Airway Management
Resources to Review Prior to Conference
Goals and Objectives
Goals
-
Trainee will demonstrate competence in basic airway evaluation and common interventions
-
Trainee will demonstrate competence in managing patients requiring rapid sequence intubation
Objectives
Trainee will be able to:
-
List, recognize, and describe common airway equipment
-
Oxygen delivery equipment
-
Intubation equipment
-
Airway adjuncts
-
-
Recognize and describe basic airway anatomy
-
Define and explain common airway mnemonics:
-
LEMON (for intubation)
-
MOANS (for bag-mask ventilation)
-
SHORT (for surgical airway)
-
-
List and explain indications for intubation
-
Define rapid sequence intubation
-
List and describe airway management equipment necessary for rapid sequence intubation
-
Suction
-
Oxygen delivery (including BVM)
-
Airways (adjunct and definitive)
-
Laryngoscopes (direct and video)
-
Monitoring equipment (including EtCO2)
-
-
List and describe the steps of rapid sequence intubation
-
Planning
-
Preparation (equipment, drugs, staff)
-
Pre-oxygenation
-
Positioning
-
Pretreatment
-
Paralysis (with sedation)
-
Placement
-
Proof of placement
-
Post-intubation Management
-
-
List and describe the medications used for rapid sequence intubation
-
Sedatives
-
Paralytics
-
Adjuncts
-
-
List and describe the medications used for awake intubation
-
Topical anesthetics​
-
Vasoconstrictive agents
-
Anticholinergic agents
-
-
Describe the basic steps of direct, video, and fiberoptic laryngoscopy
-
Explain how to identify an endotracheal versus esophageal intubation
-
List and describe common scenarios that complicate rapid sequence intubation
-
Trauma (including cervical spine precautions, elevated ICP)
-
Hypotension
-
Hypoxia
-
Hypercarbia
-
Metabolic acidosis
-
-
Discuss the indications and how to perform transtracheal jet ventilation
Additional Resources
RSI Overview
-
RSI (LITFL 2019)
-
Own the Airway (LITFL 2019)
-
Intro to RSI (Eric Shappell 2014)
-
Advanced Airway Management Overview (EM Updates 2010)
-
RSI Discussion (EM:RAP 2005)
​
RSI Set-up
-
Airway Checklist (EMCrit 2013)
-
Additional Intubation Checklists (EMCrit)
-
Preoxygenation and Prevention of Desaturation During Emergency Airway Management (Ann Emerg Med 2012) (pdf)
-
Preoxygenation (EMCrit 2019)
RSI Medications
-
RSI Medications (EM:RAP 2007)
-
RSI Medications (J Emerg Nurs 2003)
Awake Intubation
-
Awake Intubation (LITFL 2019)
-
Awake Intubation Video (Michael Bailin 2009)
​
Laryngoscopy
-
Airway Anatomy: Intubation Videos (AirwayCam)
-
Laryngoscopy Technique (EMCrit 2010)
Airway Devices
-
Airway Devices: Direct (Eric Shappell 2014)
-
Airway Devices: Video (Eric Shappell 2014)
-
Transtracheal Jet Ventilation (Al Sacchetti 2014)
-
Supraglottic Airways
Post-Intubation Management
-
Post-Intubation Sedation (EMCrit 2014)
-
Post-Intubation Package (EMCrit 2012)
Ventilator Management
-
Dominating the Vent: Part 1 (EMCrit 2010)
-
Dominating the Vent: Part 2 (EMCrit 2010)
-
ARDSNet Ventilation Strategy (LITFL 2020)
-
Post-intubation Hypoxemia (LITFL 2015)
Misc RSI Content
-
Pediatric RSI
-
Pediatric RSI (Pediatr Emerg Care 2004)
-
Pediatric RSI (Ann Emerg Med 1996) (pdf)
-
-
Special Circumstances
-
RSI in Hypotension (EMCrit)
-
RSI in Acidosis (EMCrit 2009)
-
RSI in Head Trauma (EM:RAP 2003)
-
-
Braude on “RSI” with Bagging (EM:RAP 2010)
-
RSI Video (Al Sacchetti 2011)
-
When RSI isn’t the right SI (EM Updates 2014)
Apps
Textbooks
-
Mechanical Ventilation in Emergency Medicine by Susan Wilcox (1st ed. 2018)
-
Manual of Emergency Airway Management by Calvin Brown (5th ed. 2017)
-
Fundamentals of Airway Management by EMRA / Richard Levitan (3rd ed. 2015)
-
Rapid Sequence Intubation and Rapid Sequence Airway by Darren Braude (2nd ed. 2009)
-
Airway Cam Textbook by Richard Levitan (2nd ed. 2007)