The origin of the Direct Laryngoscopy Video System. Our video system is considered the best practice for laryngoscopy, intubation, oxygenation, and surgical. The latest Tweets from Richard Levitan (@airwaycam). Airway obsessed ED doc passionate about larynx and mountains. Live free or die there are greater evils. Overall goals and objectives: 1. Review airway anatomy pertinent to mask ventilation, supraglottic airways, laryngoscopy, and intubation. 2.
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Sorry, your blog cannot share posts by email. Appreciation also to the twenty people who volunteered to donate their body to medical science, allowing the cadaver lab component of this course to be possible.
Podcast 70 – Airway Management with Rich Levitan
Using a high dose of rocuronium and waiting at least 60 seconds may add some safeguards against intubating before the patient is fully paralyzed.
For those of you unable to attend the course, here are some points which were particularly interesting to me.
Issues such as endotracheal tube placement, suctioning the airway, and clearing foreign bodies are easier with a more direct approach. Thus, it’s useful to have a pre-planned approach about how to optimize laryngeal exposure. Bend your stylet to the correct shape. Intubating patients in reverse trendelenberg will make gravity work in your favor. Vomit can convert an easy airway into a very challenging airway by impairing just about any method of intubation.
Anesthesiology, 5PMID: Spammers probably work for the Joint Commission. Thanks so much Rich Levitan! Had the opportunity to put into practice some of the info Dr.
Make sure you can use simple airway adjuncts, including the oropharyngeal and nasopharyngeal airways. As well as the resources provided in this post, two great resources are the free videos on the TheAirwaySite. Want to hear more from Dr. We are the EMCrit Projecta team of independent medical bloggers and podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM. Straight-to-cuff stylet shaping prevents the tube from obscuring your view of the larynx while it is being inserted.
Thanks Scott for the video and handout. We never spam; we hate spammers! This site uses Akismet to reduce spam. Podcast 70 — Airway Management with Rich Levitan.
“Practical Emergency Airway Management” by Richard Levitan, MD
Like Us on Facebook. Amazing lecture…recommending to everyone at my program, especially students. Rich Levitan is one of the best teachers on the skills of laryngoscopy—or as he would probably put xirway, epiglottoscopy.
Cite this post lecitan There are certainly situations where awake intubation may improve safety i. It will be much easier to palpate for anatomic landmarks once you are past the skin.
Thus, inability to palpate anatomic landmarks should not be interpreted as meaning that this procedure is impossible or contraindicated. There are four maneuvers which are very helpful here:. However, Levitan has persuaded me that the standard-geometry blade with video capability is the best way to go for most cases, since this combines the power of direct laryngoscopy with video laryngoscopy in a single tool.
Optimise the position of the patient before you start — this step is often overlooked in the emergency setting. Fantastic lecture and great slides especially By subscribing, you can The endotracheal tube is threaded over the bougie while the bougie is stabilized in place. When I trained, there were two options: This isn’t particularly new, but I couldn’t resist putting it in here because it is really pure gold.
I particullally liked the analogy of breathlessness and head extension or flexion. Most of the time, this is due to the tube catching on the anterior tracheal rings. Key areas of interest include: Thanks Richard and Scott, that was a truly incredible lecture. Tracheal intubation is then confirmed using capnography or an esophageal detector device.
Here are Rich Levitan’s Slides. Levitan for a great course and permission to write this blog.
10 Pearls from the Levitan Airway Course
It is a synthesis of material from the lectures as well as the practicum component of the course. Sorry, your blog cannot share posts by email.
The key is finding midline levtan then making a large vertical incision. Thanks for sharing Don. Levitan is pretty amazing. Skip to primary navigation Skip to content Skip to primary sidebar Levvitan to footer You are here: If you have the chance Don, I recommend taking his cadaver-lab class in Baltimore; well worth it. Once the incision is made, stick your finger into it. It is surely one of the best airway lectures I have ever heard. Face mask ventilation in edentulous patients: