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WantNews 1 May 16
. nice video what paralytic did you use?
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Tom Mallinson πŸ‡¬πŸ‡§πŸ΄σ §σ ’σ ³σ £σ ΄σ ΏπŸ‡ͺπŸ‡Ί 1 May 16
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Matthew Vaughan 2 May 16
is this named after you ?.
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Yen Chow 3 May 16
Two problems of being too close and hyperangulated approach to airway
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Yen Chow 3 May 16
Too close = short tube delivery space/distance on screen ... more challenging to get tube tip to target
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Yen Chow 3 May 16
Vid: troubles with tip missing target because closer view is harder to judge tube deliv trajectory
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Yen Chow 3 May 16
Hyperangulated approach = Kovacs' sign where tube deliv direction hits rings instead of going down trachea
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Yen Chow 3 May 16
Vid: even if tube tip got to the target would be tougher to deliver tube down trach as get caught on rings
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Yen Chow 3 May 16
Solution is avoid too close and too hyperangulated view (lots tricks for that) but ...
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Yen Chow 3 May 16
Let's say that is best/only view possible, tube deliv may be possible with styletted stop pop drop rt turn
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Yen Chow 3 May 16
Replying to @TBayEDguy
Jaw thrust, lift / tilt device to less angle, right corner mouth tube delivery, ELM, more relaxation of tone, bougie/AEC may all also help
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Dave Thompson 4 May 16
Replying to @TBayEDguy
1 TT anesthetist I wrk w/ preferred 2 insrt ETT prior 2 VL. Almst tandem. Said it reduced this. Ident a/w w/ both Ur Thoughts?
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Yen Chow 4 May 16
I prefer to insert suction b4 or with VL or DL ... we are vomitologists ... OR not see as much fluids ping
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Danny 4 May 16
teaching medics to insert suction with VL/DL, clear airway then look to pass tube.
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Matt King 4 May 16
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