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 RACC Podcast 220 – Beat the Stress Fool with Mike Lauria — Just In Time Performance-Enhancing Psychological Skills - March 19, 2018
- EMCrit RACC Podcast 219 – Critical Burn Patients in the ED/ICU – Part I with Dennis Djogovic - March 5, 2018
- EMCrit RACC Podcast 218 – Physostigmine with Bryan Hayes - February 20, 2018