Discover and read the best of Twitter Threads about #AirwayManagement

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PSA: You *CANNOT* use a "bougie" or Eschmann Intubating Stylet to do an endotracheal tube exchange. I have seen this mistake twice in the past 6 months. You will lose the airway. A simple look at the length of the bougie and an #ETT will make this clear.
The length of an adult ETT is about 32 cm and the length of the #eschmannstylete is 70 cm. This leaves no room in the center for you to grab it. When you retract the #ETT to the end of the stylet, its distal tip is still in the patient's mouth & entire stylet is covered
To do a tube exchange, you need 2x the length of the ETT and then some additional length to work with, else you risk retracting the exchange device too far and losing the airway. This is why they make an "airway exchange catheter" and its length is 83cm:…
Read 15 tweets
First up: Props to #CHEST2020 learning partners for that amazing wait music. Ne'er been a fan of wait music. But this is ... well .. peppy. Am in the mood to learn about #AirwayManagement!

Speakers: @Chaeface @J_Mendelson_MD @KDoerschug

Coverage: @virenkaul

.@J_Mendelson_MD: HFNC and proning in severe hypoxic resp failure:

- Can reduce dead space ventilation, assist with WOB, improved resp mechanics
- Pre-COVID data: Can be successful in potentially preventing invasive ventilation vs NIV and low flow O2

#CHEST2020 #CHESTCritCare Image
.@Chaeface: Pre-oxygenation modifications to reduce aerosolization

Use V-E technique vs C-E technique for rescue BMV. Improved efficacy for ventilation and better seal. (Lower picture):

#CHEST2020 #COVID19 Image
Read 9 tweets
Need a quick recap on #AirwayManagement for nonintensivist? EP: 206 @thecurbsiders @chungk1031 @DoctorWatto @PaulNWilliamz @BrighamSK @Askins_Razor

Breathe easy w/ these airway management principles & expert tips for managing the pt w/ COVID-19 related lung disease

Part 1 of 2
Airway Management Pearls

1. High flow nasal cannula (HFNC): Start at 10-20 LPM and 100% FIO2 and ask patients to breathe in through their nose, out through their mouth and purse their lips to generate PEEP.
2. In general, basic mechanical ventilation can be thought of us in terms of volume assist control and pressure assist control – the former being more common/intuitive, where a tidal volume is set versus the latter where expiratory and inspiratory pressures are set.
Read 12 tweets

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