SCGH Specific Resources:
- SCGH ED Airway Trolley Orientation
- ED Difficult Airway Algorithm
- ED Surgical Airway Algorithm
- ED Pre-Intubation Checklist
- ED Useful Intubation References – for Drug Doses & Ventilator Settings (see enlarged update below)
- Initial Ventilator Settings (!!UPDATED 10/2015!!)
- ED Post-intubation Checklist
- ED Delayed Sequence Intubation (DSI) Guideline
Preoxygenation:
Here is a comprehensive series of videos by A/Prof James Rippey on how to optimise your patients preoxygenation prior to intubation:
1. Introduction to pre oxygenation and apnoeic oxygenation in Emergency Medicine:
2. Basic respiratory physiology required for understanding preoxygenation:
3. Optimal patient positioning in preoxygenation:
4. Preoxygenation and apnoea oxygenation using nasal prongs and non rebreather mask:
5. Nasopharyngeal and oropharyngeal sizing and insertion:
6. How to use CPAP, BVM and PEEP valve with nasal prongs in pre oxygenation and apnoeic oxygenation:
7. Suxamethonium vs rocuronium, cricoid pressure:
How to optimise your patient’s preoxygneation, and maximise your intubation time!
Patient position
Nasal prongs
NRBM
BVM and PEEP valve
NIV and CPAP
To remind you of the benefits of using nasal cannula delivered oxygen at 15L/min during the apnoeic period, here is a good summary of Apnoeic Oxygenation by Chris Nickson LITFL with a link to the evidence presented by Levitan and Weingart
Laryngoscopy / Epiglottoscopy:
Airway Management with Rich Levitan from EMCrit
Keith Greenland Understanding Airways from SMACC 2014:
Keith Greenland Understanding Airways from Social Media and Critical Care on Vimeo.
New!! Difficult Airway Assessment and Oxygenation – Issues and Controversies: a review of the evidence by Dr Roger Swift (SCGH ED) 6/2016 – includes reviews and summaries of the current evidence for:
- Airway Assessment
- Patient Positioning
- Oxygenation, and
- RSI Planning
New!! Rapid Sequence Intubation (RSI) by Roger Swift (SCGH ED) 2/2017 – A well researched document that includes a lot of very useful information related to preparation and performing rapid sequence intubation (RSI).
Post by Chris Nickson from LITFL – “This is a collection of my favourite online video resources to help even the greenest emergentologist ‘own the airway’. This post contains some truly awesome educational resources. Enjoy!” – Some great stuff here!!!
Surgical Airway:
Videos by Dr Andrew Heard – Updated 12/2013
These videos have been blocked from playing in embedded format on external webpages. To watch all these videos, and others, here is Dr Andrew Heard’s Youtube Channel, or you can click on the youtube link for each video below.
- Cannula Cricothyroidotomy
- Cannula Comparison
- Melker Tube Insertion – Seldinger Technique
- Scalpel Bougie Technique
- Cannula Cricothyroidotomy – Fat Neck
- Scalpel Technique – Fat Neck
- Jet Oxygenation
Vortex Approach to Airway Management:
Introduction to the Vortex Approach from Simpact on Vimeo.
The Vortex in Action from Simpact on Vimeo.
Oxylog 3000 Resources:
- Drager Oxylog 3000 plus Product Trainer / Simulator
- Oxylog 3000 – the basics – video overview by Jo Deverill
- Here is a link to LITFL: Own The Oxylog 3000! by Chris Nickson – which includes these useful charts by George Douros on guides for both Volume & Pressure Controlled Ventiltion strategies (these documents have been used to produce Dr Rippey’s summary of “Initial Ventilator Settings” as seen above)
- Owning the Oxylog 3000 video by George Douros 9/2015:
Paediatric Airway:
ED Airway Registry Documentation:
Here is a copy of the Airway registry form now found on the difficult airway trolley. This should be filled out for all intubations in the ED:
Here is a link to AirwayRegistry.org.au
Here is their RSI Checklist:
and their RSI Algorithm:
Date implemented – 10/2013
Review date – 10/2016
Author – James Rippey, James Wheeler, others as above
