any perticular protocol to follow even if patient is in deep plane ? cannot ventilate situation stony hard lung ? patient desaturating to 75% what should be done?

I have recently heard colleagues discussing 'blind digital intubation' (ie. intubation of the trachea without a laryngoscope using only one's fingers) and now even see it mentioned …

Yesterday whilst walking the hallways of my hallowed institution, I saw a gent with Down Syndrome who must have been in his mid to late thirties. I immediately got to thinking- "Ho …

I had a horrible experience this week. I was the sole anaesthetic registrar on for the night shift for our tertiary maternity hospital. Just after 2am there was a call for a crash …

[youtube]bDRTzmuwMnQ[/youtube] from: http://lifeinthefastlane.com/2010/03/awake-fibreoptic-intubation/

We all hope that we will not need to, but prepare for it regardless: the emergency surgical airway. In a cannot-intubate-cannot-ventilate scenario, what is the best technique and …

A case of interest, maybe. Outpt knee arthroscopy with quick sports medicine surgeon (Philadelphia Eagles team doctor), usually done with GA and an LMA 64 y/o BMI 45, with PMHx of …

Reading the question "Is there any evidence against mechanically ventilating patients via an LMA?" has me wonder about the usefulness and validity of using a laryngeal mask airway …

My hospital has a caesarean section soon scheduled at which the baby will require ex-utero intrapartum treatment (EXIT) for a very large airway-obstructing congenital neck mass. (I …

Is it ethical to teach "old airway techniques" (awake direct laryngoscopy, blind nasal intubation etc) in which you are experienced and competent, to inexperienced anaesthetists if …

There seem to be a large number of alternative intubating devices on the market at present, having arrived over the last 2-5 years. I'm very suspicious of these devices offering so …

For a patient with a history of previous difficult intubation, what do you think is the best way to approach the assessment of this patient's airway pre-operatively?

We've all done it one time or another, and I know of quite a few consultant anaesthetists who in selected patients paralyse and mechanically ventilate for abdominal procedures with …

While taking a shortcut through the ER, I observed an (unpleasant) emergency intubation in a trauma patient with an uncleared cervical spine. The Emergency Residents were appropria …

I recently anesthetized a young man for a VATs (video assisted thoracoscopy) requiring use of a double lumen tube. This lead to a very interesting discussion with my resident regar …