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  1. Article ; Online: Implementing a smaller-volume adult ventilation bag: Is the juice worth the squeeze?

    Prekker, Matthew E / Robinson, Aaron E

    Resuscitation

    2023  Volume 193, Page(s) 110034

    Language English
    Publishing date 2023-11-04
    Publishing country Ireland
    Document type Editorial
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2023.110034
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    Zs.A 1048: Show issues Location:
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  2. Article ; Online: Use of a Bougie vs Endotracheal Tube With Stylet and Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation-Reply.

    Driver, Brian E / Prekker, Matthew E / Casey, Jonathan D

    JAMA

    2022  Volume 327, Issue 15, Page(s) 1503–1504

    MeSH term(s) Critical Illness/therapy ; Humans ; Intubation, Intratracheal/instrumentation ; Laryngoscopy ; Treatment Outcome
    Language English
    Publishing date 2022-04-19
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2022.2716
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    Ua VI Zs.88: Show issues Location:
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  3. Article ; Online: Letter to the Editor:

    Evans, Danika K / Wothe, Jillian K / Dunn, Alex / Bergman, Zachary R / Saavedra-Romero, Ramiro / Bohman, John K / Brunsvold, Melissa E / Prekker, Matthew E

    Surgical infections

    2024  Volume 25, Issue 3, Page(s) 255–256

    MeSH term(s) Humans ; COVID-19 ; SARS-CoV-2 ; Wastewater ; Extracorporeal Membrane Oxygenation ; Minnesota/epidemiology ; Viral Load
    Chemical Substances Wastewater
    Language English
    Publishing date 2024-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1440120-4
    ISSN 1557-8674 ; 1096-2964
    ISSN (online) 1557-8674
    ISSN 1096-2964
    DOI 10.1089/sur.2023.365
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    Zs.A 5617: Show issues Location:
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  4. Article: THE HENNEPIN DOUBLE-TUBE TECHNIQUE: A MORE EFFICIENT METHOD OF TRACHEAL INTUBATION THROUGH THE LMA FASTRACH.

    Lee, Daniel H / Paetow, Glenn / Prekker, Matthew E / Driver, Brian E

    The Journal of emergency medicine

    2022  Volume 63, Issue 1, Page(s) 88–92

    Abstract: Background: The LMA Fastrach (LMA North America, Inc; hereafter termed the intubating laryngeal mask airway [ILMA]) is an extraglottic device designed to facilitate endotracheal intubation. After the endotracheal tube is placed through the lumen of the ... ...

    Abstract Background: The LMA Fastrach (LMA North America, Inc; hereafter termed the intubating laryngeal mask airway [ILMA]) is an extraglottic device designed to facilitate endotracheal intubation. After the endotracheal tube is placed through the lumen of the ILMA into the trachea, the ILMA is removed, using a proprietary stabilizer rod to hold the tube in place.
    Discussion: The traditional method of ILMA removal is not optimized for the critically ill patient. It requires the use of unfamiliar equipment, exposes the patient to a significant period without ventilation, and risks tube dislodgement. We designed a simple technique with a double-endotracheal tube setup that addresses these problems using common equipment, allowing for continuous ventilation, and minimizing the risk of tube dislodgement.
    Conclusions: The traditional method of ILMA removal around an endotracheal tube is not designed for critically ill patients or the physicians taking care of them. This novel technique is designed to improve the usability of the ILMA for physicians and improve airway outcomes for patients.
    MeSH term(s) Critical Illness ; Humans ; Intubation, Intratracheal/methods ; Laryngeal Masks/adverse effects ; Research Design ; Trachea
    Language English
    Publishing date 2022-08-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2022.04.003
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    Zs.A 1895: Show issues Location:
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  5. Article ; Online: Sedative Dose for Rapid Sequence Intubation and Postintubation Hypotension: Is There an Association?

    Driver, Brian E / Trent, Stacy A / Prekker, Matthew E / Reardon, Robert F / Brown, Calvin A

    Annals of emergency medicine

    2023  Volume 82, Issue 4, Page(s) 417–424

    Abstract: Study objective: For patients with hemodynamic instability undergoing rapid sequence intubation, experts recommend reducing the sedative medication dose to minimize the risk of further hemodynamic deterioration. Scant data support this practice for ... ...

