The Physiologically Difficult Intubation – Critical Help From Drs. Weingart and Mellick

Dr. Scott Weingart of the outstanding EmCrit podcasts reminds us that the physiologically difficult airway (the airway in a patient with hypotension or potentional hypotension, the patient with hypoxia, and the patient with a severe metabolic acidosis) must also be planned for lest disaster (cardiac arrest) occur. Please review the following links to Dr. Weingart’s site very carefully:

  1. Preoxygenation, Reoxygenation and Deoxygenation,
  2. Podcast 3 – Laryngoscope as a Murder Weapon (LAMW) Series – Ventilatory Kills – Intubating the patient with Severe Metabolic Acidosis,
  3. Podcast 104 – Laryngoscope as a Murder Weapon (LAMW) Series – Hemodynamic Kills,
  4. Podcast 173 – LaMW – Oxygenation Kills Part I,  Podcast 174 – LaMW – Oxygenation Kills Part II,
  5. Podcast 129 – LAMW: The Neurocritical Care Intubation

And see also Vasopressor Basics (and Much More)–#138 from Dr. Weingart
Posted on May 25, 2015 by Tom Wade MD

Dr. Mellick is a pediatrician and emergency medicine specialist who makes outstanding YouTube videos. Here are some of his videos relevant to the physiolgically difficult intubation:

  1. Another Great YouTube Video from Dr. Mellick–Pediatric Pulse Dose Pressor Administration Posted on October 2, 2014 by Tom Wade MD
  2. Dr. Mellick’s Vid: Pulse Dose Epi–Intubating the Unstable Patient (Watch and Read!) Posted on January 10, 2014 by Tom Wade MD
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