emDOCs.net Emergency Medicine (EM) Podcast
Episode 74: Upper Airway Obstruction Part 2
Mar 28, 2023
Join Brit Long, MD and Jess Pelletier, MD in a discussion about advanced airway management techniques for upper airway obstructions. They cover topics such as awake intubation components, intubation methods, SGA considerations, crycothirotomy, and key points on airway management strategies.
14:20
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Quick takeaways
- Fiber optic intubation is the gold standard for upper airway obstructions, but alternative methods like nasotracheal intubation are suitable.
- In cases of failed intubation, escalation to Super-Glottic Airway (SGA) placement and cricothyrotomy may be necessary as last-resort techniques.
Deep dives
Management of Upper Airway Obstructions
Fiber optic intubation is considered the gold standard method for intubating patients with upper airway obstructions. It is effective but requires patient cooperation. When faced with obstructions not amenable to fiber optic, such as oral pharyngeal blockages, other options like nasotracheal intubation are suitable. Careful consideration of sedation levels and topical anesthesia administration methods is crucial to prevent complications like laryngospasm.
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