Episode 123: Surgical Airway with Andrew Merelman

In this 123rd episode I welcome Andrew Merelman to the show. Andrew is a paramedic and medical student with an interest in emergent surgical airway management. We discuss the human factors involved in the procedure, when it is indicated, how to do it and how to practice.

References and Links:

Airway Ap information:


http://www.airwaycollaboration.org/

iOS – https://itunes.apple.com/ca/app/the-airway-app/id1112657910?mt=8

Android- https://play.google.com/store/apps/details?id=com.parse.airway&hl=en 

3D printed models – https://link.springer.com/article/10.1007%2Fs12630-017-0926-9 Videos:

https://vimeo.com/132394603

https://vimeo.com/132394747

https://emcrit.org/emcrit/real-surgical-airway/

https://www.airmedicaljournal.com/article/S1067-991X(09)00037-6/fulltext

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3727957/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749220/

https://www.ncbi.nlm.nih.gov/pubmed/20491685

https://www.ncbi.nlm.nih.gov/pubmed/30173584
https://journals.lww.com/jtrauma/Citation/2012/09000/Is_bougie_aided_cricothyrotomy_really__extremely.42.aspx

https://www.researchgate.net/publication/253332531_Comparison_of_a_percutaneous_device_and_the_bougie-assisted_surgical_technique_for_emergency_cricothyrotomy_an_experimental_study_on_a_porcine_model_performed_by_air_ambulance_anaesthesiologists

https://www.ncbi.nlm.nih.gov/pubmed/30686312

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078881/

One Reply to “Episode 123: Surgical Airway with Andrew Merelman”

  1. Excellent topic.

    Suggested reading : Hirshberg & Mattox, Top knife the art and craft of trauma surgery. ISBN-13: 978-1903378229 .

    Generally an interesting read (and I think it is useful when you are in anesthesia as well) but what I personally took out of this book is the “don’t flail” idea.

    It describes a surgeon repeating essentially the same move with more vigour to get hemostasis and failing/flailing.
    Hence the don’t flail.

    If something doesn’t work (reasonably excecuted) the first time there is little reason it should work the 2nd (less so the 3rd -15th) time. So you should proceed to the next step early and without delay.

    Especially when going to surgical airway it is essential to get there early.

    But I found it applies equally well to more general practice, say hemodynamic instability.

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