Clinical video demonstrating a collection of techniques to facilitate elective intubation for a patient with an unstable cervical spinal injury in caliper traction. Note the sideways introduction of the VL blade due to limited space for the VL handle, optimisation of the view (‘Rule of 3’), use of a coude-tipped bougie (introducer), and the 3-part technique to advance the endotracheal tube when it catches on the arytenoid cartilage (pull tube back to disengage, rotate 90 degrees counterclockwise, advance tube).
We’re hosting this in Cape Town in April. It’s going to be the first workshop if it’s kind on the continent, and perhaps even in the world: a combined cadaver and manikin simulation workshop, featuring senior anaesthesia and ENT trainees and specialists working together to solve challenging airway problems in real time. This will be reinforced by expert didactic input from local leaders in the field. Places are very limited, but expect feedback and images/video here on OpenAirway.
Herewith my final presentation from NAPEM 2017 in Hyderabad, India. Not really an airway talk, but in the spirit of #FOAM, I’m reproducing it here.
The SASA Paediatric Procedural Sedation and Analgesia (PSA) Guidelines (2016 Update) are available from the ‘Publications’ section of the SASA web page (and are open access), but for ease of access, I have made the file available here as well:
Demonstration of an unhurried intubation using a bougie preloaded in the reinforced endotracheal tube in an Airtraq optical laryngoscope with Airtraq Cam video adapter. You can note ideal positioning of the Airtraq (“Rule of 3”) and the steering ability of a coude-tipped bougie.