AIME Airway
AIME Airway
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EM Airway Guidlines WCA
Airway Guidelines for Emergency Medicine: Where are they? Presented in Singapore in March 2024 at the World Congress of Anesthesiologists.
Переглядів: 320

Відео

Peri Intubation Oxygenation AIME
Переглядів 4527 годин тому
AIME acknowledges the support provided by CAEP and Dalhousie in the development of these materials. In particular we are grateful for the opportunity provided by those who gifted their bodies as part of Dalhousie's Human Body Donation program. They have given after life so that others may learn to better provide lifesaving care for the living. Images and video have been altered to preserve iden...
Bougie Rant EMCases Summit
Переглядів 3 тис.2 роки тому
When to when not to use the bougie- Presented at EMCases Summit November 2021
Human Factors and System Design in Airway Management- Society For Airway Management (SAM 2021)
Переглядів 1,3 тис.2 роки тому
This is the the Richard Aghababian Emergency Airway Lecture I presented at the Society for Airway Mangement (SAM) 2021 annual meeting. Thank you to SAM (samhq.com) and the organizing committee for allowing this to be open access.
Bougie Pillow Bend for use with Some MC VL Blades
Переглядів 3,1 тис.2 роки тому
Bougies that are malleable to some degree and will temporarily hold shaping (SunMed in this example) and can be modified from their straight out of package shape for use with SOME MAC BLADES. A very slight bend may make all the difference in the world. Yes for Mac Blades, where the camera positioning offers a slight around the corner view ie. in mouth direct view less than screen view. Many man...
Laryngoscopy and Bougie Pearls and Pitfalls Part 2: How to
Переглядів 6 тис.3 роки тому
Part 2 is a deeper dive into the 'how to' use the bougie focusing on the mechanics, success and failure. Some of this material hasn't been discussed or reported in the published literature nor the FOAM space that I am aware of. There will be those that will say this is too much detail for a simple procedure. My response is 'suck it up'. If you're looking for shortcuts to expertise keep looking ...
Laryngoscopy and Bougie Pearls and Pitfalls Part 1: When and Why
Переглядів 6 тис.3 роки тому
This is Part 1 of a deep dive into bougie use as an adjunct for laryngoscopy. The focus will be on 'when and why' to use a bougie with video laryngoscopy. It seems straightforward... put a small caliber introducer into the right hole and follow with a tracheal tube. It is straightforward if you understand airway anatomy and perform optimized laryngoscopy. Part 2 is a deeper dive into the 'how t...
EM Grand Rounds: Optimizing the DangerousER Airway in Dangerous Times
Переглядів 2,2 тис.3 роки тому
These were Grand Rounds. It's about what the title says. Upload December 29 2020 a year that we would like to forget but will always remember.
Valleculoscopy
Переглядів 2,8 тис.3 роки тому
Valleculoscopy is part of the optimization sequence we refer to as EVLI, Epiglottoscopy, Valleculoscopy, Laryngoscopy, Intubation. It has a different meaning for Macintosh laryngoscopy and Hyperangulated Laryngoscopy. Understand your anatomy.
Bougie hold up
Переглядів 10 тис.4 роки тому
Intubation occurs on the right side of the mouth and the right sided leading edge of a beveled tracheal tube can get caught-up on right sided glottic structures when being advanced over a bougie. This can be managed by pulling back the tracheal tube and then rotating the beveled edge of the tube towards the midline with a 90 degree counterclockwise turn. This is then followed by re-advancement ...
Bougie moves
Переглядів 8 тис.4 роки тому
The leading edge of the beveled tracheal tube can get caught on right sided glottic structures while advancing over the bougie. This can be mitigated by routinely rotating the advancing tracheal tube 90 degrees to the left (counterclockwise) BEFORE it becomes an issue at the glottic inlet.
Optimized Hyperangulated VL
Переглядів 26 тис.4 роки тому
The difficult airway is often iatrogenic. Challenges may have nothing to do with the patient's intrinsic anatomy/pathology and are often the result of the clinician failing to optimize their approach. We are believers in mitigating issues before they arise instead of reacting to cues when your are stressed and your bandwidth is already maxed out. For Hyperangulated video laryngoscopy here are s...
Optimized bimanual laryngoscopy & intubation (Mac VL or DL)
Переглядів 40 тис.4 роки тому
The difficult airway is often iatrogenic. Challenges may have nothing to do with the patient's intrinsic anatomy/pathology and are often the result of the clinician failing to optimize their approach. We are believers in mitigating issues before they arise instead of reacting to cues when your are stressed and your bandwidth is already maxed out. For Macintosh laryngoscopy (video or direct) her...
The Dangerous airway
Переглядів 2 тис.4 роки тому
The Danger in airway management isn't always centred around patient issues. The bigger picture that likely contributes to way more harm than we currently think relates to environmental issues such as provider skill, availability of support and access to and/or skill with using equipment.
Ketamine for Airway Management, Toolboxes and Chainsaws
Переглядів 2,3 тис.5 років тому
What is the role of ketamine in facilitating intubation in the emergency setting.
EVLI approach to first pass success intubation
Переглядів 3,8 тис.5 років тому
EVLI approach to first pass success intubation
Ramsay Scalpel Finger Bougie Cric
Переглядів 5 тис.5 років тому
Ramsay Scalpel Finger Bougie Cric
Waveform Capnography Update
Переглядів 3,6 тис.5 років тому
Waveform Capnography Update
Airway Opening
Переглядів 15 тис.6 років тому
Airway Opening
Airway Management in Emergencies the Infinity Edition
Переглядів 2 тис.6 років тому
Airway Management in Emergencies the Infinity Edition
ABCDEs of Airway Management in the Critically Ill
Переглядів 1,9 тис.6 років тому
ABCDEs of Airway Management in the Critically Ill
Sleepless in Halifax Part 2: Awake intubation in the ED
Переглядів 4,3 тис.6 років тому
Sleepless in Halifax Part 2: Awake intubation in the ED
Ninety sec airway pearl: Too close
Переглядів 4,6 тис.6 років тому
Ninety sec airway pearl: Too close
Ninety sec airway pearl: Thumbs Up
Переглядів 6 тис.6 років тому
Ninety sec airway pearl: Thumbs Up
Ninety sec airway pearl: Hockey stick your tube
Переглядів 6 тис.6 років тому
Ninety sec airway pearl: Hockey stick your tube
The Psychologically Dangerous Airway
Переглядів 2,6 тис.7 років тому
The Psychologically Dangerous Airway
Maintaining head lift pearl
Переглядів 4,1 тис.7 років тому
Maintaining head lift pearl
DL get a grip!
Переглядів 5 тис.7 років тому
DL get a grip!
Make DL Great Again
Переглядів 5 тис.7 років тому
Make DL Great Again
Sleepless in Halifax Part 1: an interview with Ian Morris
Переглядів 2,2 тис.7 років тому
Sleepless in Halifax Part 1: an interview with Ian Morris

