GEMS March 2017

ENT / Difficult airways

Lead: Nanette Bothma
​In association with ENT / Anaesthetic departments

Program:

• 13h30-13h45 Case 1 Higgi
• 13h45-14h00 Case 2 Bosanko
• 14h15-14h30 Case 3 Bothma 
• 15min break
• 14h45-15h15 Panel discussion (ED, ENT, Anaesthetics)
• • Where is the best / most appropriate place (physical location) to perform FONA? Resus vs. Theatres
  • Who is the most appropriate person (which speciality) to perform the FONA? ED vs ENT vs Anaesthetics
  • Technique? 
• 15 min break
• 15h30-16h30 Difficult airway workshop (Chishti)

Objectives

Performing a surgical airway is not a procedure that is done very often (around 0.5% of all intubations). It may be a procedure that scares some of us. A lot of the anxiety lies around the decision to proceed. We have had 3 recent cases of patients who presented with airway obstruction that need a surgical airway.
For this afternoon, we would like to

• Use the opportunity to have a group discussion about the methods / skills / approaches taught to different specialities: EM vs anaesthetics vs ENT and the differences in expectations when called to resus to manage a patient who need FONA in an emergency.
  
• Review recent cases
• Refresh our knowledge of a procedure that none of us perform often
• Refresh our knowledge of the difficult airway algorithm and kit

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