Category Archives: 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!

Confined Space Airway Management

Ross’s talk from the 2015 SMACCdub meeting, with credit to #SMACC and the Intensive Care Network.

This and many other talks available on the SMACC home pages.

Click here for the slides, podcast and original abstract on ICN.

Video: Aintree intubation technique

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).

DAS AIC Guideline - Click image to download PDF directly.
DAS AIC Guideline – Click image to download PDF directly.

AIC_abbreviated_Guide_Final_for_DAS

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!