    Abstract Study objective: For patients with hemodynamic instability undergoing rapid sequence intubation, experts recommend reducing the sedative medication dose to minimize the risk of further hemodynamic deterioration. Scant data support this practice for etomidate and ketamine. We sought to determine if the dose of etomidate or ketamine was independently associated with postintubation hypotension.
    Methods: We analyzed data from the National Emergency Airway Registry from January 2016 to December 2018. Patients aged 14 years or older were included if the first intubation attempt was facilitated with etomidate or ketamine. We used multivariable modeling to determine whether drug dose in milligrams per kilogram of patient weight was independently associated with postintubation hypotension (systolic blood pressure < 100 mm Hg).
    Results: We analyzed 12,175 intubation encounters facilitated by etomidate and 1,849 facilitated by ketamine. The median drug doses were 0.28 mg/kg (interquartile range [IQR] 0.22 mg/kg to 0.32 mg/kg) for etomidate and 1.33 mg/kg (IQR 1 mg/kg to 1.8 mg/kg) for ketamine. Postintubation hypotension occurred in 1,976 patients (16.2%) who received etomidate and in 537 patients (29.0%) who received ketamine. In multivariable models, neither the etomidate dose (adjusted odds ratio [aOR] 0.95, 95% confidence interval [CI] 0.90 to 1.01) nor ketamine dose (aOR 0.97, 95% CI 0.81 to 1.17) was associated with postintubation hypotension. Results were similar in sensitivity analyses excluding patients with preintubation hypotension and including only patients intubated for shock.
    Conclusion: In this large registry of patients intubated after receiving either etomidate or ketamine, we observed no association between the weight-based sedative dose and postintubation hypotension.
    MeSH term(s) Humans ; Hypnotics and Sedatives/adverse effects ; Etomidate/adverse effects ; Rapid Sequence Induction and Intubation ; Ketamine/adverse effects ; Intubation, Intratracheal/adverse effects ; Intubation, Intratracheal/methods ; Retrospective Studies ; Hypotension/etiology ; Hypotension/drug therapy
    Chemical Substances Hypnotics and Sedatives ; Etomidate (Z22628B598) ; Ketamine (690G0D6V8H)
    Language English
    Publishing date 2023-06-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2023.05.014
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    Zs.A 1344: Show issues Location:
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  6. Article ; Online: The Critically Ill Without COVID-19 Infection During the COVID-19 Pandemic: an Analysis of Race and Ethnicity at an Urban Safety-Net Hospital.

    Downey, Michael C / Hoover, Madison R / Prekker, Matthew E / Kempainen, Robert R

    Journal of racial and ethnic health disparities

    2022  Volume 10, Issue 4, Page(s) 1776–1782

    Abstract: Purpose: This investigation sought to compare admissions, length of stay, and mortality among medical intensive care unit (MICU) patients without coronavirus disease 2019 (COVID-19) infection admitted to an urban safety-net hospital during the pandemic ... ...

    Abstract Purpose: This investigation sought to compare admissions, length of stay, and mortality among medical intensive care unit (MICU) patients without coronavirus disease 2019 (COVID-19) infection admitted to an urban safety-net hospital during the pandemic by patients' self-identified race and ethnicity.
    Materials and methods: We conducted a retrospective observational study comparing MICU admissions before and during the first surge of COVID-19 illness at an urban, safety-net hospital in Minneapolis, Minnesota.
    Results: MICU admissions declined from a pre-pandemic average of 968 to 761 during the first COVID surge, including 627 patients (82%) without COVID-19 infection. MICU mortality among patients without COVID-19 infection during the pandemic was 12.8% compared to 9.6% in the pre-pandemic period (p = 0.045). However, rates of non-COVID-19 MICU admissions, mortality, volume, and length of stay did not differ by race and ethnicity between time periods. Of the 131 MICU admissions with COVID-19 infection, patients were more frequently Hispanic ethnicity (24%) or Black (40%), and less frequently White (22%) compared to the pre-pandemic cohort (7%, 30%, and 48%, respectively [p < 0.001]).
    Conclusions: During the first COVID-19 surge, MICU admissions for non-COVID-19 disease decreased from pre-pandemic levels, but these patients experienced greater mortality. Unlike critically ill patients admitted with COVID-19 infection, admissions and hospital mortality did not differ by race and ethnicity compared to the pre-pandemic period.
    MeSH term(s) Humans ; Ethnicity ; COVID-19 ; Pandemics ; Critical Illness ; Safety-net Providers ; Retrospective Studies
    Language English
    Publishing date 2022-07-06
    Publishing country Switzerland
    Document type Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2760524-3
    ISSN 2196-8837 ; 2197-3792
    ISSN (online) 2196-8837
    ISSN 2197-3792
    DOI 10.1007/s40615-022-01361-z
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  7. Article ; Online: Emergency Department Sepsis Care: Could It Matter Who Is in the Ambulance?

