JR20 = July-Ready in 20 Clinical Days
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Lippincott Williams & Wilkins: Airway video from Clinical Anesthesia, Seventh Edition - YouTube

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Outstanding!!!

True: "Airway physical examination may improve detection of a difficult airway. It should be conducted prior to all anesthetic care. By assessing multiple features, the prediction of a difficult airway increases."

Follow this detailed advice, and you will rarely go wrong. I have yet to see residents, CRNAs, or attendings be this thorough! Spend the 60 seconds it takes to be thorough every time!

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Preoperative Airway Management Training - YouTube

Airway management training video produced in conjunction with the University of Central Lancashire. This video focuses on the considerations that the anaesth...
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Love this video. [first 3 minutes]

- content is excellent.

- mix of illustrations, live patient, animated overlays...

- estimating oral airway size [2:22] -- yes!

- 180° rotation of oral airway

- includes great lists of complications/risks.

- From 3:10, less relevance (Mapleson C; double hand technique [not too commonly needed) ... might disregard this half.

- Love the I-Gel [4:10], but costs made this disappear this past year...

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Oral Tracheal Intubation - YouTube

Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic or rubber tube into the trachea (windpipe) to maintain ...
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Nice step-by-step with great narration. [nothing useful after 2:00 mark]  Note:

- S.L.O.P.E.S. -- I can't stand acronyms, but for those who love them, this is comprehensive and reminds you of all critical preparations for DL/ETT! 

- "pull up and away'... off the teeth.

- Removing e the stylet..

 

 

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Intubation-How to perform endotracheal intubation # 2 - YouTube

A video detailing how to perform an endotracheal intubation
Michael G. Richardson's insight:

Solid video with live patient. 

- I strongly disagree with right hand mouth opening technique. Some 'relaxed' pts have non-relaxed TMJ/mouth opening. Much more leverage using scissor technique: right thumb on right mandib incisors (or canine) and middle finger on molars, much like the powerful motion of 'snapping' yoru fingers. Once blade is inserted, then right thumb comes off mandib teeth, and sweeps lower lip away as upward/outward handle lift. This technique opens mouth maximally (even in tough situations), and protects teeth and lips.

- No stylet -- nice!!! Thank you!

- Removal of blade: too cavalier. Slow down. I have witnessed chipping of lower teeth upon careless removal of blade. What's a perfect way to wreck a sweet intubation!

- Second run through [at 0:30]: Excellent example of careful placement of Mac blade to right of tongue, and sweeping to left. Smooth insertion of unstyletted ETT follows.

Proceduralist seems to rapidly place ETT to set distance. Preferred: watch cuff pass cords, then advance until proximal cuff is about 1 cm below cords.

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Using the Bougie for Endotracheal Intubation - YouTube

This video demonstrates the use of the bougie for endotracheal intubation. In this video we demonstrate the technique using the Storz video laryngoscope. Thi...
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Bougie intubation through in ICU pt using indirect videoscope. Nice live video imagery, worht 

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Introduction to Larynx, Pharynx, and Airway Anatomy - YouTube

See http://www.bastianmedicalmedia.com Follow us on Twitter: http://twitter.com/bastianvoicedoc In this presentation Dr. Bastian provides an introduction to ...
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Airway Anatomy:

First 2/3 gives very comprehensive review of anatomy.

Final 1/3 is live, and clearly designed for ENTs, (orientation to live shots is 180° from our custom), but watching this give a GREAT perspective, which enhances the anesthesiologist's understanding.

 

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Mask Ventilation

This is "Mask Ventilation" by Stanford Anesthesia on Vimeo, the home for high quality videos and the people who love them.
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Although this video suffers from mannequin use only, it provides a GREAT step by step approach to routine mask ventilation, as well as escalating maneuvers to deal with mask ventilation difficulty. Worth the view!! 

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tracheal intubation - YouTube

Young women prepared for surgery
Michael G. Richardson's insight:

Notice:

- DL lasts 0:06-0:21 = 15 sec

- No stylet. I only use stylet if indicated (e.g. RSI; suspected difficulty; unexpected difficult view; etc.), perhaps 2% of all intubations.

- Only as much air volume in cuff as is necessary to form seal, and to provide the right feel when palpating pilot balloon.

- Smooth!

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Endotracheal Intubation - an animated teaching movie.mp4 - YouTube

Endotracheal Intubation - an animated teaching movie www.medicalgeek.com https://www.facebook.com/MedicalGeek For details including procedure in brienf, visi...
Michael G. Richardson's insight:

This animation is great! Note:
- Mac blade insertion is to RIGHT of tongue, sweeping tongue leftward. Biggest novice mistake I see is tongue falling over right side of blade, obscuring view. This is key!!

- Criticism: During blade insertion, handle is -10° (leftward). I insert +45° - +90°, then when tip of blade is in posterior oropharynx, rotating handle leftward sweeps entire tongue to left of blade, optimizing view. 

- Macintosh Blade: IMO, the very best blade for beginners, and my go-to for all intubations, unless the Miller is indicated. In the latter cases, Miller is indispensable. My strong advice for novices, master Mac first!

- Notice that contact between incisors and blade is completely unnecessary, if you are doing DL correctly. "lift upward and away", with emphasis on away!

- No stylet -- Nice! Stylet is unnecessary 90% of the time. It also let's you get away with poor DL technique. IMO, only use stylet if indicated, and there are very specific indications.

- "Inflate cuff with approx 15 mL of air" -- No! Only enough to prevent leak with PPV. Feel pilot balloon, and titrate volume. Tracheal mucosal necrosis is not necessary.

- Confirming correct ETT positioning: One serious omission... what is it?

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LMA insertion - YouTube

Anesthesia: LMA insertion
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Classic technique, as originally intended by the inventor, based on vast research and experience. Can't emphasize how wrong it is to deviate from this, yet everyone does. 

Look at the amazing side (fluoroscopic?) views.

This is 2 1/2 min well spent!!!

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