Why the obstetric department can help you with intubation..
Yes I have!
Mad for airway ultrasound! This may well be a good alternative to having separate VL and DL devices. Have a single device that is multipurpose = portable ultrasound. In this paper from Malaysia, the authors argue that in hospitals that cant afford the expensive VL toys or even capnography, then getting the obstetric department ultrasound machine down for the next emergency intubation can help confirm tracheal tube placement just as reliably as capnography gold standard!
Here is the full open access article published July 2013..awesome FOAMEd!
Take home points :
- There were two false interpretations due to subcutaneous air in neck from pneumothorax. These were both incorrect diagnosis of oesophageal intubation rather than tracheal intubation. So need to still keep your thinking caps on!
- Have you ever had your waveform capnography fail to start up? I have! So this is a handy option to know about and learn in case that happens ..again!
- This is the future of airway management development. Combining devices rather than having separate ones. USS and VL becomes one device. Or USS guided airway management is backup/alternative technique to VL. Be smarter and economical! Use what you already have but use it smarter! Dont worry about the VL envy!