27/12/2022
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Emergency airway management continues to evolve and staying up on new techniques and equipment is critical.
The article we report on today discusses several important airway items that we think you’ll find helpful.
Here are some of the topics covered:
Apneic Oxygenation: This strategy uses a nasal cannula (NC) or high-flow nasal cannula (HFNC) during the preoxygenation phase and throughout the apneic phase of rapid sequence intubation (RSI).
Video Laryngoscopy: Video laryngoscopy devices can increase first pass success. It also helps navigate expected or unexpected difficulties during laryngoscopy and can act as a powerful teaching tool, allowing all to benefit from the procedural experience.
Large‑Bore Suction Catheters: The large bore suction catheter provides powerful suction, cannot kink, and rarely occludes (eg Ducanto)
Suction‑Assisted Laryngoscopy for Airway Decontamination (SALAD): Allows management of high-volume secretions throughout laryngoscopy and during intubation, rather than two separate phases of the procedure.
Bougie: The articulating bougie can reduce challenging intubation in settings of anterior airways, or in the setting of prominent soft tissue and tongue.
Disposable Endoscopes: In the setting of angioedema, flexible laryngoscopy helps inform the airway manager if the airway is emergent.
Airway Checklist: Checklists help prevent unforced errors in airway management.
Difficult Airway Response Team (DART): Responds to any difficult airway case with providers, resources, equipment, and information allows for swift, comprehensive care.
RSI: ketamine can be used as a dissociative anesthetic that allows the patient to maintain their airway. “Delayed sequence intubation” (DSI) is informed significantly by agents such as ketamine.
Read about all of the above and more in this well-designed study!
Study can be accessed here:
http://ow.ly/S02050LY5wU