CPR intubation teaching with Dr Du Canto
Hi there. hope your weekend wherever you are in the world is going well for you and you are getting some downtime .
Its shocking and tragic to hear of the recent shooting in Denver, USA. I was communicating with Jim DuCanto on this CPR intubation video just prior to hearing the news broadcasts online. Our thoughts and wishes are with the victims, their families and the grief of a nation.
Jim was teaching a perioperative medicine resident session last week and recorded a CPR intubation skill session during it. He wanted to demonstrate the challenges of intubation during CPR and use of the GlideScope to facilitate this. he gained consent from participants to post this video for education purposes.
Stay safe and think of our USA colleagues in this time.
Minh
Thanks to Dr. DuCanto for all the love he gives to the RTs!
I would love to see my profession develop more beyond North America.
Thanks . Please consider an interview for PHARM podcast on RT profession for my non USA listeners. mlecong@gmail.com
has anyone out there experience with the placing of gastric tube using a videolaryngoscoop? recently had a very swollen neurotrauma where I could not get a gastric tube in.
Yes, I use the various VL’s I use for gastric tube insertion following tracheal intubation quite frequently. I have used the Glidescope and the McCrath Mac to place TEE probes as well.
Hey, thanks for the reply, we use a C-Mac in hospital. I was wondering, if you look at the other site of the blade (left) ther is a smal insirtion like shaft, have any of you ever used this to lets say guide in a bougie or a gastric tube?
The technique is really sort of up to the situation–often, there is no technique at all to placing the gastric tube–you shove it in, and it goes where you want it. However, occasionally, it’s necessary to cup your hand partially around the blade and gastric tube like a guiding channel to give the tube more guidance–almost like you are making a guide channel for the gastric tube out of the palm of your hand. Once you start using the VL for gastric tube insertion and gain experience, you will find yourself getting really good at it in a short period of time.
thank you verry mutch jim, i got a training session on friday with johan i’m definitetly gonne test out this technique.
In patients that are obese, have short necks, or are petite, intubation with a standard larngyscope can sometimes be difficult as the handle does not have adequate space to move upwards and out and is impeded by the provider doing compressions from the side. I have found that if using a standard non video larngyscope to intubate during CPR, it can help to have the provider doing compressions straddle the patient so that the handle has maximum space to move in between the compressors arms to displace the mandible.
..or use a stubby handle