Should you use an introducer (bougie/stylet)?

While many of us would think this is a daft question, when we went hunting for high-quality evidence, it was not very forthcoming.  Hence:  science to the rescue!  Watch a brief (<120 second) overview of the study:

Kirsten Kingma and Ross Hofmeyr give a #litbit overview of their paper published open-access in Emergency Medicine Australasia comparing intubation with different introducers in a simulated easy and difficult airway.

What’s the bottom line?  We should always be using and introducer (bougie or stylet) when approaching a predicted difficult airway, and possibly for any emergency or rapid-sequence intubation… at least in manikins!  What’s needed next?  A robust RCT…

Capnography resources

Quick head’s up:  If you don’t know it already, capnography is one of the most powerful tools in airway management.  In the process of collating some pre-learning material for a workshop, I realised that I was gathering quite a few nice resources on capnography.  To save you the time, I’ve linked them together on a new Capnography page here on OpenAirway.  There are online tutorials, an interactive quiz, reference waveforms, and dynamic videos to be found. Please feel free to suggest further resources in the links!

AirwayHowTo: Clean a CMAC VL

If you work in an environment without constant access to staff to clean and process your video laryngoscopes, you need to know how to do it yourself. This quick video demonstrates pragmatic cleaning of the C-MAC VL (original and latest version) for low-risk patients. Where there is high infection risk, heavy soiling or blood on the blades, high level disinfection may be indicated.