Using Video Laryngoscopy For Nasal Intubation
, using video laryngoscopy for nasal intubation can be technically challenging. Use of a nasal airway and a pediatric bougie can greatly simplify this task. #anesthesia #FOAMED Read More …
Category: Intubation
Nasal Intubation
Nasal intubation needs attention to anatomy to avoid complications. Technique: nasal intubation combined with direct laryngoscopy described. #anesthesia #FOAMED Read More …
Failed Airway: A Supraglottic Airway Can Rescue Your Patient!
Inserting a supraglottic airway in a failed airway emergency can rescue your patient and allow successful oxygenation and ventilation. management of failed airway, can’t intubate can’t ventilate discussed. #anesthesia, #FOAMED Read More …
Cricoid Pressure Requires Communication & Teamwork
To be effective, cricoid pressure must be applied using the correct force, at the correct spot, using the correct angle. It therefore, requires good communication between intubator and the applier. Article discusses technique. #FOAMED Read More …
Avoid Nasotracheal Intubation Trauma By Using A Red Rubber Robinson Catheter
Nasotracheal intubation can cause nosebleeds. One way to minimize trauma to the nasal turbinates is to shield the tip of the endotracheal tube inside a Red Rubber Robinson catheter. Article discusses technique and alternatives. #FOAMED Read More …
Extubation: Plan The End At The Beginning
Anesthesia providers frequently prepare for difficult intubation, but may take extubation for granted. The anesthesia provider should treat extubation with the same degree of caution as intubation. Article discusses extubation criteria, technique, and precautions. Read More …
COVID-19 Intubation: Protect Yourself
Healthcare workers are at high risk of infection from respiratory illness during intubation and other aerosol generating activity. Article discusses risk and strategies to improve personal safety. Contains links to helpful on-line materials. Read More …
Decision-Making: Airway Abscess In A Child
The practice of anesthesia requires development of good decision-making processes, in addition to remembering knowledge and learning skills. This article explores the decision process that was used for a case of securing the airway in a young child with a large airway abscess. Read More …
Intubating With A Pediatric GlideScope
Intubating an infant or young child with a GlideScope requires age specific blades and modified technique because the anatomy of infants and toddlers differs from adults. This article discusses the modification of technique to improve successful pediatric intubation with the GlideScope. Read More …
Learning Intubation: A Beginners Guide
To learn intubation in addition to learning the physical steps, you need to understand why you’re doing those steps. This article will explain how to perform the steps of intubation, as well as the rationale behind them. Links to other articles on intubation technique appear both in the body of the text as well as repeated as a list at the end. Read More …
First Pass Intubation: When You Can’t See The Cords
Failure to see the cords on first pass intubation occurs about 10% of the time. This article describes the thought process behind the next steps for approaching the next intubation attempts. Read More …
Airway Management Review Article Published: 10 Common Pediatric Airway Problems — And Their Solutions
My review article has just been published in Anesthesiology News: 10 Common Pediatric airway Problems — And Their Solutions. The trend to only use pediatric providers has a seriously negative unintended consequence: It deprives other providers of routinely caring for children, making them less prepared for when they do inevitably have to care for a small child. This reviews the most important pediatric airway differences. Read More …
# 1 Review Article for Anesthesiology News 2018: 10 Rules for Approaching Difficult Intubation by Christine Whitten
And the numbers are in, my review article for Anesthesiology News was actually THE MOST viewed article on the site for the whole year! The link for the article is included. Please feel free to share.
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The MAC Blade, The Vallecula, and the Hyoepiglottic Ligament
Intubation with the MAC blade requires precise placement of the tip of the blade in the vallecula in order to manipulate the hyoepiglottic ligament and lift the epiglottis. This discussion uses illustration, Xray, and video to demonstrate proper intubation technique. Read More …
Learning Intubation: Head Position Effects Laryngeal View
When first learning intubation, a beginner often concentrates on memorizing the key laryngeal anatomy. This is important of course. If you can’t recognize the vocal cords, you will not be able to successfully intubate. However, even more important to learning intubation is understanding how the larynx relates to the other structures in the head and neck. In order to intubate you must manipulate those other structures to bring the larynx into view. This post uses lateral X-rays and CT scan images to help novice intubators master the anatomical relationships they must know to intubate. Read More …
GlideScope Technique For Intubation In Small Mouths
The GlideScope can be difficult to use in a patient with a small, narrow mouth. This article discusses a technique for improving successful intubation in that type of patient. Read More …
Difficult Intubation In A Newborn
The unanticipated difficult neonatal intubation in L&D greatly complicates neonatal resuscitation. This discussion highlights the approach to difficult ventilation & intubation in the newborn. #FOAMED Read More …
Announcing My New Book: Pediatric Airway Management: A Step-by-Step Guide
At long last, after two years of writing (and rewriting), illustrating, and filming on-line videos, I’m excited to announce the publication of my new book Pediatric Airway Management: A Step-by-Step Guide. Anyone who rarely cares for children tends to be anxious when faced with a small child’s airway. This is true even if they are comfortable with adult airway management.
My goal for this book is to demystify basic pediatric airway management. I want to give you the skills you need to recognize when a child is in trouble and act quickly to safeguard that child, including helping them breathe if necessary. My sincere wish is that this new book helps in the care of our littlest patients, no matter where they are. Read More …
Intubation During Cardiac Resuscitation
Intubating patients during cardiac resuscitation is often challenging because of the circumstances surrounding the intubation. Excitement and apprehension accompany this life saving effort. In addition, The patient is often in a less than optimal position while chest compressions are in progress. You usually find the patient in one of two awkward positions: on the ground or in a bed. This article discusses techniques to better manage intubation during cardiac resuscitation, especially with the patient in an awkward position. Read More …
When Learning Intubation Is Hard
Learning to intubate is easier for some people than for others. Sometimes, no matter how knowledgeable you are about the theory of the technique, the novice can still struggle to bring it all together to pass the endotracheal tube. The anatomy can be confusing. Understanding how to place the laryngoscope blade and manipulate that anatomy can be challenging. And all the while you must be ever vigilant to protect those precious front teeth, avoid hypertension and tachycardia, and breathe for the patient at regular intervals. This article discusses 4 chief technical barrier to learning to intubate. Read More …