Airwaves Ep 4 - The Dark Art of Facemask Ventilation
Release Date: 12/04/2023
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Safe Airway Society Podcasts
With the needle vs scalpel debate still raging on (at least in Australasia) SAS bravely decides to avoid the issue. Instead, Nick Chrimes leads an expert panel through the relative merits of different scalpel techniques for neck rescue. He is joined by Andy Higgs, Thy Do, Scott Weingart, Reza Nouraei, David Vokes and Adam Rehak.
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Linda Beckmann, the chair of the ANZCA/ASA/NZSA Airway Special Interest Group, gives an update about the group's activities.
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Adam Rehak tells a cautionary tale of misadventure after the AFL Grand Final to demonstrate the complexities of airway injury. An interprofessional panel drawn from the audience guides us through the challenges of threatened airway management from the point of injury to discharge from hospital.
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SAS 2024 - Acknowledgement of Country and President's address - Adam Rehak and Louise Ellard
Safe Airway Society Podcasts
SAS Secretary Adam Rehak and SAS President Louise Ellard welcome delegates to SAS 2024.
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SAS 2023 - After airway management - learning from airway events - panel
Safe Airway Society Podcasts
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SAS 2023 - Unrecognised oesophageal intubation - Nick Chrimes Adam Rehak
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SAS 2023 - Airway SIG update - Linda Beckmann
Safe Airway Society Podcasts
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Safe Airway Society Podcasts
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SAS 2023 - High performance airway management - more than your left arm - Victoria Brazil
Safe Airway Society Podcasts
Internationally renowned human factors expert Victoria Brazil describes how a group of highly functioning individuals can become a high performance airway team.
info_outlineRecorded 19th Jun 2023
Full video livestream of all Airwaves Podcasts is available on the Safe Airway Society YouTube channel.
In this episode we go back to basics to discuss the what is arguably the most important and difficult upper airway technique to master - facemask ventilation.
Host Nicholas Chrimes is joined by Pierre Bradley & Joanna Simpson to discuss why facemask ventilation is important, how to optimise it, how to document it and much more.
Useful Resources:
Facemask Ventilation article by Pierre Bradley in BJA Education: https://www.bjaed.org/article/S2058-5349(21)00126-8/pdf
Facemask Optimisations from the Vortex Approach: http://vortexapproach.org/lifelines#fmv
ANZCA Airway Assessment document: https://libguides.anzca.edu.au/ld.php?content_id=48533093
Articles on test facemark ventilation before giving muscle relaxants:
- Evaluation of changes in tidal volume during mask ventilation following administration of neuromuscular blocking drugs https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.12677
- Could ‘safe practice’ be compromising safe practice? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2007.05429.x
- Face-mask ventilation: the neglected essentials? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.14703
- Facemask ventilation before or after neuromuscular blocking drugs: where are we now? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.12792
- Checking mask ventilation before neuromuscular block: A nation-wide survey of anaesthetists’ attitudes and thinking. https://onlinelibrary.wiley.com/doi/abs/10.1111/aas.13426
Difficult Airway Alert Form: https://www.safercare.vic.gov.au/sites/default/files/2023-02/Victorian%20difficult%20airway%20alert%20and%20support%20document.pdf
Grading systems for outcome of facemask ventilation:
- Concord Scale - capnography grading scale for objective description of mask ventilation: https://www.sciencedirect.com/science/article/pii/S0007091217372094?pes=vorhttps://www.sciencedirect.com/science/article/pii/S0007091217372094?pes=vor
- Han Scale: https://pubs.asahq.org/anesthesiology/article/101/1/267/8519/Grading-Scale-for-Mask-Ventilation
Join SAS: https://www.SafeAirwaySociety.org/join