Check out the timestamps below to help you navigate through the many topics we discussed.
On This Episode:
Even though awake intubations are rare, this procedure is still relevant. In fact, this is an anesthesia airway management technique that continues to be recommended for known difficult airways in every single difficult airway algorithm.
In this episode Jeremy and Sass talk about a specific technique for anesthetizing the airway they call “TOPICAL THUNDER” in preparation for an awake intubation. This is cutting edge, tip of the spear stuff that you won’t want to miss.
As a bonus, if you are planning to attend the AANA Annual Congress in Seattle in August, please consider stopping by Jeremy’s lecture on “Topical Thunder: An Awake Intubation Technique That Works” and see him use the technique on stage to intubate himself. Learn more about the event here: https://www.aana.com/meetings/aana-annual-congress
Here are some of the things you’ll learn on this show:
- Reviewing the target nerves that innervate the airway. [3:55]
- Equipment you’ll need for this. [7:44]
- Reasons why we don’t like to use nebulized lidocaine. [9:39]
- Important patient prep to consider. [10:40]
- The different type of injection nerve blocks. [12:58]
- What forms of lidocaine will you need? [18:07]
- The potential for lidocaine toxicity. [25:07]
Check out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.
I can tell you that we have done this in about six minutes. And there’s actually been studies that have looked at the timing for awake intubation, and overall it takes about eight minutes longer than a standard induction would take.