Airway RIFL

[DrN2O]

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http://www.youtube.com/watch?v=m9o_XtVoRAg

Has anybody tried this new toy? I have only used it once, using it with a regular Mac blade instead of the airway. Granted that my introduction to the tool was brief, so unsurprisingly it was a disaster. After watching some videos from the rep and online, I'm thinking about giving it another shot with the proper airway. Anyone else has any experience with it? The whole thing just seems cumbersome to me.

 

[Planktonmd]

http://www.youtube.com/watch?v=m9o_XtVoRAg

Has anybody tried this new toy? I have only used it once, using it with a regular Mac blade instead of the airway. Granted that my introduction to the tool was brief, so unsurprisingly it was a disaster. After watching some videos from the rep and online, I'm thinking about giving it another shot with the proper airway. Anyone else has any experience with it? The whole thing just seems cumbersome to me.

It is a very nice tool and It does work very well as a rescue device on unexpected difficult airways.
Unfortunately for the RIFL the Glidescope is much easier to use and less cumbersome.
The RIFL could be a good alternative to elective awake Fiberoptic intubation in anticipated difficult airways if the operator is not experienced enough in FOB.
Just my personal opinion.

 

[coprolalia]

Just my personal opinion.

You mean like this personal opinion...

I am done with this BS, and I don't have any clinical contribution to a pseudo clinical thread that is composed of random google search results.
I am actually done with this whole stupid forum and I do regret every minute I wasted on it.
Good Bye.

... or, this one?

I haven't checked this forum for a while but today I did and I saw this thread and It made me think that there is hope for this forum after all!
My only rule in anesthesia is "keep it simple and do what you do best every time".
So, as a private practice anesthesiologist who is used to not having much of a backup and operating solo here is how I see it:
I am good at intubating people and I am good at placing LMA's, so in a situation like this this is exactly what I am going to do (intubate or place LMA):
1- Put her to sleep (Propofol + Sux), take the crappy combitube out and try to intubate with DL then Glidescope, most likely this will succeeed but if it doesn't (very unlikely) I am going to plan # 2
2- Place an LMA in then do a Fiberoptic intubation through it while they are doing the C section in the OR.
This might not be what you want to say on your oral boards but this is what makes sense in my hands.
Keep in mind that I can intubate a gravid ant with clift palate anytime of the day so if you are not that good then do what others have said.

Boy, Dick, a dumber man might get confused with all your double-talk, but one thing is sure clear... your opinions seem to be all over the place!

Are you sure you aren't "great"? Why not go for the gusto.

And, nice job stealing one from Jetproppilot, by the way. Flattery and imitation is not only the sincerest form of flattery, but it is also belies a foolish consistency, which is the hobgoblin of a small mind. At least, I'm glad to see that humility wasn't something you worked on in your absence... I would've been even more disappointed at your triumphant return to this forum.



-copro

 

[Planktonmd]

Little copro, 😀
Why do you need to hijack clinical threads to tell everyone how mean and arrogant I am?
Why don't you start a new thread where you express your feelings of hurt and shame freely?
And by the way I agree with you, I am far from humility and as cocky as they get because I am simply very good at what I do.
On the other hand a little one like you needs humility because you really don't have much.
You obviously are a mediocre anesthesiologist hired by a group that is using you as cheap labor and it is obvious from your posts on this forum that you also lack basic knowledge and skills, so humility is expected from you.
Now go start a thread as I told you and tell everyone how bad I am and that you hate me.

 

[coprolalia]

And by the way I agree with you, I am far from humility and as cocky as they get because I am simply very good at what I do.

Far from humble? Apparently you are far from good grammar too.

Go crawl back in your hole. No one missed you.

-copro

 

[coprolalia]

You know what, f*ck it. I had something else snarky to say, but you're just not worth it. You skulked off like a whiny little b*tch. Now you're back. Good for f*cking you.

-copro

 

[Planktonmd]

Oh, so you will let me stay on the forum after all?
I am so glad that I got your permission.
One thing I would like to know though: are you sure you are not a girl?
No offense to the ladies but you are really acting too sensitive to be a man.
You might be a man but most likely a very feminine one.

 

[Monty Python]

You know what, f*ck it. I had something else snarky to say, but you're just not worth it. You skulked off like a whiny little b*tch. Now you're back. Good for f*cking you.

-copro

😱

 

[BuddhaCanooda]

It is a very nice tool and It does work very well as a rescue device on unexpected difficult airways.
Unfortunately for the RIFL the Glidescope is much easier to use and less cumbersome.
The RIFL could be a good alternative to elective awake Fiberoptic intubation in anticipated difficult airways if the operator is not experienced enough in FOB.
Just my personal opinion.

Plankton and N2O,
THe Airway RIFL does not exist anymore. It has been upgraded to a video based version now called the video RIFL (rigid flexible laryngoscope).

Here is a use alongside a MAC 3 by a fellow resident earlier this year:
http://www.youtube.com/watch?v=VlJu6avqcZs

*If you had that view on a MAC3 of the epiglottis, what would you have done next?*

I can use it with a modified tongue blade, MAC3, Ovassapian, and AirQ supraglottic. But I am an experienced user of the device (disclosure - and one of its developers).

Plankton - what do you do when you get a view on a video laryngoscope but cannot place the tube easily? The only task that makes it easier is inserting a blade. The RIFL is an precision direct placement device - where you see is where the tube goes every time. What is your experience with the VR?

BC