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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Why the heck not? Here is an open cricothyroidotomy a la Scott Weingart:. It will be much easier to palpate for anatomic landmarks once you are past the skin. Instead of the needle you might want to use a knife. Levitan for a great course and permission to write this blog. Podcast 70 — Airway Management with Rich Levitan. If possible, try acquiring blades with a lower profile.
This isn’t particularly new, but I couldn’t resist putting it in here because it is really pure gold. It is surely legitan of the best airway lectures I have ever heard. Also, check out his Emergency Department Intubation Checklist. Sorry, your blog cannot share posts by email. Accessed on December 31st If the patient is at high risk for emesis i. Succinylcholine from reuben strayer on Vimeo. Thus, inability to palpate anatomic landmarks airwag not be interpreted as meaning that this procedure is impossible or contraindicated.
However, this does have some important drawbacks. There are certainly situations where awake intubation may improve safety i. Intubating patients in reverse trendelenberg will make gravity work in your favor. See this video on the EMCrit Blog. The aorway approach to direct laryngoscopy with a Macintosh blade is to start on the right side of the mouth and sweep the tongue out of the way before proceeding to look for the epiglottis.
Thanks so much Rich Levitan! Had the opportunity to put into practice some of the info Dr.
Own the Airway!
This post contains some truly awesome educational resources. Not aireay to be difficult. Rich Levitan is one of the best teachers on the skills of laryngoscopy—or as he would probably put it, epiglottoscopy.
Vomit can convert an easy airway into a very challenging airway by impairing just about any method of intubation.
The elvitan is finding midline and then making a large vertical incision. Yep, game changing way to think about laryngoscopy. This post contains some truly awesome educational resources. Racine SX, et al It is a synthesis of material from the lectures as well as the practicum component of the course.
It was a teriffic course, which I would recommend to anyone looking to improve their airway management skills. Also appreciated the history given by Dr Levitan, some of those guys were really smart.
Podcast 70 – Airway Management with Rich Levitan
When I trained, there were two options: Key areas of interest include: American-style MAC4 blades have an enormous flange which limits maneuverability, whereas German blades have a smaller flange which is less likely to get caught on the teeth see below. Greetings from Toronto…great show, keep up the great work. We are the EMCrit Projecta team of independent medical bloggers levotan podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM.
To find midline, gently palpating the lateral borders of the thyroid cartilage and rocking the thyroid cartilage back and forth may be helpful.
10 Pearls from the Levitan Airway Course
I find this to be a useful manoeuvre, if you have the courage to really do it- the very heavy patient will be almost airwa upright! The best lecture on Airway Management—Ever? Tracheal clicking elicits tactile vibrations, which confirm tracheal placement of the bougie.
Subscribe Now If you enjoyed this post, you will almost certainly enjoy our others. Keep up the good work! However, Levitan has persuaded me that the standard-geometry blade with video capability is the airwaj way to go for most cases, since this combines the power of direct laryngoscopy with video laryngoscopy in a single tool.