Holding the ETT with just three fingers around two-thirds of its length helps minimize excessive force and movement, allowing for greater fine motor control during #intubation. Lecture at E Hospital Hanoi

Correct positioning of tracheal tubes #ETT is crucial to avoid complications including inadequate ventilation, pneumothorax and hypoxia. #AI could be used to assess ETT placement and position on #CXR bjanaesthesia.org/article/S0007-…

Check out the new #miniflipbook edition of the BJA. #FREE articles on #HFNO #bypass #hypotension #prehab #meta-analysis #obesity #hipfracture #entropy #ketamine #regionalanaesthesia #midazolam bja134-4.elsevierdigitaledition.com

We often worry that AI encourages shortcuts and dulls our skills. However, we can also harness #AI to do the opposite guiding us in performing procedures correctly. Lecture at Philippine College of Emergency Medicine Annual Convention

I've never had the problem of using a hockey stick configuration with a #HAVL. Using the curvature of blade for the ETT shape has more trouble with cricoid ring hang-up. Also, not all #HAVL have smooth curvature. What are your experience?

When I perform an #intubation on a #difficultairway, I always perform a visual confirmation of the ETT position.

Why do most use the term "standard geometry" when only referring to macintosh VL blades excluding the existence of straight VL blades? Is it right to do so? Hans Huitink James DuCanto, M.D. EAMS @joannehng Dave Olvera bob funnekotter @airwaycam Max Sorbello SAMHQGlobal Tim Cook

Tanya That’s amazing! Capnography for pts with SGAs should (hopefully) become a (future) PACU standard? Hans Huitink James DuCanto, M.D. Ricardo Urtubia Even after GETA, regional+sedation or just obesity/OSA, capnography is a vital #PACU monitor?! Self Citation! pubmed.ncbi.nlm.nih.gov/17924200/

Recently read instruction how to use optical stylet. “Position the optical stylet vertical. Advance stylet underneath the epiglottis.” It reminded me of The Big Bang Theory when Howard said- “Here’s how you fly a plane. Get in the airplane. Know where you wanna go. And fly it.”😆

A reversely loaded tube sometimes rotate on the stylet while waiting for intubation. I forego reverse loading and just rotate the tube during #intubation when using #HAVL.

For difficult tracheal intubation in children -First-attempt success was highest for the hybrid technique -The hybrid technique was associated with a lower incidence of complications compared with videolaryngoscopy …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

When performing #intubation on a neonate, - Hold the blade w/ fingers instead of grasping w/ the palm. This will lessen excessive force applied on the px - If you're using a straight blade, slowly insert the blade into the right side of the mouth - Advance blade under vision...

Great to see this published in 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 TLDR - Stylets best for hyperangulated VL intubation Dynamic bougies next best Standard bougies worst Effects more marked when difficulty increases Manikin studies are often criticised, but may in some cases be the optimal design.

"Among introducers for hyperangulated videolaryngoscopy, stylets were most efficacious..."

Should we use universal videolaryngoscopy in real-world operating theatre settings? YES! ↑ rate of easy intubation ↑ rate successful first-attempt intubation ↓ incidence of difficult laryngoscopy ↓ complications related to intubation #anaesthesia #airway #MedTwitter

Patients living with obesity present specific challenges for airway management It is hoped that these recommendations will improve the safety and efficacy of airway management in patients living with obesity. #anaesthesia #MedTwitter #obesity doi.org/10.1111/anae.1…

Jan Hansel Cliff Reid 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 I think an issue is that the real question is Does RSI with cricoid force reduce the risk of clinically significant aspiration in patients with bowel obstruction or at least a real acute abdomen or a belly full of beer in ED? These are where RSI is ‘strongly indicated’ The

🔍 Hyperangulated videolaryngoscopes have revolutionised airway management, offering improved glottic views, especially in challenging anatomies. 📖 Dive into the latest insights: bjaed.org/action/showPdf… #Anesthesia #AirwayManagement #MedicalInnovation

To ensure proper execution of MILS, use the ‘earmuffs’ technique—place your hands firmly over the patient’s ears to stabilize the head. Lecturing at Philippine Society of Anesthesiologists La Union Chapter

Don’t stop at pre-oxygenation. Continue oxygenation during intubation. Lecture at Quirino Memorial Medical Center