Podcast 142 – Airway Things I Learned from George Kovacs at the NYC Airway Course - a podcast by Scott D. Weingart, MD FCCM
from 2015-01-25T17:18:04
Post Three of Janu-Airway
I just finished teaching at one of the best airway courses I have ever participated in (well actually, it's been a few months now). The highlight of the course was meeting Prof. George Kovacs. He has been obsessed with airway for decades. I picked up a number of great tips from him and I'm sharing those tips with you today.
Anesthesia for Awake Intubation
See this lecture to understand the intricacies of Awake Intubation
* EZ Atomizer
* George uses 15 ml of Lidocaine 4% in the EZ atomizer
* 5% Paste on a Tongue Depressor
* 10% lidocaine would be wonderful to spray down the cords (not available in USA)
EZ100m Disposable Atomizer
Not Seating Fully in the Vallecula
The Move: Lift the Head
Bagging Grip
Underhand grip, like you are holding a football
How to Build Direct Laryngoscopy Muscles
Residents don't lift enough
Two-Hand Lift
Lock and Load and Potato Sacks
the following video demonstrates all of the best-look laryngoscopy techniques we have discussed thus far:
VL/Long Scope Combo and the Triple Set-Up
* Video Laryngoscope
* Fiberoptic Scope
* Surgical Airway Supplies
Effect of Dynamic Versus Stylet-Guided Intubation on First-Attempt Success in Difficult Airways Undergoing Glidescope Laryngoscopy: A Randomized Controlled Trial. Anesth Analg. 2019 Mar 7. doi: 10.1213/ANE.0000000000004102.
How to ask for In-Line Stabilization
* Take Off the Collar!
* Ear-Muffs Approach to prevent obstruction of jaw mobility
Automation Addiction
The FAA Report and its ramifications for Crit Care Airway Management
Want More from George?
* Procedural Skills in Medicine (pdf)
* George's Talk on Human and Psychological Factors in Airway Management From EM London
* Airway in a Minute Videos on George Kovacs Youtube Channel
* AIME Airway Site
* Airway Management in Emergencies Monograph
* George's EMCrit Guest Post on Antifragility
Further episodes of EMCrit Podcast
Further podcasts by Scott D. Weingart, MD FCCM
Website of Scott D. Weingart, MD FCCM