Two more OR intubations from Jim DuCanto, MD
Fiberoptic Intubation through AirQ with continuous ventilation
Rapid Sequence Airway (RSA)
Scott Weingart
An ED Intensivist from NY. No conflicts of interest (coi).
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So does he leave the LMA in and then the ET tube is more distal? Looks really cool.
This LMA is the Air-Q, and it was built from the ground up as a tracheal tube introducer, sort of the way 9 french introducers were made for Swan Ganz catheters. A standard length tracheal does the job nicely through the Air-Q.
This is a staged intubation, using the Air-Q as both a ventilatory tool as well as a tracheal tube introducer. Blind intubation is possible through the Air-Q, but it has a lower success rate than the Fastrack. Optical stylets work so well through the Air-Q–you don’t need a flexible. Consider this video a demo for anesthesiologists/CRNA’s that do have flexible scopes. But note how topical local through the scope allowed intubation without muscle relaxants.
Don’t focus on taking out the LMA right away–secure the airway first, then take care of it later. Or call someone else to do it (i.e., Anesthesia). Use your consultants wisely.
there are alot of failed intubation cases with air Q either reusable or disposable