Category Archives: Airway management

EWWW!

I found two interesting papers in EMJ. Both recently published. If you intubate a fresh frozen cadaver and ventilate you will get a transient capnography trace very similar to a trace from a living patient. I had heard about it before but … Continue reading

Posted in Airway management, Cardiology, CPR, Emergency Medicine | 1 Comment

HUNGARIAN APNOEIC OXYGENATION

Apnoeic oxygenation in anaesthesia is the concept of providing oxygenation without ventilation. The idea is that even without lung expansion, oxygen will passively be dragged into the alveoli along the oxygen gradient caused by alveolar oxygen being transported away by the bloodstream. … Continue reading

Posted in Airway management, Prehospital Medicine | 7 Comments

SCARY ARTERIAL AIRWAY DRAMA

Found an interesting case report in intensive care med. It describes a case where an anaesthetist found a pulsating mass in the lateral wall of the oropharynx. MR revealed the patient’s internal carotid artery was kinked, aberrant and indented way into … Continue reading

Posted in Airway management | 2 Comments

THE STEEL WINDPIPE

We’ve read and heard many accounts of emergency surgical airways over the years. They’re always exciting, and there’s always something new to be learned. Most written accounts are very clinical, so we were thrilled about discovering this story. It’s not … Continue reading

Posted in Airway management, Emergency Medicine, Medical teaching | 4 Comments

CODE BROWN: AHHH…THE OLD SCANCRIT SWITCHEROO…

Someone once said that ‘an esophageal intubation is no sin, but there is great sin in not recognizing such a placement‘. What’s that about? I intentionally intubate the esophagus and I demand recognition for it.

Posted in Airway management, Code Brown, Emergency Medicine, Uncategorized | 11 Comments

MEGAN’S SONG

There is an important article about intubation in EMSWorld. It is about a prehospital intubation gone terribly wrong. It is essential reading for all of us who manage airways outside or inside hospitals. Read it here.

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ETT DEPTH CONFIRMATION BY TRACHEAL PALPATION

A study in Can J Anesth looks at the accuracy of confirming endotracheal tube position by palpating the sternal notch.

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NOT SO IMPRESSIVE CICV MANAGEMENT

The outcomes from a Canadian questionnaire study of anaesthetists preferences in difficult airway management is disappointing. When faced with establishing an airway in cannot-intubate-cannot-ventilate scenarios, the majority would go for  seldinger- or needle-techniques ie one of the ready-made kits.

Posted in Airway management, Anesthesia, Emergency Medicine | 2 Comments

COPD ICU MORTALITY

In intensive care, we are often called to deal with marginal or crashing COPD patients. Often, we end up intubating them. Then, in the morning rounds there always seems to be at least one passive-aggressive (†) colleague in the back, shaking … Continue reading

Posted in Airway management, Intensive Care | 1 Comment

KANYE INTUBATE THIS GUY FOR ME PLEASE?

The decision to anaesthetise and intubate is not always an easy one. When learning to anaesthetise and intubate we are often told that a GCS of 8 or less is when the patient scores a tube in trauma. Reality is … Continue reading

Posted in Airway management, Emergency Medicine, Neurology, Prehospital Medicine, Trauma | Leave a comment