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By Gabrielli, Yu, Layon

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A report on ten cases. Eur J Cardiothoracic Surg. 1997;12:98–100. 2. Massard G, Rouge C, Dabbagh A, et al. Tracheobronchial lacerations after intubation and tracheostomy. Ann Thorac Surg. 1996;61:1483. DL, direct laryngoscopy; AEC, airway exchange catheter. CHAPTER 3 ■ TEMPORARY CARDIAC PACEMAKERS INDICATIONS sMost common indication for temporary pacing is hemodynamically unstable bradycardia sMay be the result of primary degenerative conduction system disease or secondary causes such as medications, metabolic abnormalities, or acute myocardial infarction (AMI) sMedications include antiarrhythmic drugs and β- or calcium channel blockers, in particular diltiazem or verapamil.

SBougie, specialty blades, or fiberscopes if immediately available sKey point: Use them early and use them often. sMore invasively, transtracheal jet ventilation via a largegauge (12- or 14-gauge) IV catheter through the cricothyroid membrane may be an appropriate alternative. sAirway management also constitutes maintaining control of the airway into the postextubation period. 11). s“Difficult extubation” is defined as the clinical situation when a patient presents with known or presumed risk factors that may contribute to difficulty re-establishing access to the airway.

SPropofol sIV administration of 1 to 3 mg/kg IBW results in unconsciousness within 30 to 60 seconds. sAwakening is observed in 4 to 6 minutes. sHypotension, cardiovascular collapse, and, rarely, bradycardia may complicate its use. sEtomidate sConsidered the preferred induction agent in the critically ill patient due to its favorable hemodynamic profile sRole as a single-dose induction agent is in question due to its transient depression of the adrenal axis, and this adrenal suppression may be influential in the outcome of the critically ill.

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