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In this 341st episode I welcome Drs. Alia El-Mowafy and Rachel Tobis to the show to discuss how to prepare for and handle difficult airways and airway emergencies in the office-based setting.
CME: Link
@draliaanesthesia
https://aceeducation.podia.com/
Check out their upcoming course October 3rd & 4th, 2026 in Toronto, Canada
Random Recs:
I am curious if the second case they confused sublingual for submittal injection. The dose for sublingual for laryngospasm is the typical 2 mg/kg and is an acceptable route of administration. It still is odd they did not give it IV.
Source: https://www.ovid.com/journals/anes/abstract/10.1111/j.1365-2044.2012.07258.x~extubation-guidelines-management-of-laryngospasm?redirectionsource=fulltextview
From Dr. El-Mowafy:
“Hi Jacob,
Thanks for listening and your comment. The second case comes from the Professional Conduct and Regulatory Affairs Department at the Royal College of Dental Surgeons of Ontario. It included the clinician’s anesthetic record, ER admissions report, EMS report, recent physician follow up reports, and a report written by the committee based on their conversation with the clinician on his clinical judgement. It is confirmed in several points of the report that the sub mental route was the route of administration. It is possible that the clinician meant the intra-lingual route, and you are right, the dose in this route would be 1-2mg/kg for laryngospasm. However, this distinction was not clarified at any point in the report.”