PHARM Podcast 56 : ED vs ICU airway management
happy New Year!
The very last PHARM podcast for 2012 on New years Eve, with a suggested topic from Scott Weingart of EmCrit.org.
Dr Joseph Scofield is an EM resident currently working in NYC and doing an ICU rotation. He noticed some differences in the approach to airway management compared with his time in ED and mentioned this to Scott.
Dr Seth Manoach is a triple certified emergency and critical care physician with anaesthesia training, currently working in NYC as well. He has done research into surgical airways with our very own resident Master of emergency airways, Dr Jim DuCanto.
Dr Seth Trueger, you all should well know by now. EM doctor who trained in NYC under Scott and Reuben Strayer. Now in Washington DC.
What we talk about :
Now on to the Podcast
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Amen to this podcast.
This will help me to help my intensivists (almost wrote intestinals).
Another out of the box thing to ponder as I was listening to the podcast: if I didn’t have VL, or scopes, could a retrograde with a boogie through a functional SGA deliver the goods (following blind technique failure through the SGA)? It has worked for me in simulation with the Air-Q (Bonus being that you do not need to remove SGA during ETT advancement).
If it doesn’t work,, you turn the bougie south and complete the cric.
Cool idea, saw this and can’t help but say that might work if time and sats are ok by LMA. I think issue with retrograde is that it takes time whereas scalpel-bougie-cric doesn’t take much time at all to get the tube in and ventilate/oxygenate. I haven’t tried retrograde with a wire in cadaver or real life but anyone that I have talked to who has said that it was nice in theory but it was finicky in practice. Bougie may make this work in practice.