This is a video by my friend Seth Manoach, MD. He has been an EM Physician for many years and now is in the midst of a three year critical care fellowship sojourn.
This video demonstrates the fiberoptic stylet-aided cric. In this case he is using a Levitan Scope, but an adult bonfils or any other rigid fiberoptic should work fine.
The airway he is using is the Melker cuffed cric catheter, but I have tried this in trach incisions with 6-0 ET tubes, and 6.0 trach tubes as well.
Here is the article seth put in the literature:
Resuscitation. 2009 Sep;80(9):1066-9. Development of a rapid, safe, fiber-optic guided, single-incision cricothyrotomy using a large ovine model: a pilot study.
Please note: The sheep in this video was treated with the utmost respect and ethics. It was heavily sedated throughout with tons of thiopental plus ketamine and xylazine.
Latest posts by Scott Weingart (see all)
- EMCrit Podcast 199 – Management of Massive Hemoptysis with Oren Friedman - May 14, 2017
- Podcast 198 – Insulin Pumps and Such with Josh Miller, MD - May 1, 2017
- Ketamine ……. then Rocuronium, DSI & The Timing Principle - April 25, 2017