Project for Universal Management of Airways
@universalairway
Global collaboration to produce universal guidelines for airway management that can be applied independent of geography, discipline or context.
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http://UniversalAirway.org 06-10-2017 04:30:37
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Bougie vs stylet in HAVL Tim Cook considers why a bougie may have been found superior in Eum et al's study β‘οΈHockey stick shaped stylet β‘οΈPatient positioning β‘οΈETT delivery technique β‘οΈPatient selection (difficult airway) πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦ x.com/Anaes_Journal/β¦
New #Codapodcast out now, "PUMA guidelines for the prevention of unrecognised oesophagael intubation," featuring Nicholas Chrimes, Andy HIGGS & Tim Cook. π§ Listen: buff.ly/3wQMSH8 #Coda22 #AirwayManagement #PUMAGuidelines
Coda Change Nicholas Chrimes Andy HIGGS I think these guidelines are standing the test of time. Aware of cases where careful adherence has lead to early detection of (primary) oesophageal intubation and of a tube that displaced after intubation (ie secondary oesophageal intubation). Also sadly aware of cases where
Check out this correspondence from Hughes & Ellen OβSullivan! Comparing hyperangulated videolaryngoscopy and Macintosh videolaryngoscopy β more than meets the eye πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦ x.com/Anaes_Journal/β¦
Rajinder S Chaggar Dr Pierre Bradley Hans Huitink Manu B Tanya #AirwayHub Safe Airway Society Tim Cook Bryan Glezerson Mark Neuman Rhys Thomas Ed Mariano, MD, MAS, FASA, FASRA πΊπΈπ΅π The 3 elements of VCI are important but I donβt like it as a classification system. We donβt need βcodingβ, just straightforward documentation of effort (blade geometry, VL/DL, adjuncts/optimisations) & outcome (view - not using POGO, ease of delivery/passage).
Rajinder S Chaggar Dr Pierre Bradley Hans Huitink Manu B Tanya #AirwayHub Safe Airway Society Tim Cook Bryan Glezerson Mark Neuman Rhys Thomas Ed Mariano, MD, MAS, FASA, FASRA πΊπΈπ΅π POGO doesnβt document anything clinically relevant to the next person. POGO 1-100% (CL 1-2b) will likely be easy to intubate. POGO 0% (CL 3a-4) could range from slightly fiddly to catastrophic. POGOβs discriminatory value is precise when itβs irrelevant & ends when itβs important
Luke A. Perry & Nicholas Chrimes outline why the recent stylet vs bougie study does not convincingly demonstrate the superiority of bougie over stylet use for HAVL. Free full text in ππ―π’π¦π΄π΅π©π¦π΄πͺπ’. β¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
Excellent topic to have a PRO x CON debate! Outstanding speakers with large experience. Register today! #sam2024 samhq.com Sheila Myatra Jarrod Mosier, MD, FCCM APSF SAMHQGlobal SAMBA Past President Project for Universal Management of Airways Lauren Berkow tracey straker Carin Hagberg, MD
EVERYDAY DEFAULT VL 1099 cases and a short 𧡠Published in ππ―π’π¦π΄π΅π©π¦π΄πͺπ’ ππ¦π±π°π³π΅π΄ Thanks to Craig Lyons for meticulous editing Highlights -No intubation failures -FPS 87.3% (Mac 87%, HAVL 92%) -FPS w/o complications 87% -No complications in theatre -HAVL learning curve short -FPS
5 facts about Neck Rescue Emergency (CICO) & Neck Rescue (eFONA) 1) Definition 2) Upper Airway Obstruction 3) Declaration 4) Transition/Priming 5) Neck Rescue Techniques: Cannula vs. Scalpel Cricothyroidotomy Difficult Airway Society (DAS) Trainees Difficult Airway Society (DAS) Safe Airway Society Project for Universal Management of Airways ANZCA
Have you heard of the Cooper manoeuvre? If the stylet is introduced too posteriorly in the pharynx, placement can be corrected by lifting it vertically (Fig.Β 1b) until its tip is level with the glottis (Fig.Β 1a) Nicholas Chrimes πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
ππ―π’π¦π΄π΅π©π¦π΄πͺπ’ Nicholas Chrimes This video from Nicholas Chrimes and Dr Richard Cooper does a great job explaining the lift. It has made a lot of skilled operators in my department question their life choices. youtu.be/biHmn-q9HSw?siβ¦
Dr Robbie Erskine ππ―π’π¦π΄π΅π©π¦π΄πͺπ’ Nicholas Chrimes The video literally changed my practice. The GlideRite stylet and Cooper maneuver have all but eliminated my HAVL βtube deliveryβ problems. Give it a try and lemme know what you think.
"We highlight five studies which demonstrate that the use of Macintosh-shaped videolaryngoscopes as a training tool to teach direct laryngoscopy is more effective than a standard Macintosh laryngoscope" From Tim Cook Fiona & Lucy Corbett in ππ―π’π¦π΄π΅π©π¦π΄πͺπ’.
πHyperangulated vs. Macintosh videolaryngoscopy in adults with anticipated difficult airway management: a randomised controlled trial UKE Hamburg πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
Save the date! ποΈ We are thrilled to announce the upcoming third World Airway Management Meeting (WAMM), set to take place in the picturesque city of Florence, Italy from November 5th to 8th, 2025. Will we see you there? #WAMM2025 Register Your Interest: confpartners.eventsair.com/wamm-2025/regiβ¦
Resus Pieces My two take aways 1 yes for those predicted difficults that donβt merit ATI then HAVL should be the plan More importantly 2 HAVL expertise is a core skill for anyone who calls themselves an airway manager in 2024 ππ―π’π¦π΄π΅π©π¦π΄πͺπ’