Category Archives: Intubation

Endoscopy, Equipment, Intubation, Rigid scopes, Video laryngoscopy

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:

Dual endoscopy using split screen. It would have been good to have warmed the optical stylet (right) to prevent fogging of the lens. Orienting the VL on the left and stylet on the right improves coordination between left and right hands holding the devices.

For more discussion on dual endoscopy, see the original post from 2018 here on OpenAirway which is being updated over time.

Guidelines, Intubation, Physiology, Video laryngoscopy

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/

Guidelines, Intubation, Research, Trauma

Global Airway management in Unstable cervical Spine Survey (GAUSS)

Have you shared your preferences, practice and experience with managing the airway in patients with unstable cervical spine injuries? We have representation from around the world but would still like to expand our sample! If your country is not dark blue or green in the map above, please add your voice:

Participate in Global Airway management of the Unstable Cervical Spine Survey (GAUSS)

AirwayHowTo, Intubation, Research, Simulation

Should you use an introducer (bougie/stylet)?

While many of us would think this is a daft question, when we went hunting for high-quality evidence, it was not very forthcoming.  Hence:  science to the rescue!  Watch a brief (<120 second) overview of the study:

Kirsten Kingma and Ross Hofmeyr give a #litbit overview of their paper published open-access in Emergency Medicine Australasia comparing intubation with different introducers in a simulated easy and difficult airway.

What’s the bottom line?  We should always be using and introducer (bougie or stylet) when approaching a predicted difficult airway, and possibly for any emergency or rapid-sequence intubation… at least in manikins!  What’s needed next?  A robust RCT…

Endoscopy, Intubation, Video laryngoscopy

VLVids: Intubation in Spinal Immobilisation

Video

Clinical video demonstrating a collection of techniques to facilitate elective intubation for a patient with an unstable cervical spinal injury in caliper traction.  Note the sideways introduction of the VL blade due to limited space for the VL handle, optimisation of the view (‘Rule of 3’), use of a coude-tipped bougie (introducer), and the 3-part technique to advance the endotracheal tube when it catches on the arytenoid cartilage (pull tube back to disengage, rotate 90 degrees counterclockwise, advance tube).

Equipment, Intubation, Lectures, Paediatric, Supraglottics

NAPEM’17: Securing the Paediatric Airway – What’s New?

As promised, my presentation from the 9th National Assembly on Paediatric Emergency Medicine currently being held at the Apollo Institute of Medical Sciences & Research in Hyderabad, India.  There is much more content in the audio, which I will try to add to the post later when it is available.Thoughts? Comments?  Post them below!

Algorithms, Equipment, Guidelines, Intubation, Lectures, Paediatric, Video laryngoscopy

NAPEM’17: Paediatric Difficult Airway in the ED

As promised/per usual, here’s my presentation from the current National Assembly on Paediatric Emergency Medicine, being held now (16-19 Feb 2017) at the Apollo Institute of Medical Sciences & Research, Hyderabad, India.  Much of the content is in the audio, of course…which I will post if/when available.
Comments welcome below as usual!