20 results on '"Resnick-Ault, Daniel"'
Search Results
2. Rebuttal From Drs Resnick-Ault, Gandotra, and Gaillard
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Resnick-Ault, Daniel, primary, Gandotra, Sheetal, additional, and Gaillard, John P., additional
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- 2024
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3. Optimizing planning and design of COVID-19 drive-through mass vaccination clinics by simulation
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Asgary, Ali, Najafabadi, Mahdi M., Wendel, Sarah K., Resnick-Ault, Daniel, Zane, Richard D., and Wu, Jianhong
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- 2021
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4. A prospective, pragmatic non‐inferiority study of emergency intubation success with the single‐use i‐view versus standard reusable video laryngoscope.
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Schauer, Steven G., Long, Brit J., April, Michael D., Resnick‐Ault, Daniel, Mendez, Jessica, Arana, Allyson A., Bastman, Jill J., Davis, William T., Maddry, Joseph K., Ginde, Adit A., and Bebarta, Vikhyat S.
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INTUBATION ,CONFIDENCE intervals ,OPTIMAL stopping (Mathematical statistics) ,SUCCESS ,HOSPITAL emergency services ,DISPOSABLE medical devices - Abstract
Introduction: Video laryngoscope (VL) technology improves first‐pass success. The novel i‐view VL device is inexpensive and disposable. We sought to determine the first‐pass intubation success with the i‐view VL device versus the standard reusable VL systems in routine use at each site. Methods: We performed a prospective, pragmatic study at two major emergency departments (EDs) when VL was used. We rotated i‐view versus reusable VL as the preferred device of the month based on an a priori schedule. An investigator‐initiated interim analysis was performed. Our primary outcome was a first‐pass success with a non‐inferiority margin of 10% based on the per‐protocol analysis. Results: There were 93 intubations using the reusable VL devices and 81 intubations using the i‐view. Our study was stopped early due to futility in reaching our predetermined non‐inferiority margin. Operator and patient characteristics were similar between the two groups. The first‐pass success rate for the i‐view group was 69.1% compared to 84.3% for the reusable VL group. A non‐inferiority analysis indicated that the difference (−15.1%) and corresponding 90% confidence limits (−25.3% to −5.0%) did not fall within the predetermined 10% non‐inferiority margin. Conclusions: The i‐view device failed to meet our predetermined non‐inferiority margin when compared to the reusable VL systems with the study stopping early due to futility. Significant crossover occurred at the discretion of the intubating operator during the i‐view month. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults
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Prekker, Matthew E., primary, Driver, Brian E., additional, Trent, Stacy A., additional, Resnick-Ault, Daniel, additional, Seitz, Kevin P., additional, Russell, Derek W., additional, Gaillard, John P., additional, Latimer, Andrew J., additional, Ghamande, Shekhar A., additional, Gibbs, Kevin W., additional, Vonderhaar, Derek J., additional, Whitson, Micah R., additional, Barnes, Christopher R., additional, Walco, Jeremy P., additional, Douglas, Ivor S., additional, Krishnamoorthy, Vijay, additional, Dagan, Alon, additional, Bastman, Jill J., additional, Lloyd, Bradley D., additional, Gandotra, Sheetal, additional, Goranson, Jordan K., additional, Mitchell, Steven H., additional, White, Heath D., additional, Palakshappa, Jessica A., additional, Espinera, Alyssa, additional, Page, David B., additional, Joffe, Aaron, additional, Hansen, Sydney J., additional, Hughes, Christopher G., additional, George, Tobias, additional, Herbert, J. Taylor, additional, Shapiro, Nathan I., additional, Schauer, Steven G., additional, Long, Brit J., additional, Imhoff, Brant, additional, Wang, Li, additional, Rhoads, Jillian P., additional, Womack, Kelsey N., additional, Janz, David R., additional, Self, Wesley H., additional, Rice, Todd W., additional, Ginde, Adit A., additional, Casey, Jonathan D., additional, and Semler, Matthew W., additional
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- 2023
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6. Protocol and statistical analysis plan for the PREOXI trial of preoxygenation with noninvasive ventilation vs oxygen mask in critically ill adults.
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Gibbs, Kevin W., primary, Ginde, Adit A., additional, Prekker, Matthew E., additional, Seitz, Kevin P., additional, Stempek, Susan B., additional, Taylor, Caleb, additional, Gandotra, Sheetal, additional, White, Heath, additional, Resnick-Ault, Daniel, additional, Khan, Akram, additional, Mohmed, Amira, additional, Brainard, Jason C., additional, Fein, Daniel G., additional, Aggarwal, Neil R., additional, Whitson, Micah R., additional, Halliday, Stephen J., additional, Gaillard, John P., additional, Blinder, Veronika, additional, Driver, Brian E., additional, Palakshappa, Jessica A., additional, Lloyd, Bradley D., additional, Wozniak, Joanne M., additional, Exline, Matthew C., additional, Russell, Derek W., additional, Ghamande, Shekhar, additional, Withers, Cori, additional, Hubel, Kinsley A., additional, Moskowitz, Ari, additional, Bastman, Jill, additional, Andrea, Luke, additional, Sottile, Peter D., additional, Page, David B., additional, Long, Micah T., additional, Goranson, Jordan Kugler, additional, Malhotra, Rishi, additional, Long, Brit J., additional, Schauer, Steven G., additional, Connor, Andrew, additional, Anderson, Erin, additional, Maestas, Kristin, additional, Rhoads, Jillian P., additional, Womack, Kelsey, additional, Imhoff, Brant, additional, Janz, David R., additional, Trent, Stacy A., additional, Self, Wesley H., additional, Rice, Todd W., additional, Semler, Matthew W., additional, and Casey, Jonathan D., additional
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- 2023
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7. Observational study of organisational responses of 17 US hospitals over the first year of the COVID-19 pandemic
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Choo, Esther K, primary, Strehlow, Matthew, additional, Del Rios, Marina, additional, Oral, Evrim, additional, Pobee, Ruth, additional, Nugent, Andrew, additional, Lim, Stephen, additional, Hext, Christian, additional, Newhall, Sarah, additional, Ko, Diana, additional, Chari, Srihari V, additional, Wilson, Amy, additional, Baugh, Joshua J, additional, Callaway, David, additional, Delgado, Mucio Kit, additional, Glick, Zoe, additional, Graulty, Christian J, additional, Hall, Nicholas, additional, Jemal, Abdusebur, additional, KC, Madhav, additional, Mahadevan, Aditya, additional, Mehta, Milap, additional, Meltzer, Andrew C, additional, Pozhidayeva, Dar'ya, additional, Resnick-Ault, Daniel, additional, Schulz, Christian, additional, Shen, Sam, additional, Southerland, Lauren, additional, Du Pont, Daniel, additional, and McCarthy, Danielle M, additional
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- 2023
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8. Protocol and statistical analysis plan for the PREOXI trial of preoxygenation with noninvasive ventilation vs oxygen mask
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Gibbs, Kevin W., Ginde, Adit A., Prekker, Matthew E., Seitz, Kevin P., Stempek, Susan B., Taylor, Caleb, Gandotra, Sheetal, White, Heath, Resnick-Ault, Daniel, Khan, Akram, Mohmed, Amira, Brainard, Jason C., Fein, Daniel G., Aggarwal, Neil R., Whitson, Micah R., Halliday, Stephen J., Gaillard, John P., Blinder, Veronika, Driver, Brian E., Palakshappa, Jessica A., Lloyd, Bradley D., Wozniak, Joanne M., Exline, Matthew C., Russell, Derek W., Ghamande, Shekhar, Withers, Cori, Hubel, Kinsley A., Moskowitz, Ari, Bastman, Jill, Andrea, Luke, Sottile, Peter D., Page, David B., Long, Micah T., Goranson, Jordan Kugler, Malhotra, Rishi, Long, Brit J., Schauer, Steven G., Connor, Andrew, Anderson, Erin, Maestas, Kristin, Rhoads, Jillian P., Womack, Kelsey, Imhoff, Brant, Janz, David R., Trent, Stacy A., Self, Wesley H., Rice, Todd W., Semler, Matthew W., and Casey, Jonathan D.
