Anesthesia‎ > ‎

Airway

Mallampati Classification

Cormack-Lehane Scoring










Difficult to Bag

Beard
Obesity                           
No Teeth
Elderly (>55)
Snores

Difficult to Intubate    (Emerg Med J 2005; 22:99-102)

Look at head and neck
E
valuate 3-3-2
M
allampati 
O
bstruction
N
eck Mobility
S
aturation reserve (Ann Emerg Med June 2006)

Difficult Extraglottic Device

Restricted Mouth Opening
Obstruction: at or below the level of the larynx
Disrupted or distorted airway. If the seat or seal of the device is disrupted
Stiff lungs or cervical spine. Poor lung compliance or inability to extend neck may hamper seal

Difficult Cricothyrotomy 

Surgery/Disrupted Airway
Hematoma
Obese/Access Problems (Can't get to neck)
Radiation
Tumor

McCoy Laryngoscope Blade


Needle-Bag Ventilation

(can connect without the tubing as well)

(spike from IV tubing)

Needle Insufflation

(the other port is the release valve)

(the other prong is the release valve)


SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
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Analgesia first sedation  206k v. 1 Oct 17, 2012, 4:09 PM Kit Tainter
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8 pts, paralyzed and intubated, connected to circuit but no ventilations, no desats >30 minutes (low pH).  485k v. 1 Oct 13, 2011, 6:30 AM Kit Tainter
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  141k v. 1 Jul 19, 2013, 6:48 PM Kit Tainter
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The Experience of Complete Neuromuscular Blockade in Awake Humans   766k v. 3 May 14, 2011, 1:14 PM Kit Tainter
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Mean functional recovery time 8.5 minutes (pt will already have desaturation)  2661k v. 1 Oct 19, 2011, 8:21 AM Kit Tainter
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Weingart  488k v. 1 Feb 18, 2017, 10:26 AM Kit Tainter
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  681k v. 3 Oct 12, 2010, 2:26 PM Kit Tainter
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  258k v. 1 Jul 24, 2016, 7:03 AM Kit Tainter
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  255k v. 1 Mar 15, 2013, 10:25 AM Kit Tainter
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140 healthy subjects, 37% absent gag reflex  314k v. 1 Sep 27, 2011, 12:09 PM Kit Tainter
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120 pts, gag reflex vs videolaryngoscopy vs speech therapy, gag not predictive of airway reflexes  501k v. 1 Sep 27, 2011, 12:10 PM Kit Tainter
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  589k v. 1 Oct 27, 2016, 12:56 PM Kit Tainter
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  130k v. 3 Jan 21, 2011, 12:10 PM Kit Tainter
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  331k v. 1 Oct 22, 2011, 9:22 AM Kit Tainter
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Myth: Ketamine should not be used as an induction agent for intubation in patients with head injury  136k v. 2 May 7, 2012, 3:38 PM Kit Tainter
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Bimanual laryngoscopy best, BURP, Cricoid worsen view  1024k v. 1 Oct 15, 2012, 4:18 PM Kit Tainter
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  11035k v. 1 Oct 27, 2017, 5:43 PM Kit Tainter
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One Hand, Two Hands, or No Hands for Maximizing Airway Maneuvers?  81k v. 3 Oct 18, 2010, 12:22 PM Kit Tainter
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National Audit Project (4), Royal College of Anaesthetists. Review of airway complications in UK. Ch 10 is ED/Remote settings.  4084k v. 2 May 10, 2011, 8:14 AM Kit Tainter
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  622k v. 1 Oct 22, 2011, 9:22 AM Kit Tainter
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Levitan - Nasal Oxygenation During Efforts Securing A Tube  1297k v. 1 Nov 24, 2013, 11:11 AM Kit Tainter
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  356k v. 1 Oct 12, 2016, 12:12 PM Kit Tainter
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  177k v. 1 Jan 22, 2012, 7:53 AM Kit Tainter
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  1207k v. 1 Nov 11, 2011, 12:22 PM Kit Tainter
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  200k v. 1 Nov 11, 2014, 7:15 AM Kit Tainter
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  166k v. 1 Jan 31, 2013, 8:45 AM Kit Tainter
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  117k v. 1 Oct 26, 2011, 10:37 AM Kit Tainter
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Strayer letter to the editor reviewing Cochrane  126k v. 1 Oct 20, 2011, 6:34 AM Kit Tainter
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  784k v. 2 May 11, 2011, 7:46 PM Kit Tainter
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