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Your search keyword '"Patanwala, Asad"' showing total 33 results
Start Over Author "Patanwala, Asad" Publisher wiley
33 results on '"Patanwala, Asad"'

15. Psychological and Genetic Predictors of Pain Tolerance

Author

Patanwala, Asad E., primary, Norwood, Charles, additional, Steiner, Heidi, additional, Morrison, Daniel, additional, Li, May, additional, Walsh, Keith, additional, Martinez, Marina, additional, Baker, Sarah E., additional, Snyder, Eric M., additional, and Karnes, Jason H., additional

Published
2018
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16. Reply

Author

Amini, Richard, primary, Stolz, Lori, additional, Patanwala, Asad, additional, and Adhikari, Srikar, additional

Published
2017
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32. Comparison of the reusable standard GlideScope® video laryngoscope and the disposable cobalt GlideScope® video laryngoscope for tracheal intubation in an academic emergency department: a retrospective review.

Author

Sakles JC, Patanwala AE, Mosier J, Dicken J, and Holman N

Subjects
Academic Medical Centers, Adolescent, Adult, Aged, Aged, 80 and over, Emergency Service, Hospital, Female, Humans, Intubation, Intratracheal methods, Logistic Models, Male, Middle Aged, Multivariate Analysis, Outcome Assessment, Health Care, Retrospective Studies, Young Adult, Disposable Equipment, Intubation, Intratracheal instrumentation, Laryngoscopes
Abstract

Objectives: The objective was to compare the first-pass success and clinical performance characteristics of the reusable standard GlideScope® video laryngoscope (sGVL) and the disposable Cobalt GlideScope® video laryngoscope (cGVL)., Methods: This was a retrospective analysis of prospectively collected data recorded into a continuous quality improvement database at an urban academic emergency department (ED). The intent of the database is to evaluate operator performance and to track practice patterns used for intubation in the ED. Between July 1, 2007, and June 30, 2013, operators recorded all consecutive intubations performed in the ED. The database included patient demographics and detailed information about each intubation, such as device(s) used, reason for device selection, method of intubation, difficult airway characteristics, number of intubation attempts, and outcome of each attempt. The operator also evaluated the presence of lens fogging and extent of lens contamination. The primary outcome measure was first-pass success. Secondary outcome measures were ultimate success, Cormack-Lehane (CL) view of the airway, presence of lens fogging, and extent of lens contamination. Only adult patients age 18 years or older intubated with the sGVL or cGVL using a stylet, and who had data forms completed at the time of intubation, were included in this study., Results: A total of 583 intubations were included in the study, 504 with the sGVL and 79 with cGVL. First pass success was achieved in 81.0% (95% confidence interval [CI]=77.3% to 84.3%) of patients in the sGVL group and in 58.2% (95% CI=46.6% to 69.2%) of patients in the cGVL group. In a multivariate logistic regression analysis, the sGVL was associated with a higher first pass success than the cGVL (odds ratio [OR]=3.3, 95% CI=1.9 to 5.8). The ultimate success of the sGVL was 92.1% (95% CI=89.4% to 94.3%) and the cGVL was 72.2% (95% CI=60.9% to 81.7%). A CL grade I or II view was obtained in 93.2% (95% CI=90.7% to 95.3%) in the sGVL group and 86.1% (95% CI=76.5% to 92.8%) in the cGVL group. Lens fogging occurred in 33.3% (95% CI=29.2% to 37.6%) of the cases in the sGVL group and 59.5% (95% CI=47.9% to 70.4%) of the cases in the cGVL group. Significant lens contamination occurred in 5.0% (95% CI=3.2% to 7.2%) of the sGVL group and 21.5% (95% CI=13.1% to 32.2%) of the cGVL group., Conclusions: In this observational study, the sGVL had higher first pass and overall success than the disposable cGVL. The cGVL had significantly higher incidence of lens fogging and contamination, which may partially account for its lower success. A prospective randomized trial is needed to confirm these findings., (© 2014 by the Society for Academic Emergency Medicine.)

Published
2014
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33. Comparison of succinylcholine and rocuronium for first-attempt intubation success in the emergency department.

Author

Patanwala AE, Stahle SA, Sakles JC, and Erstad BL

Subjects
Adult, Aged, Dose-Response Relationship, Drug, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Quality of Health Care, Retrospective Studies, Rocuronium, Androstanols therapeutic use, Intubation, Intratracheal methods, Neuromuscular Depolarizing Agents therapeutic use, Succinylcholine therapeutic use
Abstract

Objectives: The objective was to determine the effect of paralytic type and dose on first-attempt rapid sequence intubation (RSI) success in the emergency department (ED)., Methods: This was a retrospective evaluation of information collected prospectively in a quality improvement database between July 1, 2007, and October 31, 2008. Information regarding all intubations performed in a tertiary care ED was recorded in this database. All RSI performed using succinylcholine or rocuronium were included. Logistic regression was used to analyze the effect of paralytic type and dosing, as well as age, sex, body mass index, physician experience, device type, and presence of difficult airway predictors on first attempt RSI success., Results: A total of 327 RSI were included in the final analyses. All patients received etomidate as the induction sedative and were successfully intubated. Of these, 113 and 214 intubations were performed using succinylcholine and rocuronium, respectively. The rate of first-attempt intubation success was similar between the succinylcholine and rocuronium groups (72.6% vs. 72.9%, p=0.95). Median doses used for succinylcholine and rocuronium were 1.65 mg/kg (interquartile range [IQR]=1.26-1.95 mg/kg) and 1.19 mg/kg (IQR=1-1.45 mg/kg), respectively. In the univariate logistic regression analyses, variables predictive of first-attempt intubation success were laryngeal view (more success if Grade 1 or 2 compared to Grade 3 or 4 of the Cormack-Lehane classification, odds ratio [OR] =55.18, 95% confidence interval [CI]=18.87 to 161.39), intubation device (less success if direct laryngoscopy, OR=0.57, 95% CI=0.34 to 0.96), and presence of a difficult airway predictor (OR=0.55, 95% CI=0.31 to 0.99). In the multivariate analysis, the only variable predictive of first-attempt intubation success was laryngeal view., Conclusions: Succinylcholine and rocuronium are equivalent with regard to first-attempt intubation success in the ED when dosed according to the ranges used in this study., (© 2010 by the Society for Academic Emergency Medicine.)

Published
2011
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