Preoxygenation for intubation, ICU PE management, and intubating toxidromes

For September, we are going to have a JC focused on several ICU topics.  

Dr. Akande will be discussing a potentially practice changing article published this past summer, the preoxi trial, which was recently discussed on emcrit.  

Akande: Gibbs KW, et al; PREOXI Investigators and the Pragmatic Critical Care Research Group. Noninvasive Ventilation for Preoxygenation during Emergency Intubation. N Engl J Med. 2024 Jun 20;390(23):2165-2177. doi: 10.1056/NEJMoa2313680. Epub 2024 Jun 13. PMID: 38869091; PMCID: PMC11282951. Summary

Dr. Kearns will be discussing a trial of not intubating those patients with GCS less than 9 with suspected acute poisoning.  

Kearns: Freund Y, et al. Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial. JAMA. 2023 Dec 19;330(23):2267-2274. doi: 10.1001/jama.2023.24391. PMID: 38019968; PMCID: PMC10687712. Summary

And Dr. Ponzo will be discussing a clinical practice guideline on the management of acute pulmonary embolism in the ICU.

Ponzo: McGuire WC, Sullivan L, Odish MF, Desai B, Morris TA, Fernandes TM. Management Strategies for Acute Pulmonary Embolism in the ICU. Chest. 2024 Dec;166(6):1532-1545. doi: 10.1016/j.chest.2024.04.032. Epub 2024 Jun 1. PMID: 38830402. Summary