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This case brings up a lot of good points. Thanks for the much needed clinical case presentation Noy.
I am here as devils advocate as all of us on this thread have some solid points. Love the mental masturbation of this case.
I will ask however:
What is at the very bottom of the difficult AW algorithm?
Once you are at CICO scenario... what is the NEXT step to save your patient's life? How will you accomplish this?
It's a difficult line to cross, but when you are there you need to mobilize quickly or be left with a corpse.
Definitely good to have thought about these cases b4 they land in your lap.
Again. I have intubated impending AW loss with a surgeon and scalpel with a flash of iodine prep ready to get a definitive AW once I induce.
Luckily, I've have not had to have a surgeon cut due to failed intubation.
The exception is the Trauma bay. That is a place where you may skip out on the DL/AFOI/whatever and go right for a surgical AW.
I am here as devils advocate as all of us on this thread have some solid points. Love the mental masturbation of this case.
I will ask however:
What is at the very bottom of the difficult AW algorithm?
Once you are at CICO scenario... what is the NEXT step to save your patient's life? How will you accomplish this?
It's a difficult line to cross, but when you are there you need to mobilize quickly or be left with a corpse.
Definitely good to have thought about these cases b4 they land in your lap.
Again. I have intubated impending AW loss with a surgeon and scalpel with a flash of iodine prep ready to get a definitive AW once I induce.
Luckily, I've have not had to have a surgeon cut due to failed intubation.
The exception is the Trauma bay. That is a place where you may skip out on the DL/AFOI/whatever and go right for a surgical AW.
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