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

Creator website

Episode guests

Jess Pelletier, MD

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Episode notes

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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.

Introduction

3min

Exploring Awake Intubation Components and Ramped Positioning Alternatives

2min

Exploring Intubation Methods for Upper Airway Obstruction and SGA Considerations

3min

Advanced Techniques in Airway Management

5min

Key Points on Upper Airway Obstruction and Airway Management Strategies

2min

Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.

Today on the emDOCs cast with Brit Long, MD (@long_brit), we have Part 2 looking at a challenging case of an upper airway obstruction with Jess Pelletier, MD. Please listen to Part 1 for the first part of the case and discussion on upper airway obstruction.

Jess is an emergency medicine physician and Education Fellow at Washington University School of Medicine.

To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!

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