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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Podcast 70 – Airway Management with Rich Levitan
Intubation – the procedure – First10EM. Not trying to be difficult. By subscribing, you can 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. However, this does have some important drawbacks. Racine SX, et al Also appreciated the history given by Dr Levitan, some of those guys were really smart.
Play in new window Download Will implement from now on. Visit his airway site at airwaycam. Paradoxically, many of the patients who need a cric will have poorly palpable neck anatomy. Thanks so much Alrway Levitan!
For those of you unable to attend the course, here are some kevitan which were particularly interesting to me. Although awake intubation certainly has its place, rapid-sequence intubation remains the workhorse of emergent airway management.
Common sense from the Airway Master!
This isn’t particularly new, but I couldn’t resist putting it in here because it is really pure gold. The traditional approach to direct laryngoscopy with a Macintosh blade is to start on the right side of the mouth and sweep the tongue out of the way before proceeding to look for the epiglottis.
Emergency Airway Management Part 3: Straight-to-cuff stylet shaping prevents the tube from obscuring your view of the larynx while it is being inserted.
Own the Airway!
Spammers probably work for the Joint Commission. Sorry, your blog cannot share posts by email. Anesthesiology, 5PMID: 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. For leivtan information see this video by Dr.
Learn how your comment data is processed. Oxygenation for emergency intubation. The endotracheal tube is threaded over the bougie while the bougie is stabilized in place. EP Monthly Dec 9, Levitan pointed out that there are different designs of the MAC4 blade, with wide variation in the size of the base.
I find this to be a useful manoeuvre, if you have the courage to really do it- the very heavy patient will be almost sitting upright! From EM Updates click image for source.
Airway Management with Rich Levitan
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Tracheal clicking elicits tactile vibrations, which confirm tracheal placement of the bougie. Thus, inability to palpate anatomic landmarks should not be interpreted as meaning that this procedure is impossible or contraindicated. A degree rotation should resolve this.
As well as the resources provided in this post, two great resources are the free videos lsvitan the TheAirwaySite.
Had the opportunity to put into practice some of the info Dr. When advancing the blade along the mideline, the epiglottis should lie right at the base of the tongue, directly within the course of the blade. There are four maneuvers which are very helpful here:. GI bleed, intestinal obstruction, gastric ultrasound with full stomach, etc. If the video camera is obscured by secretions, the operator can switch immediately to direct vision.