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And she failed. Lasted about a day.
Will keep trying though.
Will keep trying though.
And she failed. Lasted about a day.
Will keep trying though.
Not as much. But in the physiological complicated airway you still definitely are.
That’s a small number. If that’s the case, then I am sold!!!5-10% are going to.
That’s a small number. If that’s the case, then I am sold!!!
I thought you meant 5 to 10% fail the HFNC temporization. Not extubation. In the Neuro unit that number is much higher.Well. That’s what the literature says will fail extubation. arguably fewer than that and tubes are staying in to long and visa versa. Though it’s likely never exactly that simple.
I thought you meant 5 to 10% fail the HFNC temporization. Not extubation. In the Neuro unit that number is much higher.
I make my fellows intubate these folks with VL and they all take it as a sign of mistrust, not that I care.
The funny thing is that the data suggests VL may take longer, but that doesn’t seem to be the case clinically.
reading these posts, im anesthesia going into CCM, i almost ALWAYS use VL in ccm patients. Even if their prior airway was documented easy, I dont mess around in the CCM ever. Why make something harder, when you can make it easier (this is after doing thousands of airways).
Yea, I make my fellows use VL almost all the time. They don’t love it (most of my colleagues allow them to DL). It makes my HR go down by probably 20 knowing exactly what view they have.
I’ve gotten to where I have a very low threshold for using glidescope on these pts when I do finally tube them. Especially if the minute ventilation is >20L/min.
I pride myself on trainee (particularly fellow) autonomy, but when I ask someone their airway plan for a debilitated, nearly dead ICU patient and it sounds something like “ehhhhh, I’ll just DL, it’ll be okay” we have a pointed discussion about the pros and cons of that approach vs. the one that has a higher first pass success rate and ICU literature backing its superiority. I don’t care if you’ve intubated thousands of patients, there are only a few reasons to turn down VL in that patient population.I’m a cardiac anesthesiologist—I use VL for all patients like this. Its more reliable. There’s no need to be a hero.
I’m a cardiac anesthesiologist—I use VL for all patients like this. Its more reliable. There’s no need to be a hero.