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EMCrit 390 - Hyperangulated Video Laryngoscopy

EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

Medicine, Health & Fitness, Science

4.82K Ratings

🗓️ 14 December 2024

⏱️ 15 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks, Scott Weingard here, and this is the M-Crit podcast. Today on the podcast, the topic I'm

0:05.7

surprised I have not covered yet, but it's going to be on hyperangulated laryngoscopy,

0:12.1

tips and tricks for mastery. And I bet even if you've been using this device for years,

0:17.4

you'll get at least one or two tips that you did not already know

0:22.1

that will change your practice. If not, I will refund your full money for this episode.

0:26.6

So it's weird, I'm jumping the gun on this because very soon it will be January, January

0:33.6

that, I believe I coined that term, and I should be doing this then, but I can't,

0:38.4

I just can't wait. I just wanted to cover this. So hyperangulated laryngosopy mastery.

0:43.6

And I am old enough in the profession to remember when video laryngoscopy had first come on

0:51.2

the scene. We had learned direct laryngoscopy with Macintosh and Millers,

0:55.1

and now there was this new video device, and we all wanted to get our hands on it. Now,

0:59.4

the only video devices out there were the glide scope with a hyperangulated blade. That's all you got.

1:04.5

If you went video, that's what you got. And this device, it looked like it was going to be

1:09.3

amazing.

1:15.9

All of a sudden, you have views on a screen, and we were all super excited.

1:17.5

And then you started hearing the stories.

1:21.1

Now, luckily, I was never witnessed or party to any of these, but I heard the stories from our program and programs all across the U.S.

1:23.6

and case reports in the literature of pharyngeal trauma, never had a part of that.

1:27.3

But what I did

1:27.9

see, not uncommonly, was you'd have this amazing view of the cords, and you just couldn't get a

1:33.1

tube in, and you just, like, what the hell's going on here? A lot of people went back to direct,

1:38.0

and it's because there was no training for the specificities of this technique in contradistinction to what we already knew. Our program

...

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