Emergency Awake Topicalized (EAT) Intubation – An Awake Intubation Update - a podcast by Scott D. Weingart, MD FCCM

So I love awake intubation. I've done a ton of previous stuff on the topic of Awake Intubation. My friend, George Kovacs, introduced me to some new gear at one of the AirwayCam course. This changed the way I performed awake intubation--it also made it MUCH faster. So here is how I currently perform awake intubation.



* If you want to see a full lecture by George, go to Podcast 194



Dissociated Awake is what I used to do when I had a time crunch (Pt needs to be tubed now)



EAT Awake is what I do now



* Suck & Pad

* Topicalize

* Analgese

* Intubate

* Sedate



EZ-Atomizer





use the EZ Atomizer to topicalize everything but through-the-cords



You must use 4% lidocaine. Give 10-14 mls (may want to dilute to 3% in patients with low body weight or liver failure)



Flow Rate is 8 lpm on oxygen or air

Topical Lidocaine Lollipop

As high a concentration as you can get

MADgic Device



Plus/Minus Sedation/Analgesia

 



You can never see too many demonstrations of the technique, so here is another video:

George Kovacs on Airway Topicalization



Updates

RCT of 10% spray vs. Nebs--10% spray much better (Chest 2020;157(1):198)

Now on to the Wee...

Further episodes of EMCrit Podcast

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