The origin of the Direct Laryngoscopy Video System. Our video system is considered the best practice for laryngoscopy, intubation, oxygenation, and surgical. The latest Tweets from Richard Levitan (@airwaycam). Airway obsessed ED doc passionate about larynx and mountains. Live free or die there are greater evils. Overall goals and objectives: 1. Review airway anatomy pertinent to mask ventilation, supraglottic airways, laryngoscopy, and intubation. 2.
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It’s commonly taught that it’s easier to err on the side of a longer blade i. He discusses ear-to-sternal notch positioning, dynamic head lift, external laryngeal manipulation, epiglottoscopy, apnoeic oxygenation and the differences between direct and video laryngoscopy among other important concepts. Oxygenation for emergency intubation. Financial Disclosures Unless otherwise noted at the top of the post, the speaker s and related parties have no relevant financial disclosures.
Here are Rich Levitan’s Slides. Like Us on Facebook. Subscribe Now If you enjoyed this post, you will almost certainly enjoy our others. Tracheal intubation is then confirmed using capnography or an esophageal detector device.
The endotracheal airaay is threaded over the bougie while the bougie is stabilized in place. Instead of the needle you might want to use a knife. Visit his airway site at airwaycam.
10 Pearls from the Levitan Airway Course
Intubation – the procedure – First10EM. Thanks Richard and Scott, that was a truly incredible aurway. Issues such as endotracheal tube placement, suctioning the airway, and clearing foreign bodies are easier with a more direct approach. Published on April 1, Levitan for a great course and permission to write this blog.
To find midline, gently palpating the lateral borders of the thyroid iarway and rocking the thyroid cartilage back and forth may be helpful.
Podcast 70 – Airway Management with Rich Levitan
Both- T and Reverse T can ‘theoretically’ prevent aspiration. Thus, it’s useful to have a pre-planned approach about how to optimize laryngeal exposure. Optimise the position of the patient before you start — this step is often overlooked in the emergency setting.
If this is unsuccessful in revealing the epiglottis, an alternative approach is to advance the blade in a stepwise, gradual fashion directly down the tongue in the midline.
In the heat of the moment, there is a risk of initiating laryngoscopy before the patient is completely paralyzed, thus increasing the risk of vomiting. Accessed on December 31st When I trained, there were two options: Using a high dose ajrway rocuronium and waiting at least 60 seconds may add some safeguards against intubating before the patient is fully paralyzed. However, this does have some important drawbacks. Spammers probably work for the Joint Commission. Levitan is pretty amazing. Hyperangulated videolaryngoscopy remains useful for some patients with limited jaw or neck mobility.
Airway Management with Rich Levitan
Appreciation also to the twenty people who volunteered to donate their body to medical science, allowing the cadaver lab component of this course to be possible. Thanks so much Rich Levitan! Rich Levitan is one of the best teachers airwayy the skills of laryngoscopy—or as he would probably put it, epiglottoscopy.
There are four maneuvers which are very helpful here:.
Own the Airway!
While you wait for help to arrive, your options include percutaneous needle cricothrotomy as demonstrated by Andrew Heard:. Here is an open cricothyroidotomy a la Scott Weingart:.
Greetings from Toronto…great show, keep up the great work. Thanks Scott for the video and handout.
Face mask ventilation in edentulous patients: