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 theMiller Voice of Anaesthesiaduring 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.
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.
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:
Some photos of the action at the Nairobi Surgical Skills Centre this week. Many thanks to the local faculty from the University of Nairobi and other institutions, the companies that supported use of the facilities and equipment, and the enthusiastic delegates!
A short presentation on a selection of airway themes and some of the papers from 2016 for our FCA Part 2 candidates. Definitely not intended to be a systematic or exhaustive review! Click the image to download a PDF of the slides, or the link below for the resources.
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!
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!
The guidelines are presented as a ‘Master Algorithm’ and several sub-algorithms to deal with specific aspects of obstetric airway management, and a guide to making the decision to awake the patient or continue with surgical delivery after an airway event:
Some thoughts (COI – the author did provide feedback on the draft algorithms):
Stressing good positioning for airway management is absolutely critical in this population, and especially in practice environments where patients tend to have a high BMI (a common situation in our South African setting). The guidelines include ramping and the ear-to-sternal-notch (E2SN) position.
The inclusion of cricoid pressure will inevitably spark the usual debate, but it is this author’s contention that this is likely an appropriate use until more evidence to the contrary emerges. The guidance to consider CP reduction or release in the event of difficulty is apt.
The inclusion of gentle face-mask assisted ventilation during RSI is a welcome inclusion. Will we see NPO2 or HFNC included in later editions as more outcomes evidence emerges?
Advocating the use of VL in obstetrics certainly sounds like a good idea, but is not attainable for most of the developing world. This is a huge area for growth/research – the development of low-cost VL solutions.
This is a great step forward in promoting safe airway management and guiding training in a particularly dangerous corner of our practice.
For some more thoughts and images, here is a Prezi on the subject presented at the SASA Difficult Airway workshop in 2014:
Open access meducation for all aspects of airway management