It’s extremely easy to make any otherwise routine intubation difficult just by failing to properly position the patient or to use optimal technique. We’ve all done it. Let’s see how to avoid this pitfall. (All illustrations by Christine Whitten MD, Anyone Can Intubate). Continue reading
Attaching a nasal airway to a breathing circuit as a tool to assist or control ventilation is a very helpful trick to have in challenging airway management situations.
Many years ago I was taking care of a 40 y.o. man had Ludwig’s Angina, a serious, potentially life-threatening cellulitis infection of the tissues of the floor of the mouth, often occurring in an adult with a dental infection. Continue reading
When intubating, we all know to check the depth of the endotracheal tube (ETT). Most people believe this is just to ensure that the tube is not too deep and therefore causing a mainstem intubaton: intubating just one bronchus and therefore only one lung. However, there are significant risks with having the tube too shallow, placing the endotracheal cuff too high, and above the cords.
Endotracheal Tube Cuff Above The Cords
In addition to ensuring that the tube is not too deep, also make sure that the cuff is not too high, and that it’s below the cricoid ring. Having the cuff above the cords happened to me just the other day and even I was fooled for a few minutes into thinking that I had a cuff leak. Continue reading