In this episode I will discuss general concepts and principles behind extubation, also about airway problems and complications related to this stage of airway management. A brief stepwise approach strategy to handle extubation of the moderate to high risk patient will also be discussed. This is a very important problem that deserves greater attention.
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In this episode I will be discussing briefly about how VL has become an important educational tool and also about some technological advances that perhaps in the near future will have a major impact not just in education but also in airway management as well.
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In this episode the controversial issue of the routine use of muscle relaxants in airway management will be discussed
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In this episode I will be discussing general introductory concepts related to the use of Videolaryngoscopy
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In this episode I will be discussing some basic concepts and principles behind the algorithmic approach to airway management.
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In this episode I will be discussing some basic principles behind preoperative evaluation of the airway.
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In this episode I will be introducing some newer concepts behind modern airway management.
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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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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.
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”
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