CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries

CRACKCast E001 - Airway

7 snips
Jan 14, 2016
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ADVICE

Perform The LEMON Airway Assessment

  • Use the LEMON exam to predict difficult intubation: Look, Evaluate (3-3-2), Mallampati, Obstruction/Obesity, Neck mobility.
  • Perform quick bedside measurements and Mallampati view to plan alternative strategies.
INSIGHT

LMA Difficulty Mirrors Other Airway Risks

  • Predictors for difficult LMA insertion mirror other airway challenges: restricted mouth opening, obstruction/obesity, distorted anatomy, and stiffness to ventilate.
  • These overlap with BVM and intubation risks, so alternative plans should be the same.
ADVICE

Assess Cricothyroidotomy With SMART

  • Use SMART to foresee when cricothyroidotomy may be difficult: Surgery, Mass/abscess/hematoma, Access/anatomy problems, Radiation, Tumor.
  • Map the neck preemptively to know if surgical airway will be challenging and plan alternatives.
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