BCC4: John Vassiliadis on The Unexpected Difficult Airway
โขDownload as PPT, PDFโข
4 likesโข2,798 views
John Vassiliadis speaks at Bedside Critical Care Conference 4 about The Unexpected DIfficult Airway. He speaks from an ICU perspective about intubation - how and who should do it to help achieve better results.
Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (20)
Similar to BCC4: John Vassiliadis on The Unexpected Difficult Airway
Similar to BCC4: John Vassiliadis on The Unexpected Difficult Airway (20)
More from SMACC Conference
More from SMACC Conference (20)
Recently uploaded
BCC4: John Vassiliadis on The Unexpected Difficult Airway
- 1. The Unexpected Difficult Airway A/Prof John Vassiliadis Senior Staff Specialist Emergency Medicine Deputy Director Sydney Clinical Skills & Simulation Centre, RNSH
- 3. I am NOT an anaesthetist!!!
- 4. Intubating In ED โข Why it is a danger zone โข Role of Checklists โข Pre-oxygenation and Apnoeic Oxygenation โข Laryngoscopy
- 5. Danger Zone
- 6. ED Patient Airways are Different โข They are emergent โ Usually for airway +/- breathing failure โ Limited history โ Limited opportunity to predict difficult airway or difficult laryngoscopy โ They are sickโฆ Really sick (ie high metabolic demands)
- 7. I have a bad feeling about this one!!! I LOVE it when I have a registrar!! Oh S!!! I knew I should have called in sick today!!
- 8. Our training and Skill Level
- 9. Our Training and Skill Level Adequate supervision and support Anaesthetics and ICU experience E-learning and simulation training to practice drills Credentialling process and guidelines on who should be allowed to intubate in ED and other critical care environments
- 10. Suggested parameters for predicting the difficult airway Long upper incisors and/or prominent overbite Inter-incisor distance <3 finger breaths Mandibular floor distance < 3 finger breaths Thyromental distance < 2 finger breaths Mallampati score > 2 High arched palate Large, thick tongue Short, thick neck Patient unable to touch the chin to the chest
- 11. Are they any good? In 2003 ASA Difficult Airway Task force after a review of literature found there was insufficient evidence to recommend any predictive tool, however some of these markers were associated with difficult airways!
- 13. So..What Do We Do?
- 14. Ron Walls and Difficult Airway Team
- 15. The JV Method ED Physician Gestalt Looks Bloody Hard!!
- 16. Have an Approach and A Plan ED appropriate assessment, checklist and difficult airway algorithm Meticulous preparation, pre-oxygeation, positioning, apnoeic oxygenation Excellent laryngoscopy Plan B and C and D....
- 20. Preoxygenation
- 21. Weingart & Levitan, Annals of EM Volume 59, No. 3, March 2012 pp 165175
- 23. C-MAC
- 24. C-MAC
- 27. Take Home Messages ED Intubations are Difficult Need Experience and Training Prepare and Plan Preoxygenate and Apnoeic Ventilation C-MAC and bougie