Anatomy of the ET Tube

⏺ 15 mm connector – standardized on all airway equipment to avoid a situation where somebody had to look for the right adaptor ⏺ Pilot balloon – contains a spring-loaded one way valve to inflate the balloon. ⏺ One way valve – prevents the air from leaking out when the syringe is disconnected ⏺ Inflatable […]

Difficult Airway

MOANS – difficult BVM LEMON – difficult laryngoscopy The Two Minute Drill: How I Prep My Airways The Bloody Airway: The Trauma Airway and the GI bleeder The Obstructed Airway: Angioedema and Deep Space Infections

Consensus guidelines for managing the airway in patients with COVID‐19

The predominant COVID‐19 illness is a viral pneumonia. Airway interventions are mainly required for tracheal intubation and establishing controlled ventilation. This consensus statement has been brought together at short notice to advise on airway management for patients with COVID‐19, drawing on published literature and immediately available information from clinicians and experts.

COVID-19 Airway Management

Approximately 17% of confirmed cases of COVID-19 develop severe disease with acute respiratory distress syndrome (ARDS). Like other patient groups with ARDS, patients with severe COVID-19 are likely to be considered for emergency tracheal intubation and mechanical ventilation to support potential recovery from their illness.

Paediatric “tube” sizes

You decided to intubate a child and wisely remembered that you should also follow with an NG/ OG after intubation to decompress the stomach.  In order to avoid the blank stare when asked “what size”?  Here’s a nice mnemonic about Pediatric “tube” sizes… easy as 1-2-3-4!!!  Please note ETT = endotracheal tube size. 1 x […]

Rapid Sequence Intubation Medications

Induction Agents Medication Weight-Based Dosing Time to Onset of Action Adverse Effects/ Contraindications Etomidate 0.3 mg/kg <1 minute May cause clinically insignificant adrenal suppression. Ketamine 1-2 mg/kg 1-3 minutes May increase blood pressure. May cause hypersalivation. Propofol 2 mg/kg <1 minute May cause hypotension. Cardiac depressant. Contraindicated in egg/soybean allergy Midazolam 0.3 mg/kg 1-5 minutes […]

Intubating the child

Endotracheal Tube Depth: Estimate 3 x Internal Diameter of Endotracheal Tube (ETT) e.g. 4.0 ETT => Depth = 12 cm. Only used for ETT 3.0 or greater Anticipate and Estimate, but Confirm with CXR!!!     Add to Anti-Banner

Emergency Medicine Kenya Foundation