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ICU
Advanced Airway Management

Course Overview

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 

Session 1: Advanced Airway Physiology and Pathophysiology Time: 90 minutes

Advanced Airway Anatomy Review: 

  • 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 

Session 2: Advanced Airway Assessment and Preparation Time: 90 minutes 

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 

Pre-intubation Preparation: 

  • 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) 

Session 3: Advanced Airway Techniques and Devices Time: 90 minutes

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) 

Session 4: Difficult Airway Scenarios and Management Algorithms Time: 90 minutes

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: 

  • Step-by-step approach when intubation fails: Ventilating with a BVM, using supraglottic airway devices, and performing cricothyrotomy or tracheostomy 

Session 5: Airway Management in Special Populations Time: 90 minutes

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: 

  • Airway challenges in the obese patient: Anticipating difficult intubation, positioning strategies, and optimizing ventilation 

Session 6: Advanced Airway Monitoring and Troubleshooting Time: 90 minutes

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) 

Session 7: Hands-On Practical Skills Time: 3 hours

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: 

  • Practice and feedback on airway rescue methods (e.g., transitioning to supraglottic airway devices or performing cricothyrotomy) 

Session 8: Review, Q&A, and Final Evaluation Time: 30-60 minutes

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: 

  • Open floor for questions and discussion of difficult airway management challenges faced in clinical practice 

Final Evaluation: 

  • Participants demonstrate their ability to manage an airway in a simulated high-stress scenario, receiving feedback and assessment 

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: 

  1. Perform advanced airway techniques including video laryngoscopy, fiber-optic intubation, and the use of supraglottic airways. 

  1. Effectively manage difficult airways using algorithms and backup techniques (e.g., cricothyrotomy). 

  1. Apply advanced airway assessment skills to predict and manage difficult airways. 

  1. Safely perform airway management in trauma, pediatric, pregnant, and obese patients. 

  1. Troubleshoot common and rare airway complications and manage complex airway scenarios with confidence. 

 

Reviews

Gosh william I'm telling crikey burke I don't want no agro A bit of how's your father bugger all mate off his nut that, what a plonker cuppa owt to do

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2 Comments

  • Eleanor Fant

    July 14, 2022

    So I said lurgy dropped a clanger Jeffrey bugger cuppa gosh David blatant have it, standard A bit of how's your father my lady absolutely.

  • Shahnewaz Sakil

    July 17, 2022

    David blatant have it, standard A bit of how's your father my lady absolutely.

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  • Location : Cairo
  • Duration :2 Dayes
  • Category :ICU

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