Advanced Airway Workshop

Airway workshop aims and objectives

Advanced Airway Workshop Overview: https://youtu.be/OVkT0JpYuns

FlexibleFiberoptic (FB) Intubation

Aims:

Training in handling/using fiberscope both nasally and orally.
Understanding of basic and more advanced local anesthetic and sedative techniques depending on experience.
Awareness of clinical indications and contraindications / potential difficulties.
Awake and sleep fiberoptic techniques.
Airway topicalization for awake intubation.

Teaching objectives:

Discuss the indications and contraindications for using the flexible Bronchoscope (FB).
Discuss the features, preparation, and care of FB.
Demonstrate the basic movements of the FB.
Learn how to insert and confirm endotracheal tube placement using the FB.
Experience oral and nasal intubation with the FB using intubating airways.
Reinforce the importance of maintaining oxygenation and ventilation using endoscopy masks and swivel connectors with LMA.
Troubleshooting and managing common problems with FB.
To be able to anesthetize the airway with local anesthetic including the use of mucosal atomizer devices and epidural catheters.
The ultimate goal of this skill is to leave the delegate feeling that he or she can perform awake (and occasionally under GA) FO intubation when clinically indicated. This requires an ability to set up the equipment, topicalize the airway, deliver conscious sedation, pass FB, and railroad the tube effectively.

Videolarynscopy

Aims:

Understand the role of Video laryngoscopes in routine and difficult direct laryngoscopy, (predicted and unpredicted) in adults and pediatrics.
Understand the classification of Videolarynoscopes and their differences.
Classification of VL:
VL based on Macintosh blade.
Intubating (visualizing) stylists e.g. Bonfils, Sikani
VL with the curved blade without tube guidance e.g. McGrath, Glidoscope
VL with the curved blade with tube guidance, Airteaq.

Teaching objectives:

To perform direct and Videolarynscopy using C-Mac and Glidoscope.
To learn about the relative merits of each device with regard to published literature, ease of use, costs, reusability, and tutors’ experience.
To learn what Video laryngoscopes are available for pediatric airway and to learn tips and tricks for this patient’s population
To know the indication of Videolarynoscopes

Retromolar Intubation

Aims:

Teaching objectives:

Anterior of Neck Access

Aims:

To become familiar with techniques for narrow and wide bore Canula and surgical cricothyrotomy.
To select and manage appropriate techniques for different clinical scenarios.
To select the appropriate methods for ventilation with each of these.

Teaching Objectives:

Teaching Objectives:

After completing this hands-on workshop, participants will be able to:

Identify airway structures with ultrasound
Recognize the air-tissue border from tongue to mid-trachea and at the pleural level
Localize the trachea by combining palpation of the sternal bone with ultrasonography
Identify the “string-of-pearls” sign that identifies the tracheal rings and mark the cricothyroid membrane as part of difficult airway management skills
Recognize sonographic evidence of lung movement during respiration and exclude an intraoperative pneumothorax
Recognize endobronchial intubation and one-lung ventilation
(Pathological findings and evaluation of gastric content can be discussed when time allows)
Ultrasound teaching for the upper airway.
Cricothyroid membrane detection by US.
Detection of pleural movement for the detection of pneumothorax.
Detection of esophageal intubation by US.
Pediatric Airway

Teaching Objectives:

Recognize differences between pediatric and adult airways.
Review pediatric airway management techniques and equipment.
Review common mistakes and complications in the management of the pediatric airway.
Extubation of pediatric patient.

Fiber optic Simulation

Teaching Objectives:

Appropriate simulation teaching programs help the student develop integrated emotional, cognitive, and psychomotor abilities that affect a change in behavior and performance in the clinical setting.
Playback options for objective performance and evaluation.
More and more practice avoids damage to clinical bronchoscopes.

City: Itqan Clinical Simulation and Innovation Center, Hamad Bin Khalifa Medical City, Doha, Qatar

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