КОМЕНТАРІ

  • @DrSkawman
    @DrSkawman 2 дні тому

    I'm so glad to see this account running again. Many of the things I've learned about airway mgmt came from here. Thanks ❤

  • @MaciejAndrzejLiksza
    @MaciejAndrzejLiksza 2 дні тому

    Professor, your website has been offline for a while. I 've been looking for your AIME airway book .pdf version online, can't find it anymore. Is there any way you could mail it to me ?

  • @joshuadodd9590
    @joshuadodd9590 3 дні тому

    8 minutes of apneic oxygenation! That's amazing. So, safer to rely on 3-4 minutes I assume.

  • @RitaMBuda-tz6bi
    @RitaMBuda-tz6bi 12 днів тому

    It's degrading and humiliating. No more. I wasn't even aware those bastards were going to yank my mouth open while I was unconscious. Nobody told me anything. There are other issues too and I will be speaking to a lawyer. 😣😣😣😣😠😠

  • @HuesoAmarilloAfricana
    @HuesoAmarilloAfricana 23 дні тому

    Is the ointment safe for a laryngeal papillomatosis removal procedure via Co2 laser?

  • @javadaghrab5687
    @javadaghrab5687 2 місяці тому

    What is your thoughts on cetocaine spray for this procedure

  • @six1996
    @six1996 2 місяці тому

    I am a bougie believer

  • @icu_corey_rn_903
    @icu_corey_rn_903 6 місяців тому

    “It looks cool and it works” 😂 love it. Aside from patient safety looking cool is the most important thing.

  • @cessnacitation-x
    @cessnacitation-x 9 місяців тому

    Video laryngoscopes are better than direct ones, it's a simple fact. I'm glad that more people are using them.