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Article - Abstract
BACKGROUND: Hypoxemia is a common and life-threatening complication during emergency tracheal intubation of critically ill adults. The administration of supplemental oxygen prior to the procedure (“preoxygenation”) decreases the risk of hypoxemia during intubation. RESEARCH QUESTION: Whether preoxygenation with noninvasive ventilation prevents hypoxemia during tracheal intubation of critically ill adults, compared to preoxygenation with oxygen mask, remains uncertain. STUDY DESIGN AND METHODS: The PRagmatic trial Examining OXygenation prior to Intubation (PREOXI) is a prospective, multicenter, non-blinded randomized comparative effectiveness trial being conducted in 7 emergency departments and 17 intensive care units across the United States. The trial compares preoxygenation with noninvasive ventilation versus oxygen mask among 1300 critically ill adults undergoing emergency tracheal intubation. Eligible patients are randomized in a 1:1 ratio to receive either noninvasive ventilation or an oxygen mask prior to induction. The primary outcome is the incidence of hypoxemia, defined as a peripheral oxygen saturation
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- 2023
9. DirEct versus VIdeo LaryngosCopE (DEVICE): protocol and statistical analysis plan for a randomised clinical trial in critically ill adults undergoing emergency tracheal intubation
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Prekker, Matthew E, primary, Driver, Brian E, additional, Trent, Stacy A, additional, Resnick-Ault, Daniel, additional, Seitz, Kevin, additional, Russell, Derek W, additional, Gandotra, Sheetal, additional, Gaillard, John P, additional, Gibbs, Kevin W, additional, Latimer, Andrew, additional, Whitson, Micah R, additional, Ghamande, Shekhar, additional, Vonderhaar, Derek J, additional, Walco, Jeremy P, additional, Hansen, Sydney J, additional, Douglas, Ivor S, additional, Barnes, Christopher R, additional, Krishnamoorthy, Vijay, additional, Bastman, Jill J, additional, Lloyd, Bradley Daniel, additional, Robison, Sarah W, additional, Palakshappa, Jessica A, additional, Mitchell, Steven, additional, Page, David B, additional, White, Heath D, additional, Espinera, Alyssa, additional, Hughes, Christopher, additional, Joffe, Aaron M, additional, Herbert, J Taylor, additional, Schauer, Steven G, additional, Long, Brit J, additional, Imhoff, Brant, additional, Wang, Li, additional, Rhoads, Jillian P, additional, Womack, Kelsey N, additional, Janz, David, additional, Self, Wesley H, additional, Rice, Todd W, additional, Ginde, Adit A, additional, Casey, Jonathan D, additional, and Semler, Matthew W, additional
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- 2023
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10. ED-based COVID-19 vaccination campaign finds higher vaccination rates for individuals from racial and ethnic minority groups compared with clinic setting.
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Wendel, Sarah K, Jackson, Conner L, Resnick-Ault, Daniel, Jacknin, Gabrielle, Zane, Richard D, Michael, Sean S, Bookman, Kelly J, and Ginde, Adit A
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HOSPITAL emergency services ,COVID-19 ,IMMUNIZATION ,MINORITIES ,ACADEMIC medical centers ,COVID-19 vaccines ,RACE ,VACCINATION coverage ,RETROSPECTIVE studies ,COMPARATIVE studies ,DESCRIPTIVE statistics ,SOCIODEMOGRAPHIC factors ,ELECTRONIC health records ,METROPOLITAN areas ,DATA analysis software ,SECONDARY analysis - Abstract
Background Emergency department visits associated with Coronavirus Disease 2019 (COVID-19) continue to indicate racial and ethnic inequities. We describe the sociodemographic characteristics of individuals receiving COVID-19 vaccination in the emergency department and compare with an outpatient clinic population and emergency department (ED) patients who were eligible but not vaccinated. Methods We conducted a retrospective analysis of electronic health record data at an urban academic ED from May to July 2021. The primary aim was to characterize the ED-vaccinated population, compared with ED patients who were eligible but unvaccinated and the physically adjacent outpatient vaccination clinic population. Results A total of 627 COVID-19 vaccinations were administered in the ED. Overall, 49% of ED patients during that time had already received at least one vaccine dose prior to ED arrival. Hispanic, non-Hispanic Black patients, and patients on non-commercial insurance had higher odds of being vaccinated in the ED as compared with outpatient clinic setting. Among eligible ED patients, men and patients who were uninsured/self-pay were more likely to accept ED vaccination. Conclusions This ED COVID-19 vaccination campaign demonstrated a higher likelihood to vaccinate individuals from racial/ethnic minority groups, those with high social vulnerability, and non-commercial insurance, when compared with a co-located outpatient vaccination clinic. [ABSTRACT FROM AUTHOR]
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- 2023
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11. ED-based COVID-19 vaccination campaign finds higher vaccination rates for individuals from racial and ethnic minority groups compared with clinic setting
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Wendel, Sarah K, primary, Jackson, Conner L, additional, Resnick-Ault, Daniel, additional, Jacknin, Gabrielle, additional, Zane, Richard D, additional, Michael, Sean S, additional, Bookman, Kelly J, additional, and Ginde, Adit A, additional
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- 2022
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12. COVID-19 Vaccine Clinic Real-Time Throughput Analysis: Development and Implementation of an Innovative Data Collection Tool
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Skaggs, Michael D., primary, Wendel, Sarah K., additional, Zane, Richard D., additional, and Resnick-Ault, Daniel, additional
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- 2022
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13. POINT: Direct Laryngoscopy: The Building Block to Airway Expertise? Yes.
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Resnick-Ault, Daniel, Gandotra, Sheetal, and Gaillard, John P.
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LARYNGOSCOPY , *EXPERTISE - Published
- 2024
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14. Critical Concepts for COVID-19 Mass Vaccination Site Operations
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Goldberg, Scott A., primary, Callaway, David, additional, Resnick-Ault, Daniel, additional, Mandavia, Sujal, additional, Martinez, Rodrigo, additional, Bass, Michelle, additional, and Goralnick, Eric, additional
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- 2021
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15. Drive-Through Efficiency: How to Prepare for and Execute a Mass-Vaccination Event
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Resnick-Ault, Daniel, Wendel, Sarah K., Skaggs, Michael D., White, Sarah, and Zane, Richard D.
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Commentary - Abstract
Leaders at UCHealth emphasize that process design is the key to success for super sites to function smoothly, and they offer a playbook for how it’s done., Summary The 2019 novel coronavirus is on pace to overtake the 1918 influenza as the deadliest pandemic in U.S. history. A highly efficient strategy for vaccination is crucial to curbing the public health crisis. In January 2021, UCHealth — an innovative nonprofit health system serving Colorado, southern Wyoming, and western Nebraska — brought together key stakeholders to develop a new drive-through vaccination model with the goal of providing immunizations to 10,000 individuals over a 2-day period, which would be the largest vaccination effort in the United States at that time. Health care innovators, operational leaders, and information technology experts used iterative process improvement and real-time data collection to create the model. Their standards for efficiency in handling high-volume events are published in a playbook available to any entity hoping to utilize drive-through mass vaccination. From arrival to departure, median time spent in the vaccination clinic was 24 minutes, including 15 minutes of observation.
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- 2021
16. The state of leadership education in US medical schools: results of a national survey
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Neeley, Sabrina M., primary, Clyne, Brian, additional, and Resnick-Ault, Daniel, additional
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- 2017
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17. Preparing for Clerkships: Learning to Deliver Specialty-Specific Oral Presentations
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Daniel, Michelle, primary, Heney, Ryan, additional, Kwan, Brian, additional, Mannino, Courtney, additional, Williams, Claire, additional, Macdonald, Kelly, additional, Williams, John, additional, Reardon, Juliann, additional, Resnick-Ault, Daniel, additional, Schaetzel-Hill, Terra, additional, Cormier, Justine, additional, Schwede, Matthew, additional, Sangal, Rohit, additional, Dalal, Rahul, additional, George, Paul, additional, and Sutton, Elizabeth, additional
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- 2015
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18. Critical Concepts for COVID-19 Mass Vaccination Site Operations
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Goldberg, Scott A., Callaway, David, Resnick-Ault, Daniel, Mandavia, Sujal, Martinez, Rodrigo, Bass, Michelle, and Goralnick, Eric
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AbstractMass vaccination campaigns have been used effectively to limit the impact of communicable disease on public health. However, the scale of the coronavirus disease (COVID-19) vaccination campaign is unprecedented. Mass vaccination sites consolidate resources and experience into a single entity and are essential to achieving community (“herd”) immunity rapidly, efficiently, and equitably. Health care systems, local and regional public health entities, emergency medical services, and private organizations can rapidly come together to solve problems and achieve success. As medical directors at several mass vaccination sites across the United States, we describe key mass vaccination site concepts, including site selection, operational models, patient flow, inventory management, staffing, technology, reporting, medical oversight, communication, and equity. Lessons learned from experience operating a diverse group of mass vaccination sites will help inform not only sites operating during the current pandemic, but also may serve as a blueprint for future outbreaks of highly infectious communicable disease.
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- 2023
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19. Noninvasive Ventilation for Preoxygenation during Emergency Intubation.
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Gibbs KW, Semler MW, Driver BE, Seitz KP, Stempek SB, Taylor C, Resnick-Ault D, White HD, Gandotra S, Doerschug KC, Mohamed A, Prekker ME, Khan A, Gaillard JP, Andrea L, Aggarwal NR, Brainard JC, Barnett LH, Halliday SJ, Blinder V, Dagan A, Whitson MR, Schauer SG, Walker JE Jr, Barker AB, Palakshappa JA, Muhs A, Wozniak JM, Kramer PJ, Withers C, Ghamande SA, Russell DW, Schwartz A, Moskowitz A, Hansen SJ, Allada G, Goranson JK, Fein DG, Sottile PD, Kelly N, Alwood SM, Long MT, Malhotra R, Shapiro NI, Page DB, Long BJ, Thomas CB, Trent SA, Janz DR, Rice TW, Self WH, Bebarta VS, Lloyd BD, Rhoads J, Womack K, Imhoff B, Ginde AA, and Casey JD
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- Adult, Aged, Female, Humans, Male, Middle Aged, Critical Illness therapy, Heart Arrest therapy, Masks, Oxygen administration & dosage, Oxygen blood, Oxygen Saturation, Hypoxia etiology, Hypoxia prevention & control, Intubation, Intratracheal adverse effects, Intubation, Intratracheal methods, Noninvasive Ventilation methods, Oxygen Inhalation Therapy methods
- Abstract
Background: Among critically ill adults undergoing tracheal intubation, hypoxemia increases the risk of cardiac arrest and death. The effect of preoxygenation with noninvasive ventilation, as compared with preoxygenation with an oxygen mask, on the incidence of hypoxemia during tracheal intubation is uncertain., Methods: In a multicenter, randomized trial conducted at 24 emergency departments and intensive care units in the United States, we randomly assigned critically ill adults (age, ≥18 years) undergoing tracheal intubation to receive preoxygenation with either noninvasive ventilation or an oxygen mask. The primary outcome was hypoxemia during intubation, defined by an oxygen saturation of less than 85% during the interval between induction of anesthesia and 2 minutes after tracheal intubation., Results: Among the 1301 patients enrolled, hypoxemia occurred in 57 of 624 patients (9.1%) in the noninvasive-ventilation group and in 118 of 637 patients (18.5%) in the oxygen-mask group (difference, -9.4 percentage points; 95% confidence interval [CI], -13.2 to -5.6; P<0.001). Cardiac arrest occurred in 1 patient (0.2%) in the noninvasive-ventilation group and in 7 patients (1.1%) in the oxygen-mask group (difference, -0.9 percentage points; 95% CI, -1.8 to -0.1). Aspiration occurred in 6 patients (0.9%) in the noninvasive-ventilation group and in 9 patients (1.4%) in the oxygen-mask group (difference, -0.4 percentage points; 95% CI, -1.6 to 0.7)., Conclusions: Among critically ill adults undergoing tracheal intubation, preoxygenation with noninvasive ventilation resulted in a lower incidence of hypoxemia during intubation than preoxygenation with an oxygen mask. (Funded by the U.S. Department of Defense; PREOXI ClinicalTrials.gov number, NCT05267652.)., (Copyright © 2024 Massachusetts Medical Society.)
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- 2024
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20. Protocol and statistical analysis plan for the PREOXI trial of preoxygenation with noninvasive ventilation vs oxygen mask.
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Gibbs KW, Ginde AA, Prekker ME, Seitz KP, Stempek SB, Taylor C, Gandotra S, White H, Resnick-Ault D, Khan A, Mohmed A, Brainard JC, Fein DG, Aggarwal NR, Whitson MR, Halliday SJ, Gaillard JP, Blinder V, Driver BE, Palakshappa JA, Lloyd BD, Wozniak JM, Exline MC, Russell DW, Ghamande S, Withers C, Hubel KA, Moskowitz A, Bastman J, Andrea L, Sottile PD, Page DB, Long MT, Goranson JK, Malhotra R, Long BJ, Schauer SG, Connor A, Anderson E, Maestas K, Rhoads JP, Womack K, Imhoff B, Janz DR, Trent SA, Self WH, Rice TW, Semler MW, and Casey JD
- Abstract
Background: Hypoxemia is a common and life-threatening complication during emergency tracheal intubation of critically ill adults. The administration of supplemental oxygen prior to the procedure ("preoxygenation") decreases the risk of hypoxemia during intubation., Research Question: Whether preoxygenation with noninvasive ventilation prevents hypoxemia during tracheal intubation of critically ill adults, compared to preoxygenation with oxygen mask, remains uncertain., Study Design and Methods: The PRagmatic trial Examining OXygenation prior to Intubation (PREOXI) is a prospective, multicenter, non-blinded randomized comparative effectiveness trial being conducted in 7 emergency departments and 17 intensive care units across the United States. The trial compares preoxygenation with noninvasive ventilation versus oxygen mask among 1300 critically ill adults undergoing emergency tracheal intubation. Eligible patients are randomized in a 1:1 ratio to receive either noninvasive ventilation or an oxygen mask prior to induction. The primary outcome is the incidence of hypoxemia, defined as a peripheral oxygen saturation <85% between induction and 2 minutes after intubation. The secondary outcome is the lowest oxygen saturation between induction and 2 minutes after intubation. Enrollment began on 10 March 2022 and is expected to conclude in 2023., Interpretation: The PREOXI trial will provide important data on the effectiveness of noninvasive ventilation and oxygen mask preoxygenation for the prevention of hypoxemia during emergency tracheal intubation. Specifying the protocol and statistical analysis plan prior to the conclusion of enrollment increases the rigor, reproducibility, and interpretability of the trial., Clinical Trial Registration Number: NCT05267652., Competing Interests: Conflicts of Interest and Financial Disclosures: Kevin W. Gibbs MD reports financial support and travel were provided by US Department of Defense. Adit. A. Ginde MD MPH reports financial support was provided by US Department of Defense. Matthew E. Prekker MD MPH reports financial support was provided by US Department of Defense. Kevin P. Seitz MD MSc reports financial support was provided by National Heart Lung and Blood Institute. Susan B. Stempek PA MBA reports financial support was provided by American College of Chest Physicians. Akram Khan MD reports financial support was provided by United Therapeutics Corporation. Akram Khan MD reports financial support was provided by 4D Medicine Ltd. Akram Khan MD reports financial support was provided by Regeneron Pharmaceuticals Inc. Akram Khan MD reports financial support was provided by Roche. Akram Khan MD reports financial support was provided by Dompé pharmaceutical. Jessica A. Palakshappa MD MS reports financial support was provided by National Institute on Aging. Joanne M. Wozniak PA MS reports was provided by American College of Chest Physicians. Matthew C. Exline MD, MPH reports financial support was provided by Abbott Laboratories. Derek W. Russell MD reports financial support was provided by National Heart Lung and Blood Institute. Shekar Ghamande MD reports financial support was provided by US Department of Defense. Ari Moskowitz MD MPH reports financial support was provided by National Heart Lung and Blood Institute. Jill Bastman BSN reports financial support was provided by US Department of Defense. Micah T. Long MD reports financial support was provided by pocket cards. Steven G. Schauer DO MS reports was provided by US Department of Defense. David Janz MD MSc reports financial support was provided by US Department of Defense. Matthew W. Semler MD MSc reports financial support was provided by US Department of Defense. Matthew W. Semler MD MSc reports financial support was provided by National Heart Lung and Blood Institute. Jonathan D. Casey MD MSc reports was provided by US Department of Defense. Jonathan D. Casey MD MSc reports was provided by National Heart Lung and Blood Institute. Jonathan D. Casey MD MSc reports travel was provided by Fisher & Paykel Healthcare Inc. Todd W Rice MD MSc reports a relationship with Cumberland Pharmaceuticals Inc that includes: consulting or advisory and equity or stocks. Derek W. Russell MD reports a relationship with Achieve Life Science Inc that includes: equity or stocks. Matthew W. Semler MD MSc reports a relationship with Baxter International Inc that includes: consulting or advisory.
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- 2023
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