A Guide to Intubating through the Intubating Laryngeal Airway by James DuCanto

James DuCanto just emailed me with a guide to intubating through LMAs. My first question, of course, is can I share it with the listeners, so…

Here is the guide

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This Post was by , MD, published 2 years ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.

Comments

  1. Minh Le Cong says:

    Jimmy D owns the airway, not me!

  2. Jimmy D says:

    Thanks for posting it!

    This guide is almost 7 years old, by the way.

    I use this technique with both recognized difficult airways and unrecognized difficult airways. In recognized difficult airways, I will often place the Air-Q under moderate to deep sedation, ventilate the patient, squirt topical lidocaine through the mask to topicalize the airway and then intubate through the Air-Q with this technique. Refer to Mihn’s photos for a more “modern” shape that is suitable for this procedure–the shape shown in this guide corresponds to information I garnered 7 years ago during my initial discovery of this procedure. The stylet I use looks just like Mihn’s. I use the Air-Vu Plus. I do have a Levitan bent in this configuration, but I keep it as an emergency (just in case) stylet in a bag I keep in my vehicle.

    To date, I have intubated more than 500 patients using this technique, and have used it to rescue colleagues of mine on almost 10 occasions.

  3. Minh Le Cong says:

    Folks, send me your airway, sedation and anaesthesia questions For Jim to answer when I interview him in an upcomng episode!

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