ramped position does not improve oxygenation during intubation

• related: ICU intensive care unit
• tags: #literature #icu

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• ramped position did not improve oxygenation
• ramped position had worse glottic view and increased laryngoscopy attempts¹

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Observational data suggest that intubation in the ramped position over the supine, sniffing position may decrease hypoxemia in patients who are morbidly obese. However, first-pass success rates were lower, and the lowest SpO2 was similar in a randomized trial of ramped vs supine positioning for endotracheal intubation, with higher incidence of Cormack-Lehane grades 3 and 4 of the glottic view in the ramped position.²

Links to this note

• intubation in the ICU
  • ramped position does not improve oxygenation during intubation

Footnotes

1. A Multicenter, Randomized Trial of Ramped Position vs Sniffing Position During Endotracheal Intubation of Critically Ill Adults ↩

2. Semler MW, Janz DR, Russell DW, et al; Check-UP Investigators(∗); Pragmatic Critical Care Research Group. A multicenter, randomized trial of ramped position vs sniffing position during endotracheal intubation of critically ill adults. Chest. 2017;152(4):712-722. PubMed ↩