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The Critical Care Commute Podcast

The Difficult Airway: Panel discussion with Faculty

Dec 8, 2023
Drs. Jarrod Mosier, Calvin Brown, and Matteo Parotto, distinguished leaders from the Difficult Airway Course, share insights on assessing difficulty of the airway, optimal dosage for rachirondium, paralyzing patients during intubation, approach to intubating acidotic patients, and the importance of critical thinking in difficult airway situations.
33:41

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Quick takeaways

  • Assessing anatomical difficulty in airways is crucial in airway management, and tests like the upper lip bite test and the Elgan Zuri score can aid in evaluating complexity and predicting difficulty.
  • Video laryngoscopy (VL) can offer better visualization and maneuverability in managing difficult airways, but it should not be solely relied upon for successful intubation, and waveform capnography is still considered the gold standard for confirming proper tube placement.

Deep dives

Importance of Tailored Airway Management in Emergency Medicine

Emergency medicine encounters unique airway challenges that require tailored approaches due to the instability and critical condition of patients. The goal is to teach emergency medical professionals how to perform effective airway assessments and safely intubate patients who may be in remote hospitals with limited support. The difficult airway course addresses not only anatomical and physiological challenges but also crisis management and human factors, providing comprehensive training for managing diverse airway situations.

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