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EMCrit Wee – Should a Nasal Cannula be Part of Denitrogenation / Preoxygenation


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In the LaMW: Ox Kills podcast, I discussed preoxygenation strategies. Sam Ghali had some questions; this wee has the answers.
Groombridge et al.
NRB @ 15 lpm  = 52.6%
NRB @ 15 lpm + NC @ 5 lpm = 57.1%

Max with anesthesia circuit
Hayes-Bradley et al.
http://www.annemergmed.com/article/S0196-0644(15)01500-0/abstract

Here are their numbers (they also simulated air leaks in this study)

NRB @ 15 lpm alone = 52% ETO2

NRB @ 15 lpm + NC @ 10 lpm = 67%

BVM = 79%

BVM with Mask Leak: BVM markedly improved with NC
Russell_et_al.
Nasal cannula improved ETO2 when mask leak was created
...more
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EMCrit FOAM FeedBy Scott D. Weingart, MD FCCM

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