Several posts in this site have dealt with controversies surrounding RSI. There are many unsolved issues (cric vs. no cric, ventilate vs. not ventilate, to use N.M relaxants outside the O.R vs. not use them, etc…) the truth is that more questions than answers exist. But how about this new concept coined in 2007 by [...]
‘Techniques’ Articles
To further add to the complexity of airway management in OB patients
The difficulties, morbidity and mortality associated with airway management and obstetrics, lead to a culture shift, and regional anesthesia and specifically neuro-axial blocks are very often used to provide anesthesia in this patient population. This brings an interesting question.How to maintain skills, gain experience and train residents in the dying art of GA in obstetrics? [...]
RSI…How
In 1951 Morton and Wylie described the technique of rapid IV administration of a barbiturate and a muscle relaxant almost simultaneously followed by intubation with a cuffed endotracheal tube “to prevent regurgitation or vomiting of gastric contents”. Later in 1971 Stept and Safar reported a fifteen-step technique to prevent “regurgitation, vomiting and aspiration during Induction [...]
But the patient has GERD… Can and should you even consider a SGA?
If you have followed the blog, perhaps you have read the articles that deal with the issues of GERD and airway instrumentation. This article deals with this issue again. I suspect that it will lead to controversy… bring it on!
SGA and increased esophageal pressure
Expanding Role and importance of SGA’s (LMA in particular) for Airway Management
As discussed with some of you, we live, work and train at a place that is ultra conservative in the use of SGA’s for airway management. In the “real world” the role of SGA’s and the LMA is different and expanding. We have to learn from these people and their experiences. Be open minded. Look [...]
Relevant and timely articles
What if you are called to handle the airway of a patient with suspected swine flu virus infection? Do you know what to do and what precautions to take for yourself? We can only learn from the most recent past and the SARS epidemic.
SARS Experience and DA
SARS a practical approach
Editorializing the Editorial.
Anaesthesia Editorial
Editorializing the Editorial
I hope this clip hits home
What can I say, but say that I strongly believe that what we do when we take care of patients and specifically take care of handling their airways, is extremely important. With the risk of sounding like a broken record, I will continue to make airway management teaching, my priority.
Take a look at this clip; [...]
Percutaneous Cricothyroidotomy
It is a lifesaving technique that provides an opening in the cricothyroid membrane to gain access to the trachea and is the last effort rescue technique for the failed airway in patients over 10 years of age.
READ POST cricothyroidotomy
SEE FEATURED ABSTRACTS Article 3 Article I Article II
SEE PIctures cric-sequence
The use of the LMA as a Rescue Airway Device
The LMA is considered to be one of the most important developments in airway management and serves many purposes:Definitive airway, alternative to BMV and intubation, as rescue devices and as a conduit for intubation. The Fastrach LMA or Intubating LMA (ILMA) was released in 1997.
READ POST lma-as-rescue device
RECOMENDED ABSTRACTS:lma-fastrach1/ lma-fastrachlma-and-da1/ laryngeal-tube1
laryngeal-tube-review1/ lma-fastrach
GRAPHIC TIMELINE [...]
My Profile
Currently a Clinical Associate Professor of Anesthesiology at the University of Florida, he has been a member of UF anesthesia since 1994; did his residency then fellowship in Cardiothoracic anesthesia, and then has been a staff member ever since. Currently also he is the Director of the Master of Education Fellowship from the C.O.M. Interests include: 1-Airway related topics 2-Education about Airway management 3- Resident training in Airway management 4-Non-Anesthesia providers airway training and education.
