The Critical Care Commute Podcast
Difficult Airway Cases: Letting the panel take us through scenarios.
Dec 15, 2023
In this podcast, the panel discusses difficult airway scenarios including tracheostomy tube displacement, hypoxemic patient going into cardiac arrest. They also talk about topicalization techniques and compare video laryngoscopy and direct laryngoscopy for handling the soiled airway. The team reflects on the benefits of immersive experiences in difficult airway management and the importance of cognitive skills, team management, and situational awareness. The podcast covers managing difficult airway cases, maintaining airway skills, the use of lidocaine, and considerations for airway management and supraglottic airway. They also discuss options for difficult intubation and the importance of surgical rescue preparation.
16:16
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Quick takeaways
- When managing a difficult airway, it is important to intubate from above rather than blindly pushing the tube back in to avoid potential dangers and adequately assess the airway.
- In cases of a hypoxemic patient going into cardiac arrest, prioritize chest compressions and consider the adequacy of mask ventilation using waveform capnography to guide the decision on re-intubation or using a supraglottic airway.
Deep dives
Importance of Intubating from Above
When faced with a trick falling out of the airway, it is crucial to intubate from above rather than blindly pushing the tube back in. This situational awareness is a key insight for airway management specialists, as blindly pushing the tube back can be dangerous without adequately assessing the airway. Calling for help and pre-oxygenating while having a plan A, B, and C in place is also emphasized.
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