 60% less likely to have oesophageal intubation with a hyperangulated blade…
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First paper in @elboghdadly's top 4! Take home: 60% less likely to have oesophageal intubation with a hyperangulated blade. https://t.co/KHpVN7vriY
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Missed this back in April - huge undertaking and a fabulous collation of evidence! #MedTwitter
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RT @ngblacks: Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation - PubMed https://t.co/IY1mSjhpgJ
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@aribindi @armyemdoc @HofkampMichael @NEJM @AditGinde @CUCombatCenter @CUEmergency @vbebarta @BrookeArmyMed @59MDW @DoD_DHA @JointTraumaSyst @CritCareReviews @long_brit Any evidence of that Lots of evidence of the opposite https://t.co/Xz9N1DhdKJ Vast
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@HofkampMichael @armyemdoc @NEJM @AditGinde @CUCombatCenter @CUEmergency @vbebarta @BrookeArmyMed @59MDW @DoD_DHA @JointTraumaSyst @CritCareReviews @long_brit Objectively VL is better then DL. I really think that boat has sailed It sailed on the good shi
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@FreundYonathan A condition de bien choisir ton modèle de videolaryngo ; tous ne sont pas équivalents https://t.co/JsBEb6t8Sp
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RT @wszczeklik: W moim przekonaniu w ciągu kilku lat wideolaryngoskopia będzie techniką z wyboru do do wszystkich zabiegów intubacji. Bard…
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RT @toddrice_ICU: I agree we should rigorously evaluate devices we use 2 understand how they affect practice. Lots of data that VL gives be…
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RT @LJMottram: #CCR23 #DEVICEtrial discussion We *think we know. We don’t know. A well conducted trial was needed. This is it 👇 htt…
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RT @LJMottram: #CCR23 #DEVICEtrial discussion We *think we know. We don’t know. A well conducted trial was needed. This is it 👇 htt…
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I agree we should rigorously evaluate devices we use 2 understand how they affect practice. Lots of data that VL gives better glottic view. But data it helps facilitate emergent intubations is less robust. Even w/ DEVICE, still arguments about whether FPS
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#CCR23 #DEVICEtrial discussion We *think we know. We don’t know. A well conducted trial was needed. This is it 👇 https://t.co/lei0zP80sd
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@MarcLopezMD @toddrice_ICU @CritCareReviews Ummm.. I think every device needs evaluation. Otherwise it’s bias driven practice If it was ‘clearly a superior tool’ why did @VirtueOfNothing need to go to all that bother ? https://t.co/6G3NaYMGUE
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W moim przekonaniu w ciągu kilku lat wideolaryngoskopia będzie techniką z wyboru do do wszystkich zabiegów intubacji. Bardzo ważne badanie ! Warto również zapoznać się z analizą Cochrane porównującą wideo z klasyczną laryngoskopią: https://t.co/kLU0aAFh
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@WilkoAnaesICM @politicomedico Using VL does not preclude expertise in DL When VL fails DL will usually fail because it is an intrinsically less efficacious technique -fewer good view -more poor views -more FTI -technically harder https://t.co/Xz9N1DhdKJ
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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@HofkampMichael But before we make a decision let’s not forget the other 222 studies & 26149 patients in RCTs which provide robust evidence of better view, 1st pass shoes & reduced complications https://t.co/mGSgDfbH31
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@AirwayLegend @doctimcook @VirtueOfNothing @HymanJaime @NicholasChrimes @_Anesthesiology Not true. You should have brought VS to the market 15 years ago. For Anaesthesia, Intensive Care and Emergency intubations there is scientific evidence that VL will pr
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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@AirwayLegend @DrMikeAziz @morefluids …& from the Cochrane review itself P42 Implications for research -needed in ICU, Ed & PHEM due to a lack of data & the limited quality of existing data (a LACK of data, not data showing lack of benefit)
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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@bougiemedic Get a big cup of coffee…. https://t.co/Xz9N1DhdKJ
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@AirwayLegend @DrMikeAziz @morefluids They’re not trends The Cochrane review is remarkably replete with highly significant benefits of VL over DL with large treatment effects This despite heterogeneous settings, studies, study quality & devices which
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RT @VirtueOfNothing: Great to see more corroborating real-world evidence on the superiority of videolaryngoscopy over direct laryngoscopy i…
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RT @VirtueOfNothing: Great to see more corroborating real-world evidence on the superiority of videolaryngoscopy over direct laryngoscopy i…
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Great to see more corroborating real-world evidence on the superiority of videolaryngoscopy over direct laryngoscopy in success on the first attempt (OR 2.17 [1.56-3.03] and OR 2.13 [1.53-2.98] for HAVL and Mac-VL, respectively). In line with our findings
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@sanchit_turaga Nah it’s the old VL vs DL debate …
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@NaveenEipe @mrultiva One up and many down.
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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RT @DrCasteelEM: From Cochrane review: Higher first pass success, lower rates of hypoxemic events and esophageal intubation. Conclusion th…
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From Cochrane review: Higher first pass success, lower rates of hypoxemic events and esophageal intubation. Conclusion that VL likely safer than DL in all adults. https://t.co/Ic7MkqjPzH
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RT @VirtueOfNothing: @LeahHoustonMD @jducanto @AirwayMxAcademy @CriticalCareNow @emcrit @NicholasChrimes @RCoANews Quite a strong claim. No…
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@LeahHoustonMD @jducanto @AirwayMxAcademy @CriticalCareNow @emcrit @NicholasChrimes @RCoANews Quite a strong claim. Not entirely sure the best available evidence agrees with it. Interested to read the study you mention. https://t.co/No2KKoXil6
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@Dallas_Holladay I guess this is another sign that I'm becoming a dinosaur 🤣 I only ask for one when I predict a tricky airway, but looking at @CochraneUK suggests I'm out of date. https://t.co/IXVs84dXHz
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RT @VirtueOfNothing: 1/ We just published our full @Cochrane_ACE systematic review and meta-analysis of videolaryngoscopy versus direct lar…
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RT @VirtueOfNothing: @yusuke_mazda The above SR/MA is probably not the most robust analysis to date, though it offers a valuable insight in…
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@yusuke_mazda The above SR/MA is probably not the most robust analysis to date, though it offers a valuable insight into comparisons of various devices. Would suggest reading our latest work on the CDSR. https://t.co/HxzXhER0XB I would argue the evidenc
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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RT @AirwayMxAcademy: FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @John…
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FIRST PASS INTUBATION SUCCESS🔲More attempts lead to complications✅Use a videolaryngoscope as first device togoto @JohnCSakles 📖 https://t.co/joKLi7IoxG @VirtueOfNothing @doctimcook @docveall 12/ https://t.co/eymZfSyGtH
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