Skip to main content

Transitions from the Academic Heap: New Directions Within the System

  • Chapter
  • First Online:
The Intensivist's Challenge
  • 457 Accesses

Abstract

I practiced in a golden age of physiology. We built on an age of resuscitation, and medicine had not yet become molecular. I joined Peter Safar’s world and was paid to work in the ICU, under Ake Grenvik’s supervision, as resident, fellow, and junior staff. Our explication of the physiology to resolve opposing viewpoints gained us authority and led to publications that rationalized promotion. Getting authority also required physical presence when the admitting physicians came to visit, which cost time at home.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Airway novice is defined as pre-lab intubation experience less than 10 intubations.

References

  1. Doidge N. The brain’s way of healing: remarkable discoveries and recoveries from the frontiers of neuroplasticity. New York: Viking Penguins; 2015.

    Google Scholar 

  2. Ramachandran VS, Blakeslee S. Phantoms in the brain. New York: Quill; 1999.

    Google Scholar 

  3. Kirkpatrick S. Edgar Cayce: an American Prophet. New York: Riverhead Books; 2001.

    Google Scholar 

  4. Todeschi KJ, Reed H. Contemporary Cayce: a complete exploration using today's philosophy and science. Virginia Beach: VA: ARE Press; 2014.

    Google Scholar 

  5. Wise EM, Henao JP, Gomez H, Snyder§ J, Roolf P, Orebaugh SL. The impact of a cadaver-based airway lab on critical care fellows’ direct laryngoscopy skills published in Anaesth Intensive Care V 2015;43:2.

    Google Scholar 

  6. Fink BR, Demarest RJ. Laryngeal biomechanics. Cambridge: Harvard University Press; 1978. The text refers to blade placement in the vallecula but positioning against the epiglottis suspension ligament is diagrammed in figure 8.4.

    Google Scholar 

  7. Safar P, Escarraga LA, Elam JO. A comparison of the mouth-to-mouth and mouth-to-airway methods of artificial respiration with the chest-pressure arm-lift methods. N Engl J Med. 1958;258:671–7.

    Article  CAS  PubMed  Google Scholar 

  8. Safar P, Escarraga LA, Chang F. Upper airway obstruction in the unconscious patient. J Appl Physiol. 1959;14:760–4.

    CAS  PubMed  Google Scholar 

  9. Fink BR. The etiology and treatment of laryngeal spasm. Anesthesiology. 1956;569–577.

    Google Scholar 

  10. Hillman DR, Walsh JH, Maddison KJ, et al. Evolution of changes in upper airway collapsibility during slow induction of anesthesia with propofol. Anesthesiology. 2009;111:63–71.

    Article  CAS  PubMed  Google Scholar 

  11. Schwab RJ. Radiographic imaging in the diagnostic evaluation of sleep apnea patients. UpToDate Version. 2005.

    Google Scholar 

  12. Semmes EJ, Tobin MJ, Snyder JV, Grenvik A. Subjective and objective measurement of tidal volume in critically Ill patients. Chest. 1985;87:577–9.

    Article  CAS  PubMed  Google Scholar 

  13. Novak RA, Snyder JV, Shumaker L, Pinsky MR. Periodic hyperinflation improve Gas exchange in patients with hypoxemic respiratory failure. Crit Care Med. 1987;15(12):1081–5.

    Article  CAS  PubMed  Google Scholar 

  14. Scholton DJ, Novak R, Snyder JV. Directed manual recruitment of collapsed lung in intubated and nonintubated patients. Am Surg. 1985;51:330–5.

    Google Scholar 

  15. Greenbaum DM, Snyder JV, Grenvik A. Continuous positive airway pressure without tracheal intubation in spontaneously breathing patients. Chest. 1976;69:615–20.

    Article  CAS  PubMed  Google Scholar 

  16. Levitan RM. The importance of a laryngoscopy strategy and optimal conditions in emergency intubation. Anesth Analg. 2005;100:899–900.

    Article  PubMed  Google Scholar 

  17. Levitan RM, Goldman TS, Bryon DA, et al. Training with video imaging improves the initial intubation success rates of paramedic trainees in an operating room setting. Ann Emerg Med. 2001;37:46–50.

    Article  CAS  PubMed  Google Scholar 

  18. Levitan RM, Mechem CC, Ochroch EA, Shofer FS, Hollander JE. Head-elevated laryngoscopy position: improving laryngeal exposure during laryngoscopy by increasing head elevation. Ann Emerg Med. 2003;41:322–30.

    Article  PubMed  Google Scholar 

  19. Schmitt HJ, Mang H. Head and neck elevation beyond the sniffing position improves laryngeal view in cases of difficult direct laryngoscopy. J Clin Anesth. 2002;14:335–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James V. Snyder MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Snyder, J.V. (2016). Transitions from the Academic Heap: New Directions Within the System. In: Crippen, D. (eds) The Intensivist's Challenge. Springer, Cham. https://doi.org/10.1007/978-3-319-30454-0_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-30454-0_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-30452-6

  • Online ISBN: 978-3-319-30454-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics