Airway Educational Project

Medinfo Sites weblog
4
Apr


Podcast Episode 6 (Muscle Relaxants)

By •• Posted in Lectures, Podcast

In this episode the controversial issue of the routine use of muscle relaxants in airway management will be discussed

Click the link below to view the video.

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4
Apr


Podcast Episode 5 (VL)

By •• Posted in Lectures, Podcast

In this episode I will be discussing general introductory concepts related to the use of Videolaryngoscopy

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4
Apr


Podcast Episode 4 (Algorithm)

By •• Posted in Lectures, Podcast

In this episode I will be discussing some basic concepts and principles behind the algorithmic approach to airway management.

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4
Apr


Podcast Episode 3 (Evaluation)

By •• Posted in Lectures, Podcast

In this episode I will be discussing some basic principles behind preoperative evaluation of the airway.

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4
Apr


closed

Podcast Episode 2 (Paradigm Shift)

By •• Posted in Lectures, Podcast

In this episode I will be introducing some newer concepts behind modern airway management.

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15
Mar


Podcast Episode 1 (Introduction)

By •• Posted in Lectures, Podcast

This is the introductory lecture to the Advance Airway Rotation and it contains the Pre and Post Test Quiz. Please Submit your answers via e-mail.

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28
Feb


Airway Blog 2.0

By •• Posted in Uncategorized

After a long hiatus I am back…. interesting things are happening as always in the “airway world” but more importantly with me and new ideas and skills I have been working on regarding educational technology. Today after many hours of work and trial and error ( more error than I am willing to disclose) I bring back my blog but with a twist: Anesthesia residents in the Airway rotation will interact with me in the usual fashion as well with the aid of technological aids such as Tweeter feeds and Podcasts via iTunes. Naturally the continuity and success or lack of it, will depend on the amount of feedback and how much residents engage in this social collaborative endeavor.

 
 
26
Jan


Are we ignoring this important issue? Will this change our practices in the future?

By •• Posted in Devices, SGA

In an upcoming issue of Acta Anaesthesiologica Scandinavica the following article will appear ( I am including the abstract). I must confess this concern about SGA’s -that perhaps should be extended to all of them- had not been on my radar screen for quite a while. Any comments?

“Exposure to anaesthetic trace gases during general anaesthesia: CobraPLA vs. LMA classic

Department of Anaesthesia, General Intensive Care and Pain Management, Medical University of Vienna, Vienna, Austria, Department of Anaesthesiology, University of Regensburg, Regensburg, Germany and Department of Internal Medicine I, Medical University of Vienna,Austria.

Background: To prospectively investigate the performance,sealing capacity and operating room (OR) staff exposure to waste anaesthetic gases during the use of the Cobra perilaryngeal airway (CobraPLA) compared with the laryngeal mask airway classic (LMA). Methods: Sixty patients were randomly assigned to the CobraPLA or the LMA group. Insertion time, number ofinsertion attempts and airway leak pressures were assessed after induction of anaesthesia. Occupational exposure to nitrous oxide (N2O) and Sevoflurane (SEV) was measured at the anaesthetists’ breathing zone and the patients’ mouth using a photoacoustic infrared spectrometer. Results: N2O waste gas concentrations differed significantly in the anaesthetist’s breathing zone (11.7-7.2 p.p.m. in CobraPLA vs. 4.1  4.3 p.p.m. in LMA,P50.03), whereas no difference could be shown in SEV concentrations. Correct CobraPLA positioning was possible in 28 out of 30 patients (more than one attempt necessary in five patients). Correct positioning of the LMA classic was possible in all 30 patients (more than one attempt in three patients). Peak airway pressure was higher in the CobraPLA group (16  3 vs. 14  2 cmH2O, P50.01). The average leak pressure of the CobraPLA was (24 +/- 4 cmH2O), compared with (20 +/-  4 cmH2O) of the LMA classic (Po0.001; all values means  SD). Conclusion: Despite higher airway seal pressures, the CobraPLA caused higher intraoperative N2O trace concentrations in the anaesthetists’ breathing zone. Accepted for publication 11 November 2009 The Acta Anaesthesiologica Scandinavica Foundation”

 
 
16
Jan


Requiem for the reusable Eschman Bougie?

By •• Posted in Devices, Techniques

At the end of every year a tradition from the networks and news organizations is to show us whom among celebrities and famous people died during the year. I must admit I do not pay close attention to it and rather think of whom or what  I would add to the list. This year something stood out for me. With new regulations at VA hospitals we are no longer allowed to re-use certain pieces of equipment and they are mandating instead the use of disposables. This means I had to forcefully retire a dear friend and ally of many battles (that saved me countless times) and that I used to carry with me in my pocket every day: the reusable Eschman bougie. I am still in mourning. I still think this was not a wise move. Read these articles and tell me what you think.

Frova vs Eshman vs Portex

Portex Single use

 
 
12
Jan


Randomized controlled studies in airway topics… how common are they?

Despite some considering the airway as “the cornerstone of anesthesia” if one looks closely, the amount of RCS on the subject, actually are very, very rare. Doing studies on the airway is perhaps inherently difficult because the stakes of things going the wrong way are basically too high. The majority of the literature or information we have on the subject is anecdotal, or retrospective, but RCS are a dime a dozen. Take a look at this letter criticizing  some researches for what they did in their research (I am including the original article as well) and tell me what you think. I look forward for a lively discussion.

Can J AnesthJ Can Anesth 2009 Adnet

Manual In-line stabilization