Category Archives: AirwayHowTo

Video: Flexible endoscopic intubation through SGAs

A description of the technique for intubating through a supraglottic airway that offers a sufficiently large internal bore to allow an appropriate-sized endotracheal tube using an adult fibreoptic or flexible video endoscope.  Take note of the method of providing ventilation during the endoscopy!

As usual, this is an unscripted video, and constructive critique is welcomed to help us improve the educational offering.

Video: Overview of intubating through SGAs

Yip, another whirlwid tour, this time of the situations and considerations that may lead to intubating through a supraglottic airway.  Each method will be expanded upon in later videos.

These videos are made off-the-cuff and can certainly be improved, so if you have suggestions, please put them in the comments!

Video: Using supraglottic airways

A whirlwind tour through selection, indications, precautions, sizing and troubleshooting.  For an overview of the types and classifications, see this post.

These videos are all unscripted, so if you have suggestions for improvement, please leave a comment below!

Cannula Cricothyroidotomy

In response to a great Twitter discussion with PHARM‘s @ketaminh:

See Minh le Cong’s PHARM blog post, video and podcast here.  Please note that using a BVM is not the advised technique of oxygenation, but is used here because we don’t have an oxygen source in the skills lab.

Lots of ensuing discussion of the ideal angle of puncture of the cricothyroid membrane.  90 degrees (perpendicular to skin) has least risk of puncturing posterior wall of the trachea, but greatest risk of cannula kinking.  I advocate around 60 degrees for puncture and then decreasing angle to advance cannula:

Why is my C-MAC Pocket Monitor not working (again)?

Despite making a previous post and video to explain the way to make sure the device switches on, I regularly get told that the Pocket Monitor (PM) for our C-MAC video laryngoscope is not working/charging/switching on. This is in fact a design feature to prevent accidental activation or discharge. Watch here to find out more:

Thanks to the lovely Sam Adams for playing along…good career in acting if anaesthesia were to ever become boring!

C-MAC PM not turning on?

Folks are frequently reporting that our C-MAC Pocket Monitor is not switching on when they plug it in to a blade and want to use it, without realizing that it automatically goes into a hibernation mode if left in the open position for more than 15 minutes. Check out this quick AirwayHowTo video on solving this problem: