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Airway Management in the ICU

August 1, 2018February 2, 2020 Mireille Courses

Learning objectives:

The participant will learn new airway management techniques useful in the intensive care unit

Next course: 4 June 2020

Number of participants:20

Time: 18.00-21.00

Target audience: resident or specialist anesthesiologists, intensivists, ICU nurses

Costs: 150 €

Language: Dutch or English

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Prehospital Airway Management

International airway news

— The Netherlands: the second World Airway Management Meeting was organized in Amsterdam at Beurs van Berlage Conference Center 13-16 November 2019 —- there were 1800 attendees from 75 countries —- Airway Management Guidelines COVID-19 AAGBI, links added to the news section

Who we are

Airway Management COVID-19 UK guidelines

Recent tweets by @AirwayMxAcademy

Retweet on Twitter Hans Huitink Retweeted

Nicholas Chrimes 🌀@NicholasChrimes·

When performing airway management in COVID-19 patients, minimise variation from standard practice unless there is a compelling safety reason to do otherwise.

Unfamiliar processes involve more cognitive load and may have unintended adverse consequences.

Reply on Twitter 1246604675052232704 Retweet on Twitter 124660467505223270471 Like on Twitter 1246604675052232704228 Twitter 1246604675052232704

#AirwayMxAcademy

Airway video tip from the editors

Airway Triage App .

Airway Quiz

Test your airway knowledge now (20 Q&A)

1. What was the name of the first videolaryngoscope that came to the market?

Glidescope

CMAC

Airtraq

McGrath

The first videolaryngscope was the Glidescope invented by dr Jack Pacey

2. What is the maximum dose of lignocaine for topicalisation of the airway?

2 mg/kg

4 mg/kg

5 mg/kg

7 mg/kg

The correct answer is 7 mg/kg.

3. What does the abbreviation POGO mean?

Percentage Of Glottic Opening

Percentage Of Glottic Orifice

This score is used to grade the view during videolaryngoscopy

4. Who was the inventor of the Laryngeal Mask Airway?

Dr Chandy Verghese

Dr Anil Patel

Dr Archie Brain

Dr Archie Brain

5. What is the recommended dose of suxamethonium for rapid sequence intubation?

0,5 mg/kg

1,0 – 1,5 mg/kg

2 – 2,5 mg/kg

3 mg/kg

The correct answer is 1,0 – 1,5 mg/kg

6. What does the abbreviation CICO mean?

Cannot Intubate Cannot Operate

Cannot Intubate Cannot Oxygenate

Cannot Intubate Cannot Oxygenate

7. At what oxygen flow is THRIVE (transnasal humidified rapid insufflation ventilatory exchange) started for apnea oxygenation during induction of anaesthesia?

10 l/m

20 l/m

30 l/m

40 l/m

THRIVE is started at an oxygenflow of 30 liters/min

8. What is a second generation supraglottic airway device? (SAD)

a very expensive SAD

a SAD with an esophageal suction channel

a SAD with a bite block

It is a SAD with an esephageal suction channel

9. What is a big advantage of awake intubation?

The patient breathes spontaneously

It will always succeed

It is a simple airway technique

The fact that the patient breathes spontaneously is very important. Also the airway structures are recognizably and the airway can sometimes by found by searching for air bubbles.

10. Can the cricothyreoid membrane be localized with ultrasound?

yes

no

The CTM can be localized with an ultrasound probe. Try to find black pearls on a white string

11. What does the abbreviation MP mean?

Mallampati score

MacPeterson score

Mallampati created a scoring system that identified oral and pharyngeal access in 1983

12. At which oxygen saturation do all patients desaturate within 30-45 seconds to 60%?

90%

85%

80%

70%

If you look at the Benumof desaturation curves, the deflection point for all patients is at 80% SpO2

13. What is the outside diameter of a standard tracheal tube size 6.0?

6.0 mm

7.2 mm

7.5 mm

8.2 mm

The internal diameter is 6.0, the outside diameter is 8.2 mmm

14. What is the gold standard to confirm correct tracheal tube placement?

Chest breath sounds

Capnography

Capnography is the current gold standard to confirm correct tracheal tube placement

15. What is the maximum cuff pressure of a supraglottic airway device?

20 cm H2O

30 cm H2O

50 cm H2O

60 cm H2O

The maximum pressure to prevent postoperative sore throat is 60 cm H2O for almost all SAD

16. The Igel device has an inflatable cuff for maximum seal

True

False

The Igel has no inflatable cuff

17. What does the abbreviation ILMA mean?

Intubating Laryngeal Mask Airway

Inexpensive Laryngeal Mask Airway

Invaluable Laryngeal Mask Airway

The ILMA was invented by dr Archie Brain

18. Which Airway Society has the most members?

European Airway Management Society

Difficult Airway Society

Society for Airway Management

Safe Airway Society

The DAS is currently the biggest airway society

19. In which city will the next World Airway Management Meeting 2019 be organized?

Toronto

London

Boston

Amsterdam

WAMM 2019 will be organized in Amsterdam 13-16 November at the Beurs van Berlage Conference Center

20. Which supraglottic airway device can be used in a hyperbaric chamber?

LMA Supreme

Proseal

Igel

AuraGain

The Igel can be used for airway emergencies in a hyperbaric chamber because there is not air inflated cuff

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Did you know this?

We organize courses in Amsterdam The Netherlands, Bern Switzerland and Doha Qatar and we can customize a course for you at your own hospital, just contact us and personalize your airway management — The Airway Management Academy can also organize on site Teach the Airway Teacher courses — Our free ebook “A problem based approach to awake flexible optical intubation” has already been downloaded > 4800 times — Available now in the app stores: airway assessment help with Airway Triage App — We organize courses at our new location Olympic Stadium in Amsterdam —

International airway management conferences

Airway tips and tricks

High flow humidified nasal oxygen can be safely used for procedural sedation, awake intubation, bronchoscopy and for electroconvulsive therapy

Videolaryngoscopy Assisted Flexible Intubation (VAFI) is a great airway rescue technique. Very useful in complex advanced airways

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