Difficult Intubation on a Shoulder Surgery Table - Crash course with Dr. Hadzic

Video laryngoscope should be standard of care these days. Also, intubation on a stretcher might be easier than dealing with a shoulder table.

This is what learning from the master really means.

Thanks

A very simple technique that’s unfortunately not considered by many many anesthetists thus cause a “difficult” intubation

Tq

Shall we intubate on trolley then shift to the shoulder table?

A 30 Sec concept …talks 5 min….very typical of western world ppl

Ultimate explanation

Glad to see that except for the FI block, this is the exact SAB technique that I have used for years, and that I teach residents. I have found that typically propofol in slightly higher dose is all that is needed for positioning. Every patient gets 5L mask oxygen prior to and during the SAB. Our surgeons rarely take less than 20 minutes to get the patient positioned on the fracture table, prepped and draped. This is also the same basic technique I use for total hip replacement. It is good to have this in one's arsenal as it can be adapted for emergency C-section (except for the need to use an introducer and a pencil point needle, and a higher dose of isobaric bupivacaine).)

Magnifica idea!

Believe in Jesus Christ and you will be saved by Grace, John 3:16, KJV.........

I think that, in this case, the use of a video laryngoscope should be considered

I see that the rush to start the surgery, even before finishing the anesthesia, is a universal problem

Just looking at the pts, you can realize that you have to modified the pots position if you want to have a safe intubation.
Experience, great humility and attention. The surgeon MUST wait until the Anaesthesist has determined that it can proceed

Thanks for the lesson!! That helps me alot to figure out the ideal position, which make me always fail

Thanks for the helpful advice.

Very good explanation and informative 👍👍

Very informative and well demonstrated...

Thanks for your help

Great explanation, of course if you suspect a potential difficult airway I rather secure it before surgery, even more if the conditions of the table are going to make even a normal airway difficult to secure.

Excellent and very useful!

Excellent
Does this apply even for video laryungoscopy too?

👍👍

What is your take on fluid extravasation. Have you ever seen that the airway is threaten by the fluid.
Thank you very much in anvance!