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A blog on anaesthesia, intensive care and emergency medicine. In-hospital and outside. Mostly focusing on the critically ill patient. Written by two Scandinavian senior anaesthetic registrars turned consultants.
This is our way of keeping log of articles and interesting things we come across in our work and on the internet. Should any of you out there stumble across this blog and find it useful then all the better.
Please leave comments or questions if you have any. The best way to keep learning is to keep the conversation going.
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Category Archives: Airway management
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
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.
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.
A study in Can J Anesth looks at the accuracy of confirming endotracheal tube position by palpating the sternal notch.
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.
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
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
A study in EMJ shows us how safe prehospital RSI can be when really robust operating procedures are in place. In my view it is also more evidence of the superiority of the doctor-paramedic model in prehospital care. During a … Continue reading
Cricothyroidotomy is the go-to option for emergency surgical airway at the end of a can’t intubate, can’t ventilate scenario. It feels like an extreme measure in a pressing situation, and we’ve also been loaded with the impressions that crics are … Continue reading
This video of an emergency surgical airway clearly shows how locating the cricothyroid membrane is completely tactile – and your finger needs to be used for tactile navigation during several steps of the procedure. Many surgical airway training scenarios fails … Continue reading