Workshop Objective:
To provide healthcare professionals with advanced skills, knowledge, and practical experience necessary to manage complex airway situations, including the use of advanced airway devices, intubation techniques, and troubleshooting difficult airway scenarios.
Target Audience:
Primary Target:
Healthcare professionals with experience in airway management who wish to enhance their skills in handling complex and difficult airway situations.
Critical Care Physicians (Intensivists)
Emergency Medicine Physicians
Anesthesiologists and Anesthesia Providers
Respiratory Therapists (Advanced)
Critical Care Nurses and ICU Nurses
Trauma Surgeons and Emergency Surgeons
Medical Residents and Fellows (Anesthesia, Emergency Medicine, Critical Care)
Advanced Paramedics
Detailed review of the upper and lower airway structures, anatomical variances, and pathophysiological changes during critical illness.
Understanding airway obstruction, airway edema, and trauma effects.
Pathophysiology of Respiratory Failure:
Hypoxemic vs. hypercapnic respiratory failure
Recognizing the signs and causes of acute airway compromise in critical care and emergency settings
Impact of Disease States on Airway Management:
Effects of conditions like obesity, pregnancy, trauma, and anaphylaxis on airway anatomy and management
Airway considerations in ARDS, COPD, and other diseases
Comprehensive Airway Assessment:
Advanced techniques for evaluating airway difficulty using the Lemon Law (Look, Evaluate, Mallampati, Obstruction, Neck mobility)
Use of 3-3-2 Rule for difficult intubation prediction
Cormack-Lehane classification for direct laryngoscopy and intubation difficulty
Assessing patient factors (e.g., Mallampati score, jaw protrusion, and neck mobility) for predicting difficult intubation
Preparing the environment, equipment, and team: Airway carts, backup devices, medications, and personnel roles
Identifying high-risk patients and strategies to minimize complications (e.g., trauma, pregnancy, or difficult anatomy)
Endotracheal Intubation Techniques:
Direct laryngoscopy with advanced tips: Use of bougies, stylets, and video laryngoscopy
Difficult intubation algorithms and emergency airway management (e.g., awake intubation, fiber-optic techniques)
Supraglottic Devices:
Indications and correct use of laryngeal mask airway (LMA), i-gel, and King LT
Advanced features and troubleshooting during use of supraglottic airway devices
Video Laryngoscopy:
Principles of video laryngoscopy and its role in difficult airway management
Hands-on practice with different video laryngoscope models
Airway Access via Surgical Airway (Cricothyrotomy/Tracheostomy):
Indications for cricothyrotomy and key techniques for emergency surgical airway management
Overview of various methods for emergency access (e.g., open vs. percutaneous cricothyrotomy)
Difficult Airway Identification and Management Algorithm:
Review of the American Society of Anesthesiologists (ASA) Difficult Airway Algorithm and Difficult Airway Society (DAS) Guidelines
Structured approach to difficult airway scenarios: From airway assessment to failed intubation and backup strategies
Awake Intubation Techniques:
Indications and preparation for awake intubation in difficult airway patients (e.g., trauma, edema, or known difficult airway)
Use of sedation, local anesthesia, and fiber-optic techniques
Failed Intubation and Rescue Techniques:
Airway Management in Trauma:
Trauma-related airway considerations (e.g., facial fractures, cervical spine injury, bleeding)
Techniques for safely intubating a trauma patient: Manual inline stabilization, proper positioning, and special considerations
Pediatric Airway Management:
Airway management in infants and children: Size-based airway equipment, anatomical differences, and ventilation strategies
Techniques for dealing with pediatric airway emergencies (e.g., foreign body aspiration, croup, intubation difficulties)
Airway Management in Pregnancy:
Pregnancy-related airway changes and challenges (e.g., increased vascularity, airway edema)
Special techniques and precautions during intubation and ventilation of pregnant patients
Obesity and Airway Management:
Monitoring During Intubation:
Continuous monitoring of oxygenation (SpO2, EtCO2), ventilation, and airway pressures during intubation and mechanical ventilation
Capnography: Importance of end-tidal CO2 (ETCO2) in confirming tube placement and ongoing ventilation
Complications and Troubleshooting:
Managing complications such as mainstem intubation, esophageal intubation, and laryngeal injury
Techniques for troubleshooting if ventilation or oxygenation is inadequate
How to troubleshoot if the airway is obstructed or intubation fails (e.g., reintubation, alternative devices)
Simulated Difficult Airway Scenarios:
Participants practice managing difficult airway cases in realistic simulation settings (e.g., trauma with cervical spine injury, obstructed airway, or pregnancy)
Simulation of challenging pediatric and adult cases, including failed intubation, awake intubation, and emergency surgical airway (cricothyrotomy).
Advanced Device Practice:
Hands-on practice with video laryngoscopes, bougies, fiber-optic devices, and supraglottic airway devices
Participants demonstrate skill in managing and troubleshooting these devices in various clinical scenarios
Rescue Techniques:
Recap of Key Concepts and Techniques:
A structured review of advanced airway management techniques, troubleshooting, and difficult airway algorithms
Participants share insights and experiences from simulations
Final Q&A Session:
Final Evaluation:
Learning Methods:
Lectures and Presentations: Expert-led theory sessions on advanced airway management techniques and protocols.
Hands-On Training: Practical exercises with advanced airway equipment (e.g., video laryngoscopes, supraglottic airways, cricothyrotomy kits).
Simulation: High-fidelity mannequins and simulation scenarios for participants to practice real-world airway management techniques.
Case-Based Discussions: Interactive discussions of difficult airway cases to promote clinical reasoning and decision-making.
Q&A and Feedback: Open discussions with instructors to clarify complex concepts and troubleshoot specific challenges.
Key Learning Outcomes:
By the end of the workshop, participants will be able to:
Perform advanced airway techniques including video laryngoscopy, fiber-optic intubation, and the use of supraglottic airways.
Effectively manage difficult airways using algorithms and backup techniques (e.g., cricothyrotomy).
Apply advanced airway assessment skills to predict and manage difficult airways.
Safely perform airway management in trauma, pediatric, pregnant, and obese patients.
Troubleshoot common and rare airway complications and manage complex airway scenarios with confidence.
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2 Comments
Eleanor Fant
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Shahnewaz Sakil
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