Airway management from the patient perspective | Adam Law | SSAI2019

Synopsis

This is a talk given by Prof Adam Law in Copenhagen in late August 2019 at the SSAI conference in Copenhagen.

Dr Law is very well known in the airway community (speaker details below) and in the FOAMed community, amongst other things for co-founding w George Kovacs the AIME airway site.

We want to use this occasion to give a huge shout-out to the free online infinity edition of their previously printed Airway management in emergencies textbook.

It is free, continually updated and a coordinated collaboration with a range of the world’s best thinkers and researchers in airway management. It is the best free foundational resource I know of, covering everything from fundamental anatomy and physiology through human factors to clinical management in a range of situations and a host of techniques. It’s not finished yet, but even in its current form it is spectacular.

Now, for this talk, Dr. Law addressed the overall theme of the conference, “the patient perspective”, with regards to airway management. What actually is the experience of our patients of airway management before, during and after anaesthesia?

Dr. Law gratiously agreed to re-record his talk in our studio recording setup for a higher yield online lecture format. Many thanks to Robin Lundén for pioneering this effort and doing the practical recordings and editing.

Video

Part 1

Part 2

Slides

More resources

Speaker bio

Dr. Adam Law is Professor of Anaesthesia at the QEII Health Sciences Centre in Halifax, Nova Scotia, Canada. He started medical practice with 6 years as a rural general practitioner. This was followed by a residency in Anaesthesia and subspecialty training in neuroanaesthesia at Western University in London, Ontario, Canada. He has worked in Halifax as a consultant anaesthetist ever since. Adam is co-director of both the US-based Difficult Airway Course and the Canadian AIME airway course and teaches in both courses on a regular basis. He also chaired the Canadian Airway Focus Group, which published expanded and updated Canadian airway management guidelines in 2013. When not at work, he enjoys spending time his family, hiking, running, skiing and playing tennis.

Articles referenced in the talk

1. El-Boghdadly K, Bailey CR, Wiles MD. Postoperative sore throat: a systematic review. Anaesthesia . 2016;71(6):706–17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27158989

2. Pham Q, Lentner M, Hu A. Soft Palate Injuries During Orotracheal Intubation With the Videolaryngoscope. Ann Otol Rhinol Laryngol. 2017 Feb;126(2):132–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27831515

3. Greer D, Marshall KE, Bevans S, Standlee A, McAdams P, Harsha W. Review of videolaryngoscopy pharyngeal wall injuries. Laryngoscope. 2017;127(2):349–53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27345583

4. Pandit JJ, Cook TM. NAP5 – Accidental Awareness during General Anaesthesia in the United Kingdom and Ireland – Report and Findings. 2014. Available from: https://www.nationalauditprojects.org.uk/downloads/NAP5 full report.pdf

5. Woodall NM, Harwood RJ, Barker GL. Complications of awake fibreoptic intubation without sedation in 200 healthy anaesthetists attending a training course. Br J Anaesth . 2008 Jun;100(6):850–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28654138

6. Joseph TT, Gal JS, DeMaria S, Lin H-M, Levine AI, Hyman JB. A Retrospective Study of Success, Failure, and Time Needed to Perform Awake Intubation. Anesthesiology . 2016 Jul;125(1):105–14. Available from: http://insights.ovid.com/crossref?an=00000542-201607000-00028

7. Law JA, Morris IR, Brousseau PA, de la Ronde S, Milne AD. The incidence, success rate, and complications of awake tracheal intubation in 1,554 patients over 12 years: an historical cohort study. Can J Anaesth. 2015 Jul;62(7):736–44. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25907462

8. Shevde K, Panagopoulos G. A survey of 800 patients’ knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg. 1991 Aug;73(2):190–8. Available from: https://doi.org/10.1186/s40001-018-0339-4

9. Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur J Med Res. 2018 Sep 11;23(1):41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30205837

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Scandinavian anaesthetist. PHARM, ED, OR, ICU. Special interest in wee patients.

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