Dr. Kaide’s Airway “tip of the month”
There was this hypothetical patient…who was being intubated. As soon as the patient was paralyzed dark blood came pouring out into the mouth from an upper GI bleed. The resident immediately suctioned a continuous flow of blood from the airway. She could not see any airway structures because of the bleeding. Now what?
Learn, Evaluate, Adopt…Right Now!
Colin G. Kaide, MD, FACEP, FAAEM // Editor Michael G. Barrie MD
LEARN airway word document version of this resource
This patient was an obese male in his 50’s who developed respiratory failure in the ED. Intubation by a senior resident and a very experienced attending using first GlideScope® (GS) then direct laryngoscopy (DL) were unsuccessful. They placed a size 5 LMA and were able to successfully oxygenate the patient. I was called to assist with the airway. They said they could visualize the cords with DL and with the GS. They were unable to guide the ETT into position because of what was described as a large amount of “redundant tissue” and some anatomic issue that prevented 2 experienced doctors from guiding the ETT thru the cords.