CICO Trainer for under $5

The dreaded ‘cannot intubate, cannot oxygenate’ scenario is one which most clinicians will never encounter.  In elective anaesthesia, the CICO rate has been described by Cook & Macdougall as 1/5000 in elective cases, proceeding to emergency surgical airway in 1/50,000 (a more recent study from Japan describes CICO as 1/32,000 – either way, a rare event). CICV although rare, accounts …

DAS 2015: Ditch the FastTrach?

It’s no secret that I am concerned with management of the difficult airway, especially as pertains to the rural/remote/austere context.  This may be either as a rural GP providing anaesthesia in the Operating Theatre, in the Emergency Department or at the roadside.  Whilst many of us learn and regularly upskill in anaesthesia via the comfortable environment of …

Airway Classics – A Love Supreme?

Many people are eagerly awaiting the release of the new Difficult Airway Society UK (DAS UK) guidelines, in the wake of their recent Annual Scientific Meeting. Some recommendations are available HERE and include : acceptance of gentle mask ventilation during RSI use of videolaryngoscopy as an option in initial intubation plan apnoeic diffusion oxygenation didactic …

You gotta have love…

I was 14 when I nearly considered deliberate defenestration. It’s probably the closest I’ve ever been to suicide, but the memory of the angst that made me contemplate this action is still vivid. The Headmaster had asked each of the 30 pupils in our class to give a talk. I cannot even remember the details …

Levitan Airway Workshop

So as a pre-smaccGOLD prelude, I was able to join the Levitan Airway course held in Sydney at the Royal North Shore simulation lab run by John Vassilliadis and team. I’ve been to this sim centre before, for both the Effective Management of Anaesthetic Crises course and as adjunct to the Rural Doctors NSW conference. …