Using LMA for Preoxygenation in Morbidly Obese Patients

  When you have a morbidly obese patient that you have to induce, even with 5 minutes preoxynation, the SpO2 can drop quickly after you induce with propofol and succinylcholine. The fasciculation makes patient desaturate even quicker. The proseal laryngeal mask can be used as a conduit prior to DL in morbidly obese patients to minimize…

Ditch the Needle – Teach the Knife!

“In life-threatening airway obstruction, … an emergency cricothyrotomy is much quicker, easier, safer and more effective than any needle-based technique. I can state with confidence that there is no place in emergency airway management for needle-based attempts to establish ventilation.” This is the statement from Dr. Larson, a professor at Stanford University. You may ask…

Apneic Diffusion Oxygenation (NODESAT): A Quick Recap

We all have taken care of morbidly obese patients with BMI greater than 50 and some sick frail ICU patients who has no FRC. We all have experienced the low pitch sound of pulse oximetry immediately after induction even with adequate pre oxygenation. What can do we do about that? How can we maximize pre…