A can’t intubate can’t oxygenate scenario will always be scary, but after years of mental rehearsal and some real world experience, the idea of surgical front of neck access in an adult doesn’t bother me much. (I think that is an important mental space for emergency physicians to find if […]
Airway
21 posts
As usual, a random smattering of articles. This group was presented as part of a live podcast recording at Sir Charles Gairdner Hospital in Perth, Australia, where I was honoured to be invited to be the WG Smith visiting lecturer. The guests helped select the papers, which means they are […]
Introduced to the world by our friend Scott Weingart, delayed sequence intubation (DSI) is often summarized as procedural sedation for the procedure of preoxygenation. (Weingart 2011, Weingart 2015) It is a brilliant concept, makes a ton of sense on paper, and anecdotally has seemed to help a number of my […]
Few topics provoke as many strong opinions in emergency medicine as airway management. Each and every one of us considers ourselves airway masters (despite lots of evidence to the contrary). We know for sure that our way is the best way. These strong and divergent opinions were well illustrated by […]
In the Rapid Review series, we briefly review the key points of a clinical review paper. The topic this time: Ludwig’s angina.
I have written a lot about airway management on this blog. You can find the main 5 part series on emergency airway management starting here. I have also covered a prior Difficult Airway Society guideline on the intubation of critically ill patients here. One topic I have not spent a […]
So far this week, I have covered 2 large trials looking at airway management strategies in out of hospital cardiac arrest. In both instances, outcomes were similar whatever strategy was employed. Maybe our choice of airway management doesn’t matter? Not so fast, we finish the series with a final RCT, […]
Airway management is cardiac arrest is always a hot topic of debate. Yesterday we looked at AIRWAYS2, demonstrating no difference in survival with good neurologic outcomes between a laryngeal mask airway and intubation. (Benger 2018) However, those are both advanced interventions. Are either required? Where does the mighty bag valve […]