Airway Management Resources

SCGH Specific Resources:

SCGH ED Airway Trolley (New – 2022)

Click to access SCGH-ED-Airway-Trolley-V3.pdf

ED Difficult Airway Algorithm

ED Surgical Airway Algorithm

ED Pre-Intubation Checklist (New – 2023)

Click to access Pre-intubation-checklist-1-copy.pdf

COVID ED Intubation Checklist

ED Useful Intubation References – for Drug Doses & Ventilator Settings (see enlarged update below)

Initial Ventilator Settings

Predicted Body Weight and Tidal Volume Chart

Ventilator Troubleshooting

Confirmation of Intubation with Capnography / Other (from Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies – as part of Project for Universal Management of Airways (PUMA))

ED Post-intubation Checklist (New)

Click to access Post-intubation-checklist-1-copy.pdf

COVID ED Post-intubation Checklist (Old)

ED Delayed Sequence Intubation (DSI) Guideline

Delayed Sequence Intubation (DSI) Guidelines

Surgical Airway Algorithm

Vortex Airway Algorithm

Preoxygenation:

Pre-oxygenation using non-invasive ventilation:

This is based on the positive trial data from the PREOXI trial.

Mapleson Circuit for preoxygenation:

High flow nasal cannula:

Here are 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

ACEM Resources:

ACEM Critical Care Airway Management Course

Laryngoscopy / Epiglottoscopy:

SCGH ED CMAC Video Database – NEW!!
Richard Levitan’s – Airway Cam Videos
Airway Management with Rich Levitan from EMCrit
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
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).
“Own the Airway”
- 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.