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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Most of the time, this is due to the tube catching on the anterior tracheal rings. Thus, inability to palpate anatomic landmarks should not be interpreted as meaning that this procedure is impossible or contraindicated. Had the opportunity to put into practice some of the info Dr.
Here is an open cricothyroidotomy a la Scott Weingart:.
lsvitan 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. 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 leviitan way before proceeding to look for the epiglottis. To find midline, gently palpating the lateral borders of the thyroid cartilage and rocking the thyroid cartilage back and forth may be helpful.
Play in new window Download This isn’t particularly new, but I couldn’t resist putting it in here because it is really pure gold. Thus, it’s useful to have a pre-planned approach about how to optimize laryngeal exposure. If this is unsuccessful in revealing the epiglottis, an alternative approach is to advance the blade levitzn a stepwise, gradual fashion directly down the tongue in the midline.
Greetings from Toronto…great show, keep up the great work.
Airway Management with Rich Levitan
Published on April 1, It will be much easier to palpate for anatomic landmarks once you are past the skin. As well as the resources provided in this post, two great resources are the free videos on the TheAirwaySite.
If you airwya the chance Don, I recommend taking his cadaver-lab class in Baltimore; well worth it. It is surely one of the best airway lectures I have ever heard.
Again excellent practical material for us EMS providers, the occasional intubators or should Levotan say epiglottoscopists to put into practice. Still the best airway lecture ever. If possible, try acquiring blades with a lower profile. Make sure you can use simple airway adjuncts, including the oropharyngeal and nasopharyngeal airways. Using a high dose of rocuronium airay waiting at least 60 seconds may add some safeguards against intubating before the patient is fully paralyzed.
Succinylcholine from reuben strayer on Vimeo.
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While you wait for help to arrive, your options include percutaneous needle cricothrotomy as demonstrated by Andrew Heard:. Like Us on Facebook. This is purest gold — an incredibly valuable learning resource.
Podcast 70 – Airway Management with Rich Levitan
For those of you unable to attend the course, here are some points which were particularly interesting to me. Also appreciated the history given by Dr Levitan, some of those guys were really smart. Airwag for emergency intubation. Visit his airway site at airwaycam. Advanced Airway Management for the Emergency Physician from reuben strayer. Thanks for hosting it.
Cite this lveitan as: There is a great discussion about this on the Pharm blog by Mihn Le Cong. Instead of the needle you might want to use a knife. Skip to levian navigation Skip to content Skip to primary sidebar Skip to footer You are here: For more information see this video by Dr. Rich Levitan is one of the best teachers on the skills of laryngoscopy—or as he would probably put it, epiglottoscopy. Unless otherwise noted at the top of the post, the speaker s and related parties have no relevant financial disclosures.
Sorry, your levtian cannot share posts by email. 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.