Welcome back to #JanuAirway Day 22. ECMO and difficult airways. This is a niche area, but important to consider for elective cases, especially if you work in a centre with easy access. Let’s start with a #OnePager – thanks to @drcameronmaxwe1 for his expert help!
1/6
This is a first. Unnecessary complication following CABG… A colleague sent me this image… every time he tried to pull the Swann out, the patient would experience massive hypotension! @BaoGTran@Abedeanda@drraycleemd@AspiringCTS
Elective ECMO support should be considered for airway procedures in patients with subglottic obstruction and severe symptoms, or tracheal diameter <5 mm.
Share your experiences with us...
#ECMO#criticalcare#anaesthesia#BJAEducation
https://t.co/Jg1J0J3q6J
Ever heard of “Norman doors”?
No?
I guarantee you’ve used them.
Described by Don Norman (design legend) they have design elements giving you wrong usability signals such that special signage is required to clarify how they work.
A #design 🧵
1/
https://t.co/kmiBVIywDJ
@GongGasGirl RPA has a nice set-up. Stack of 3 - 6 pumps attached to ventilator with single powerpoint. Available in every OT. Nothing's perfect, but a good set-up compared to other hospitals
We are SO excited to release the long anticipated Android ASCAR App:
https://t.co/JlTWH9PA5m
The App is now live on the Play Store.
Free to download, the app is an intuitive, easily searchable library of all our cognitive aids with an integrated, drug and equipment calculator.
"I am an #anesthesiologist. I erase consciousness, deny memories, steal time, immobilize the body. I alter heart rate, blood pressure & breathing, and I reverse these effects. I eliminate pain during a procedure & prevent it afterward" - Dr. Henry Przybylo. #WorldAnaesthesiaDay
@fuzzymittens I keep in mind that people with different skillets may be managing the airway in the future. An elective case by a consultant anaesthetist who struggled with VL but was successful may be difficult for a trainee in the middle of the night
In WWII the US Army taught non MDs to give anesthesia. (Image: A training record) 1. 33 y/o pregnant female 2. large goiter with airway compromise 3. Mask delivery of C6H6 4. No IV 6. Helium to treat airway obstruction. After 1945, many became anesthesiologists, a new specialty.
Recirculation in VV ECMO. The books describe 2 red pipes and high pre oxy sats but this is the reality - intermittent flashes of red in the drainage cannula. Sometimes you need to watch the pipes a while to see it.