All posts by Ross Hofmeyr
Split-screen dual endoscopy
Some new devices/monitors such as the Glidescope Core or Storz CMAC 8404 now allow viewing two video feeds on one display, either as a “picture-in-picture” or side-by-side display. Here is a demo of split-screen dual endoscopy with Macintosh-blade VL and optical stylet:
IAMM 2023
The International Airway Management Society’s (IAMS) 2023 annual meeting is going to be held on 5-7 August 2023 in hybrid format – both at the University of Pennsylvania in Philadelphia, USA, and online.
The main meeting runs over most of Saturday 5 and Sunday 6, with an in-person tour of the hospital and university facilities on Monday 7 August. Sessions include oxygenation strategies, innovation in airway management, paediatric and obstetric patients, ENT, battlefield, trauma, emergency and thoracic airway management, and diagnosis and management of the difficult airway. Look out for a link here to the final program when published!
Live broadcasting will be available from the Miller Voice of Anaesthesia during the meeting; in-person attendees will be able to engage in the Smilow Commons Auditorium, Smilow Center for Translational Research, 3400 Civic Centre Blvd, Philadelphia, PA 19104, USA.
African Airway Fellowship Opportunity
International airway meetings in 2023
DAS (UK), SAM (USA) and EAMS (Europe) have recently released their locations ans dates for 2023… put then in the diary if you fancy travel for some airway education! Latest update – IAMS has announced their 2023 meeting to be held in hybrid format.
IAMM 2023 – 5-7 August 2023 – University of Pennsylvania
African Airways is here!
After many COVID delays, the inaugural African Airways Symposium kicks off in just less than a month in Cape Town. Are you as excited as we are?
Find out more information and register for the 4-6 November 2022 meeting by visiting africanairways.org.
You can also follow the FaceBook event and/or follow @AfricanAirway on Twitter to stay up to date with the latest news.
EuroAnaesthesia 2022: Paediatric VL – Quo Vadis?
Herewith my presentation in short format, as well as a link to download selected references. You can watch a recorded version below. Enjoy!
For a similar and original take on the subject, see also the great article written by Dr Jamie Peyton in the January 2022 edition of the Difficult Airway Society’s E-Zine.
DAS 2021 – Awake Video Laryngoscopy
Selected references can be accessed online via the links here. If you are unable to access a reference, or wish to download a larger set for furhter reading, please click the link for the archive at the bottom.
- Jarvi K, Hillermann C, Danha R, Mendonca C. Awake intubation with the Pentax Airway Scope. Anaesthesia. 2011;66(4):314.
- Rosenstock CV, Thogersen B, Afshari A, Christensen AL, Eriksen C, Gatke MR. Awake fiberoptic or awake video laryngoscopic tracheal intubation in patients with anticipated difficult airway management: a randomized clinical trial. Anesthesiology. 2012;116(6):1210-6.
- Kramer A, Muller D, Pfortner R, Mohr C, Groeben H. Fibreoptic vs videolaryngoscopic (C-MAC((R)) D-BLADE) nasal awake intubation under local anaesthesia. Anaesthesia. 2015;70(4):400-6.
- Lohse JA, Piepho T, Noppens RR. Awake video laryngoscopy – A revolution in the management of the anticipated difficult airway? Trends in Anaesthesia and Critical Care. 2016;6:37-42.
- Markova L, Stopar-Pintaric T, Luzar T, Benedik J, Hodzovic I. A feasibility study of awake videolaryngoscope-assisted intubation in patients with periglottic tumour using the channelled King Vision((R)) videolaryngoscope. Anaesthesia. 2017;72(4):512-8.
- Fitzgerald E, Hodzovic I, Smith AF. ‘From darkness into light’: time to make awake intubation with videolaryngoscopy the primary technique for an anticipated difficult airway? Anaesthesia. 2015;70(4):387-92.
- Mendonca C, Mesbah A, Velayudhan A, Danha R. A randomised clinical trial comparing the flexible fibrescope and the Pentax Airway Scope (AWS)((R)) for awake oral tracheal intubation. Anaesthesia. 2016;71(8):908-14.
- Moosajee V, Douglas S, Hodzovi I. Awake videolaryngoscopy. Australasian Anaesthesia 2017 pp. 3-11.
- Alhomary M, Ramadan E, Curran E, Walsh SR. Videolaryngoscopy vs. fibreoptic bronchoscopy for awake tracheal intubation: a systematic review and meta-analysis. Anaesthesia. 2018;73(9):1151-61.
- Desai N, Ratnayake G, Onwochei DN, El-Boghdadly K, Ahmad I. Airway devices for awake tracheal intubation in adults: a systematic review and network meta-analysis. Br J Anaesth. 2021;127(4):636-47.
- Wilson WM, Smith AF. The emerging role of awake videolaryngoscopy in airway management. Anaesthesia. 2018;73(9):1058-61.
- Jiang J, Ma DX, Li B, Wu AS, Xue FS. Videolaryngoscopy versus fiberoptic bronchoscope for awake intubation – a systematic review and meta-analysis of randomized controlled trials. Ther Clin Risk Manag. 2018;14:1955-63.
- Moore A, Schricker T. Awake videolaryngoscopy versus fiberoptic bronchoscopy. Curr Opin Anaesthesiol. 2019;32(6):764-8.
- Ahmad I, El-Boghdadly K, Bhagrath R, Hodzovic I, McNarry AF, Mir F, et al. Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults. Anaesthesia. 2020;75(4):509-28.
- Leslie D, Stacey M. Awake intubation. Continuing Education in Anaesthesia Critical Care & Pain. 2015;15(2):64-7.
- Aziz M. Advances in Laryngoscopy. F1000Res. 2015;4:F1000 Faculty Rev-1410. Published 2015 Dec 8. doi:10.12688/f1000research.7045.1
- Ahmad I, Bailey CR. Time to abandon awake fibreoptic intubation? Anaesthesia 2016;71:3-16. DOI: 10.1111/anae.13333
- Nabecker S, Ottenhausen T, Theiler L, Braun M, Greif R, Riva T. Prospective observational study evaluating the C-MAC Video Stylet for awake tracheal intubation: a single-center study. Minerva Anestesiol. 2021;87(8):873-879. doi:10.23736/S0375-9393.21.15302-7
If you’re struggling access the articles above or would like an EndNote library and further references, you can access a share folder here.
A brief video describing a challenging case managed with awake VL using the CMAC Video Stylet is shown below. (Video prepared for the 2021 Virtual Guy’s Airway Management Course)
COVID Airways Podcast on Critical Care Scenarios
I was honoured to be invited back on the Critical Care Scenarios (@icuscenarios) podcast, to chat this time about airway management in COVID-19, but also talking about how it’s helping to focus improving our emergency airway management in general. Check it out at this link:
http://icuscenarios.com/episode-37-airway-management-for-covid-19/
IAMM 2021: Access the International Airway Management Meeting content onliNe
This year’s International Airway Management Meeting was fully online, thanks for COVID, but SARS-CoV-2 certainly gave us lots to talk about. The meeting, held over 21-22 May, brought together 44 international experts for online presentations and very robust discussions, and had nearly 50 000 views online. The good news (if you missed it) is that the content is still fully available as an online recording (over 10 hours worth!), which you can access here:
IAMM 2021 Online Congress Recording
The full program is below. You can watch the recording on my talk on “COVID Airway Management: Principles, Projects, Pet Ideas and Proper Evidence” below or by following this link.