  • @rumit9946
    @rumit9946 10 місяців тому

    Brilliant pear thanks

  • @sibtainbukhari5447
    @sibtainbukhari5447 Рік тому

    Excellent video. Having used both the C-Mac and Glidescope I cannot agree more with your assessment of the difference between the direct an indirect view between the two devices. What I have felt though is that I often get a poorer direct view on any given patient while using the glidescope vs using a standard Mac DL or C-Mac . I cannot explain why this is but certainly have felt strongly like this and that’s why quite often prefer using a DL over Glidescope as my current workplace only has Glidescope as the VL

  • @Nightraven26
    @Nightraven26 Рік тому

    But if our ET tube during direct laryngoscopy is so far inside the trachea, then why not just pull out the stillet, push the tube marking past the glottis and inflate the cuff?

  • @oceandiscovery5288
    @oceandiscovery5288 Рік тому

    A classic video. Wish there was a voice over to go over this didactically

  • @hondapilot
    @hondapilot Рік тому

    That last tip review at the end was perfect. Thank you🙏

  • @archegos1
    @archegos1 Рік тому

    You rock!

  • @feliperischini
    @feliperischini Рік тому

    Maybe the KFI would be an important tool for beginners. I see problems they face with time of apnea in RSI, kfi could be an opinion for these moment of the career and even a transition to master RSI in the near future (after about 1 year of intense training).

  • @rodionchain9928
    @rodionchain9928 Рік тому

    Sir you are brave

  • @cbm3111
    @cbm3111 Рік тому

    I love your explanation. I feel more difficulties when I use a video laryngoscope compared to conventional one. So I watched many youtube clips, but you are the only one who recommended oblique insertion. Do you have any specific reason? GlideScope officials said they don't need tongue displacement which is required for a conventional laryngoscope. Thank you

  • @archegos1
    @archegos1 Рік тому

    I second all positive comments, amazing! THANK YOU!

  • @connorfairchild98
    @connorfairchild98 Рік тому

    Great video. What I took away from this video was, as opposed to a general overview, some finer points of intubation pertaining to difficult airway factors and some wisdom learned from experience. Again, great video!

  • @mightyoak11111
    @mightyoak11111 Рік тому

    Great video. Under what conditions do you opt for an awake DL/VL versus awake FOI? Are you demonstrating your “quick look” which would typically be followed by a routine induction and intubation? Do you feel that this would be suitable for patients with a history of laryngeal cancer s/p XRT for elective surgery in an outpatient setting?

  • @IndecentExposure.
    @IndecentExposure. Рік тому

    My understanding has always been that these are no use in a SV patient and if you have a FGF you should use a C circuit

  • @bullee
    @bullee Рік тому

    So this is not at all how i learned peep worked, i would say this is directly wrong. What you have is just a valve, this is not what peep does. This is not instructive and not the real explanation, but the nurses at my workplace seemed to love it because of the fact that one glove became filled with air (which must be a good thing and hence, a good explanation).

  • @AlexandrBalanMD
    @AlexandrBalanMD Рік тому

    ua-cam.com/users/AlexandrBalanMD

  • @pamelaleather3134
    @pamelaleather3134 Рік тому

    Really good video

  • @user-jx7uy8fn5s
    @user-jx7uy8fn5s 2 роки тому

    so good

  • @sweetlanasilkovskiy3060
    @sweetlanasilkovskiy3060 2 роки тому

    😂😂😂

  • @DrSkawman
    @DrSkawman 2 роки тому

    What about bougie's sterility? Isn't it a real concern?

    • @mirkyd5944
      @mirkyd5944 7 місяців тому

      The lungs aren't sterile, so as long as you're not wiping the bougie on visibly dirty surfaces I'd be a lot more concerned about a can't intubate, can't oxygenate/ventilate situation!

  • @chanceweslowski7792
    @chanceweslowski7792 2 роки тому

    Hello, I wanted to invite you to follow Jesus Christ. He is the only way to be saved and he can give you a better and more fulfilling life, and eternity in Heaven. God can give you many blessings show you his loving kindness. In Him you can find true life and peace. I hope you will consider this, it is the most important decision you will ever make. May God bless you and show you his Truth! 🙂

  • @santiagocanepa9099
    @santiagocanepa9099 2 роки тому

    I would love to see a selective intubation tutorial by this team!

  • @vukken99
    @vukken99 2 роки тому

    Important question. Can you always cannulate with this technique???

  • @Dhamuandtony369
    @Dhamuandtony369 2 роки тому

    Is aerosolised lidocaine available as unique preparation or should one use injection solution?

    • @ayndowney9401
      @ayndowney9401 3 місяці тому

      If you are using aerosolized lidocaine in the Oral Airways you will numb the tongue, throat, and lose control of the gag reflex. This can be a contributing factor in loud and noisy breathing, this person using lidocaine Will end up with nostrils flaring, and or collapsing the epiglottis will be numb and not fully close, that is the small flap separating the windpipe, and the esophagus .If you numb this area it means you can cause a person to inhale saliva, water, or food. That flap is to protect and prevent the back of the airways from permitting obstruction to enter the oral airway. If that is numb from lidocaine you have nothing to prevent you from choking on your saliva and will not have a Patent Airway. You can drown, choke to death or collapse your Entire Airway. Please Don't try this!😢

  • @BoogieDownProduction
    @BoogieDownProduction 2 роки тому

    Is the comparison fair? Are providers picking VL for the more difficult airways (and hence skewing the results)?

  • @simonspop706
    @simonspop706 2 роки тому

    What scope are you using?

  • @javadaghrab5687
    @javadaghrab5687 2 роки тому

    What a great guy I have waited my life's blood to meet him someday I have learned so much from him. Respects From The Islamic Republic of IRAN 🇮🇷🇮🇷🇮🇷🇮🇷🇮🇷🇮🇷🇮🇷🇮🇷🏴‍☠️🏴‍☠️🏴‍☠️🏴‍☠️🏴‍☠️🏴‍☠️🏴‍☠️

  • @coupmd
    @coupmd 2 роки тому

    This is really outstanding. Thank you for the time to share this. I'm a EM/IM PGY3 and I learned a ton from this. I feel like it's a great talk for folks who have a little bit of experience with the basics.

  • @santiagocanepa9099
    @santiagocanepa9099 2 роки тому

    This is one of the gnarliest, most scientific stunts I´ve ever seen.

  • @parinlalwani4714
    @parinlalwani4714 2 роки тому

    Unbelievable

  • @hraza2222
    @hraza2222 2 роки тому

    Isn't this view too close? Wouldn't give you the 50/50 view

  • @NN-rn1oz
    @NN-rn1oz 2 роки тому

    When will the 2022 airway course take place? I've been missing the boat year after year. This course is so popular. I've had more success getting tickets for Bon Jovi!

  • @alexneo4880
    @alexneo4880 2 роки тому

    Thanks so much from Russia

  • @DigitalAndInnovation
    @DigitalAndInnovation 2 роки тому

    What a demo!!

  • @abigailnorberto3389
    @abigailnorberto3389 2 роки тому

    That’s exactly what I try to explain to residents, to not “mount” epiglottis, as it’s so easy to go directly to the first image near the vocal chords, and then it’s more difficult to pass the tube, thanks for the video!!!

  • @Heroine2me
    @Heroine2me 2 роки тому

    I found this to be really interesting. I just had a TMJ surgery with Dr Brady on Tuesday and had an awake intubation (my second time) due to limited opening and what Dr Morris describes is the procedure step by step done in mine. I apologize I can’t recall the Anesthesiologists I had.

  • @floydmiracle8984
    @floydmiracle8984 2 роки тому

    It appears you said to rotate the ETT counter clockwise as you push it down, but you rotated it clockwise.

  • @xx-jn6dm
    @xx-jn6dm 2 роки тому

    Nisiquiera lo puso rápido y fácil en el pinche maniquí ,no mame, que se espera en la vía aérea dificl de urgencia + estómago lleno, se le vana a caer los calzones

  • @StockMarketsMadeEasy
    @StockMarketsMadeEasy 3 роки тому

    That was great Sir! Dr. Basu( India)

  • @StockMarketsMadeEasy
    @StockMarketsMadeEasy 3 роки тому

    That was great! Thanks! Dr. Basu ( India)

  • @Maddawg31415
    @Maddawg31415 3 роки тому

    It’s a problem I agree. Honestly, I see pros and cons between the D-grip, Shaka Grip, and naked bougie methods. Depends on the circumstances and provider comfort

  • @abirkalai5688
    @abirkalai5688 3 роки тому

    Badass... You made it look easier than it is. I see no signs of a monitor nor IV cannula.