Thread by @dastrainees

#JanuAIRWAY Day 27 – The Neurosurgical Airway (thanks to @gasgal13 for her expert contribution to today’s content!). Head Vs Spine. Elective Vs Emergency. So many points of interest for airway managers. Here's a pair of #OnePagers to kick off!
#JanuAIRWAY 1/5

Key principles:
- Prevent rises in ICP
- Avoid hypoxia & low BP
- Minimise C-spine movement where indicated
- Be aware of positioning
- Beware of potential difficult airway in neurosurgical pathology
- Beware of post-op issues e.g. haematoma post-ACDF
#JanuAIRWAY 2/5

We can, in general, divide acute / emergency patients into 2 groups:
1) Cooperative – awake techniques may be the best option in anticipated difficulty
2) Uncooperative – asleep laryngoscopy or asleep FOI (consider LMA conduit)
#FOAMed #JanuAIRWAY 3/5

Here are some papers / links that you might find interesting:
🔗pubmed.ncbi.nlm.nih.gov/25121397/
🔗…-publications.onlinelibrary.wiley.com/doi/full/10.11…
🔗atsjournals.org/doi/full/10.15…
🔗jocn-journal.com/article/S0967-…
🔗bmcanesthesiol.biomedcentral.com/articles/10.11…
#FOAMed #JanuAIRWAY 4/5

Hope that helps. Tomorrow - the Bariatric Airway (ft. contributions from @Admckdoc and our friends @SOBAuk). See you then! #JanuAIRWAY 5/5

*Disclaimer: Inclusion of content (equipment, techniques and scoring systems etc.) in #JanuAIRWAY does not constitute DAS endorsement