Workshop Details - Room Topas


Topas (G)

Thursday 05/10/17

Friday 06/10/17

WS05a

Title:

Essentials of airway study designs

Type: Workshop / Expert Round Table

Chairs: M. Kristensen


WS14a

Title:

Awake video laryngoscope guided intubation - tips & tricks

Type: Expert Round Table

Chairs: I. Hodzovic

Description:

During this workshop you are going to learn:

  • Why awake videolaryngoscopy when flexible FOS is available
  • Who are the patients most suited to this method of airway management
  • What type of videolarygnoscope is most suited to this method of intubation
  • How to administer local anaesthetic for awake laryngoscopy

Awake fibreoptic intubation (FOI) is becoming more and more obsolete and used only by a few airway enthusiasts. Recent published evaluations of the awake videolaryngoscope-guided intubation (VLI) strongly suggest that this technique is not only a suitable alternative to awake FOI but should now be the ‘gold standard’ for managing anticipated difficult airway [1].

 

Videolaryngoscopes have become freely available, allowing their use in a greater number and wider variety of patients, gaining the advantage of familiarity and experience. Videolaryngoscopy is also a skill that is simple to learn and easy to maintain.

 

In addition, there are a number of advantages of awake VLI inherent in the device design and intubation technique. Videolaryngoscopy creates space within the airway, allowing for effective clearance of secretions/blood and the application of atomised local anaesthetic under direct view from the VL. This technique of intubation avoids blind railroading associated with awake FOI, but allows the tube placement to be observed throughout the intubation process. Videolaryngoscopes provide a fixed wide view of the glottis that aids recognition of the airway landmarks, which is particularly relevant in patients with distorted airway anatomy. In addition, there is no diminution of view associated with fiberscope advance towards the glottis. Awake VLI is also an effective awake intubation technique [2,3] for managing an anticipated difficult airway. This is illustrated by a number of well-conducted comparative studies suggesting that awake VLI is faster than awake FOI with no difference in patient comfort between the two techniques of awake intubation.

 

The time has come for awake videolaryngoscopy to become the new ‘gold standard’ for managing an anticipated difficult airway [4].

 

References:

  1. Ahmed I, Bailey CR. Anaesthesia 2016; 71:3-16.
  2. Mendonca et al. Anaesthesia 2016; 71: 908-14.
  3. Kramer et al. Anaesthesia 2015; 70: 400-6.
  4. Fitzgerald et al. Anaesthesia 2015; 70: 375-92.

PDF links to relevant papers:

http://onlinelibrary.wiley.com/doi/10.1111/anae.13042/epdf 

http://onlinelibrary.wiley.com/doi/10.1111/anae.13333/epdf

http://onlinelibrary.wiley.com/doi/10.1111/anae.13734/epdf

Download
Workshop 19 - Video
Awake videolaryngoscope guided intubatio
QuickTime Video Format 7.1 MB
Download
Workshop 19 - Video
Atomised LA application copy.mov
QuickTime Video Format 8.2 MB

WS19a

Title:

Challenges of prehospital Airway Management

Type: Expert Round Table

Chairs: R. Noppens


WS24a

Title:

Airway Management in severe obese patients

Type: Expert Round Table

Chairs: T. Gaszyinski, M. Sorbello

Description:

Airway management in obese patients represent a multileveled challenge, from pre-procedural assessment up to addressing to correct level of care. The WS will discuss the topic of difficult airway prediction, issues of laryngoscopy and videolaryngoscopy, tips and tricks including positioning and monitoring, discussion of available devices, ventilation and extubation strategies.

 

Recommended readings:

Petrini F, Di Giacinto I, Cataldo R, Esposito C, Pavoni V, Donato P, Trolio A, Merli G, Sorbello M, Pelosi P; Obesity Task Force for the SIAARTI Airway Management Study Group. Perioperative and periprocedural airway management and respiratory safety for the obese patient: 2016 SIAARTI Consensus. Minerva Anestesiol. 2016 Dec;82(12):1314

Download
Perioperative and periprocedural airway management and respiratory safety for the obese patient: 2016 SIAARTI Consensus
Consensus OBESO SIAARTI Minerva Anestesi
Adobe Acrobat Document 8.0 MB

WS34a

Title:

EAMS member - how can I become more involved?

Type: Expert Round Table

Chairs: R. Noppens


WS39a

Title:

Algorithms - Which should I use for my department

Type: Expert Round Table

Chairs: F. Pühringer