Herewith a quick tutorial on the use and placement of the bifurcated, dual-balloon ‘EZ-Blocker’ bronchial blocker. More videos on the DLT vs BB debate, the other blockers, and troubleshooting advice to follow. Comments welcomed as always!
Herewith a quick tutorial on the use and placement of the bifurcated, dual-balloon ‘EZ-Blocker’ bronchial blocker. More videos on the DLT vs BB debate, the other blockers, and troubleshooting advice to follow. Comments welcomed as always!
If you’ve found OpenAirway by search or accident, and the concept of #FOAM (Free, Open-Access Meducation) is new to you, then you’ll find the following video enlightening. The SMACC (Social Media And Critical Care) meeting is the yearly gathering of #FOAM enthusiasts, although it’s spiritual home, arguably, is within the ether of the Internet. OpenAirway was proud to be represented at SMACC this year in Dublin – truly an opportunity to interact, connect and be inspired by the best minds in acute and critical care from all disciplines.
The UCT Department of Anaesthesia & Perioperative Medicine in conjunction with OpenAirway is running the next set of airway and thoracic anaesthesia skills courses during October. Information and bookings are now available via the Courses page here. There are three back-to-back courses which build upon the skill sets:
Co to the courses page for more information and to book a place!
Another quick training video, on the basic techniques of driving a flexible scope (fibreoptic or video) for intubation. This was made specifically as a primer for people in our own department taking part in a training study, but hopefully it is useful to a larger audience!
Please put your comments and (hopefully constructive) critique below. As always, you’re welcome to use with attribution!
Here’s the excellent simulation/re-enactment video from Simpact on the Elaine Bromiley Case that I featured in the lecture.
You can download my accompanying lecture notes on the DAS 2015 guidelines here:
FCA2 Refresher 2016 Notes – Hofmeyr – Difficult Airway Society 2015 Guidelines
Frerk et al’s article on the 2015 guidelines is available from the BJA here (open access), and the excellent recent editorial on front-of-neck access by Timmerman, Chrimes and Hagberg is here. This is not in the notes, as it has only just been published online.
The links to the different algorithms are on the Algorithms page, or you can browse the DAS website.
The surgical airway technique video that woudn’t play is below.
Quick overview of the surgical cricothyroidotomy technique as presented in the 2015 Difficult Airway Society guidelines. This is simply presenting the technique in a manikin model, not intended as a debate about the relative merits of needle vs. surgical, blade vs. hook, scalpel-finger-bougie vs. scalpel-bougie-tube, etc!
Don’t forget to wear your PPE (gloves, mask, eye protection) and appropriately secure the tube afterwards.
As always, constructive criticism and suggestions for improvement are always welcomed in the comments section.
Technique for using the Aintree Intubating Catheter (AIC) to exchange between a supraglottic airway (SGA) and endotracheal tube (ETT). This is typically required when an airway has been ‘rescued’ with an SGA that is not designed for direct intubation, with a narrow internal diameter or obstructions. The Aintree has a length of 55cm, internal diameter of 4.8 mm (not 4.2 as stated in the video) and external diameter of 6.0 mm, allowing a paediatric fibrescope or flexible intubating vide endoscope (preferably 4 mm or less) to be passed through the AIC, into the trachea, and then an ETT railroaded after removal of the SGA over the AIC. If that sounds confusing, watch the video!
Tips/tricks/advice/critique? Leave a comment!
The Difficult Airway Society (DAS) have a nice poster guide to help you remember how to do this – click the image below to open/download. (Open access).
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.
A quick introduction and overview of the the TotalTrack Video Laryngeal Mask.
For more information, a list of publications and open access to our 2016 paper in SAJAA, you can see the OpenAirway TotalTrack page.
A quick overview of the basic technique using the Fastrach ILMA.
As always, these videos are unscripted, so if you have suggestions or critique, please use the comments section!
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