    Prekker, Matthew E / Puskarich, Michael A

    Annals of the American Thoracic Society

    2018  Volume 15, Issue 12, Page(s) 1398–1400

    MeSH term(s) Ambulances ; Anti-Bacterial Agents ; Emergency Medical Services ; Emergency Service, Hospital ; Humans ; Sepsis
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2018-11-29
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2717461-X
    ISSN 2325-6621 ; 1943-5665 ; 2325-6621
    ISSN (online) 2325-6621 ; 1943-5665
    ISSN 2325-6621
    DOI 10.1513/AnnalsATS.201808-554ED
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    Zs.A 5828: Show issues Location:
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  8. Article ; Online: Climbing the Evidence Pyramid: Developing an Evidence-Based Approach to the Provision of Venovenous Extracorporeal Membrane Oxygenation.

    Gannon, Whitney D / Teijeiro-Paradis, Ricardo / Prekker, Matthew E / Pratt, Elias H / Tucker, William D / Casey, Jonathan D

    Critical care medicine

    2023  Volume 51, Issue 12, Page(s) 1830–1834

    MeSH term(s) Humans ; Extracorporeal Membrane Oxygenation ; Retrospective Studies ; Respiratory Distress Syndrome
    Language English
    Publishing date 2023-11-16
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000006037
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    Zs.A 1261: Show issues Location:
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  9. Article ; Online: First attempt success with continued versus paused chest compressions during cardiac arrest in the emergency department.

    Robinson, Aaron E / Driver, Brian E / Prekker, Matthew E / Reardon, Robert F / Horton, Gabriella / Stang, Jamie L / Collins, Jacob D / Carlson, Jestin N

    Resuscitation

    2023  Volume 186, Page(s) 109726

    Abstract: Aim: Tracheal intubation is associated with interruption in cardiopulmonary resuscitation (CPR). Current knowledge of tracheal intubation during active CPR focuses on the out-of-hospital environment. We aim to describe characteristics of tracheal ... ...

    Abstract Aim: Tracheal intubation is associated with interruption in cardiopulmonary resuscitation (CPR). Current knowledge of tracheal intubation during active CPR focuses on the out-of-hospital environment. We aim to describe characteristics of tracheal intubation during active CPR in the emergency department (ED) and determine whether first attempt success was associated with CPR being continued vs paused.
    Measurements: We reviewed overhead video from adult ED patients receiving chest compressions at the start of the orotracheal intubation attempt. We recorded procedural detail including method of CPR, whether CPR was continued vs paused, and first attempt intubation success (primary outcome). We performed logistic regression to determine whether continuing CPR was associated with first attempt success.
    Results: We reviewed 169 instances of tracheal intubation, including 143 patients with continued CPR and 26 patients with paused CPR. Those with paused CPR were more likely to be receiving manual rather than mechanical chest compressions. Video laryngoscopy and bougie use were common. First attempt success was higher in the continued CPR group (87%, 95% CI 81% to 92%) than the interrupted CPR group (65%, 95% CI 44% to 83%, difference 22% [95% CI 3% to 41%]). The multivariable model demonstrated an adjusted odds ratio of 0.67 (95% CI 0.17 to 2.60) for first attempt intubation success when CPR was interrupted vs continued.
    Conclusions: It was common to continue CPR during tracheal intubation, with success comparable to that achieved in patients without cardiac arrest. It is reasonable to attempt tracheal intubation without interrupting CPR, pausing only if necessary.
    MeSH term(s) Adult ; Humans ; Cardiopulmonary Resuscitation/methods ; Heart Arrest/therapy ; Emergency Service, Hospital ; Intubation, Intratracheal/methods ; Thorax ; Out-of-Hospital Cardiac Arrest/therapy
    Language English
    Publishing date 2023-02-09
    Publishing country Ireland
    Document type Review ; Journal Article
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2023.109726
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    Zs.A 1048: Show issues Location:
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  10. Article ; Online: No Room for Error: Empiric Treatment for Fulminant Pneumonia.

    Prekker, Matthew E / Smith, Stephen W

    Clinical practice and cases in emergency medicine

    2017  Volume 1, Issue 2, Page(s) 136–139

    Abstract: Early antibiotic administration is critical in cases of sepsis and severe community-acquired pneumonia, which is frequently due ... ...

    Abstract Early antibiotic administration is critical in cases of sepsis and severe community-acquired pneumonia, which is frequently due to
    Keywords covid19
    Language English
    Publishing date 2017-03-13
    Publishing country United States
    Document type Case Reports
    ISSN 2474-252X
    ISSN (online) 2474-252X
    DOI 10.5811/cpcem.2017.1.33213
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