In this chapter you can learn how to prepare your patient by planning the procedure as well as to ensure correct positioning. Also you can find information regarding the skills of mask ventilation including pre-oygenation.
Ovassapian, Klock, Randel, Klafta et all showed in 2002 that lingual tonsil hyperplasia (LTH) probably accounts for more UNANTICIPATED failures with direct laryngoscopy (DL). In this case LTH is seen with a video laryngoscope (VL) and there is no problem. It is unknown if DL would have been problematic in this patientWatch
Is the obese airway a difficult airway? Dr. Brodsky gives you his view on the subject in this lecture from Euroanaesthesia 2014.Watch
Dr. James DuCanto is demonstrating the Oxylator for pre-oxygenation of a morbidly obese patient. The patient is intubated using a video laryngoscope and a bougie.Watch
Special attention must be payed to the positioning of the morbidly obese patient. If positioned supine on the operating table, the MO patient will experience decreases in functional residual capacity and total lung capacity leading to a very short "safe apnea period" (SAP). Watch this video to learn how to position the MO patient to avoid decreased SAP.Watch
EMS endotracheal intubation helps when using the BURP manoeuvre or "backward, upward, rightward pressure". Paramedics should be familiar with this to help with their intubationWatch
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