ADVANCED AIRWAY WORKSHOP
FRIDAY 31ST MAY 2019 14:30-17:30
This is the Pre-Conference Workshop for the EMCORE CONFERENCE in Melbourne and the Convention and Exhibition Centre.
3 hours face to face PLUS up to 5 hours online
This is the New Airway Workshop!You will have two months of short video lectures and blog articles to read, that you can complete at your leisure. These cover all the basics. Then you will have an intense 3 hours of HANDS ON, with amazing teachers, so you can master the skills you need. A total of 8 hours.
The BAG VALVE MASK
How the Bag Valve Mask works
Bag valve mask use
Technique is important as aggressive bagging results in gastric distension. Use the 1-2 second rule- 'bag-em slow'
Rate of Bagging
Critical in the Arrest patient, as more than 10 breaths per minute are associated with ZERO survival (secondary to increased intra-thoracic pressure and decrease coronary perfusion pressure).
THE LARYNGEAL MASK
How to use it?
Making more use of it in the ED.
DRUGS AND EQUIPMENT
The DRUGS OF INTUBATION
A discussion of the main drugs used in intubation and how to use them:
This station looks at the basic technique of intubation:
POSITIONING THE PATIENT
The best position for the non-trauma patient, especially for obese patients and this translates to others is sternal notch aligned with the external auditory meatus.
Plus other positioning.
THE LARYNGOSCOPE SWEEP
Sweep from right to left and displace the tongue so you have a view.
LOOKING FOR THE EPIGLOTTIS
The landmark to look for is the epiglottis. This ensures that you start high and progress the laryngoscope down. One mistake people make is to put the laryngoscope in too deep.
The placement of an introducer into the tube is one of the musts taught in this course.
PUTTING IN THE TUBE
Ensure that your laryngoscope has swept the tongue to the left and now you should have lots of room to put in the tube. Progress the tube so you are watching it go from below upwards into the cords, so you have a view at all times.
We now take the previous patient and make the larynx difficult for you to intubate. The tongue may become swollen. We change the anatomy to give you the chance to face the difficult patient.
We introduce you to the BOUGIE.
We also introduce you to the intubating laryngeal mask.
HAVE A PLAN
We want you to have a plan if things don't work out right. What's your plan?
THE SURGICAL AIRWAY
Using animal tracheas, we will practice the surgical airway and introduce you to 2 techniques:
THE HORIZONTAL CUT/BOUGIE/TUBE TECHNIQUE
THE VERTICAL CUT/ PALPATE /PUNCTURE /TUBE TECHNIQUE
Following the 5 stations, there will be ample time to practice your skills on all the manikins, under the watchful eyes of our airway gurus, so you feel confident with your technique.
Watch This Video to Prepare
3 QUESTIONS TO ASK?
PROTECTING THE DIFFICULT AIRWAY
THE LEMON APPROACH
RAPID SEQUENCE INTUBATION
THE P’S OF INTUBATION
POSITION THE PATIENT
CONFIRMING TUBE PLACEMENT
POST TUBE CARE
WHAT IF I CAN’T INTUBATE?