Browsing Tag

airway

Extubation Criteria and Failure

Extubation most commonly refers to removal of an endotracheal tube (ETT) to transition a patient back to spontaneous respiration; however, when is it appropriate to do so? How do we know the patient is ready and won't require reintubation?

Expanding Neck Hematoma Management

Neck hematomas are a life threatening albeit rare post operative complication of surgeries in the cervical spine and neck (thyroidectomy, carotid endarterectomy, etc.) The overwhelming majority of patients who undergo these types of…

Awake Fiberoptic Intubation

This month has been riddled with challenging airway situations, so I thought it would be a great opportunity to discuss how I perform awake fiberoptic intubations. The decision to intubate someone awake is rooted in the high likelihood that…

Reinforced Endotracheal Tubes

When I first started my anesthesiology training, I almost always used a reinforced endotracheal tube (ETT) for cases where my patient would be positioned prone for an extended period of time. One can imagine that in this position, even if…

DNI Without DNR?

"Do not intubate" (DNI) and "do not resuscitate" (DNR) are two different entities. Often times a tenuous cardiopulmonary status or altered mentation requires securing the airway with endotracheal intubation well before full-on resuscitation…