Articles in "airway management"

Simulation Based Training Improves Airway Management Skills

by Joseph Esherick, M.D., FAAFP, FHM

Simulation-based procedural training has been shown to improve procedural competence, safety, operator confidence and most importantly patient safety for every bedside procedure studied. Now, a new systematic review and meta-analysis confirms that simulation-based training in airway management improves procedural competence with direct laryngoscopy, endotracheal intubation, video laryngoscopy, laryngeal mask airway insertion, and King tube airway insertion.

Troubleshooting Difficult Intubations

by Joseph Esherick, M.D., FAAFP, FHM

Have you ever been able to see the vocal cords during direct laryngoscopy but you weren’t able to pass the endotracheal tube cuff beyond the cords? This occurs not too infrequently during endotracheal intubation and I am going to share a trick for this.

Video laryngoscopy has a superior first pass success rate compared with direct laryngoscopy in the ICU

by Joseph Esherick, M.D., FAAFP, FHM

Video laryngoscopy has a superior first pass success rate and lower rate of difficult intubations and esophageal intubations compared with direct laryngoscopy for ICU intubations.

Predictors of failed intubations using video laryngoscopy such as failed Glidescope intubations

by Joseph Esherick, M.D., FAAFP, FHM

The overall success rate for Glidescope intubations was 97%. Success for Glidescope intubation following direct laryngoscopy and success in patients with predictors of difficult direct laryngoscopy were 94% and 96%, respectively.

Pre-hospital cardiac arrest patients do best with supraglottic airway or BVM ventilation

by Joseph Esherick, M.D., FAAFP, FHM

Cardiac arrest patients who were intubated had similar outcomes to those who had a supraglottic airway device (e.g., King tube) inserted in the pre-hospital setting.

Does Cricoid Pressure Prevent Aspiration During Endotracheal Intubation?

by Joseph Esherick, M.D., FAAFP, FHM

There has always been some controversy about the utility of applying cricoid pressure (aka Sellick Maneuver) during rapid sequence intubation for the purpose of preventing aspiration. Theoretically, applying pressure on the cricoid cartilage posteriorly should occlude the esophagus against the vertebrae and therefore prevent passive regurgitation of gastric contents into the oropharynx.