Category Archives: Equipment

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!

VIdeo: Supraglottic airway overview

A brief (7 min) overview of the some of the types, classification and classes of SGAs, as part of some preparatory material for SMACCdub Airway Workshop participants.

For the next video on using SGAs, see this post.

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

Four methods of endotracheal tube passage in simulated airways – Poster from ICEM 2016

Here’s the poster by Kingma, Hofmeyr, Zeng, Cooramasamy and Brainard that has generated a fair amount of interest (>10k impressions on Twitter).  Full analysis hopefully coming soon to a journal near you.  Bottom line?  In a difficult airway, you’d best be using a bougie or stylet, no matter who you are.  As far as bougies go, preloading rather than railroading is faster and seems better.  Click on the image for a full-resolution PDF (2Mb).

Four_Methods_ETI_Poster_ICEM_2016

Want to talk about this?  Comment below or ping @surferkirst @rosshofmeyr @TheSharpEndCrew on Twitter!

Overview of the use of fibreoptic bronchoscopy in thoracic surgery

The well-known thoracic anaesthesia guru, Prof Jay Brodsky, has written a succinct and simple overview of the use of fibreoptic bronchoscopy (FOB) in thoracic anaestheisa, which is equally applicable to the modern flexible video endoscopes.   If you are looking for a brief primer (including the appropriate use for placement of bronchial blockers and double-lumen ETTs), read the article on the Airway E-Learning site here.

Importantly, he elucidates the reasons for becoming proficient in the clinical placement and confirmation of DLTs without the use of a FOB, which is of particular relevance here in the developing world.

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!