They left out the “awake” fiber optic portion of the answer. I think that’s where a lot of people got messed up. And two anesthesia providers available for elective awake fiber optic intubation because it can literally require two people who know what they are doing.
Yes the safe thing to do is to postpone the procedure. This is where pat clinic or some type of properties evaluation is helpful.
Yes the safe thing to do is to postpone the procedure. This is where pat clinic or some type of properties evaluation is helpful.
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Elective? Cancel and Consult ENT... is he safe for trache if emergency airway needed? Probably. What size tube can i get in there? Because the scan doesn't show a ruler measurement of the cross section airway. what does his voice sound like? what does previous scan show?
I could probably get the scope in but not pass the tube, even a MLT tube would not pass atraumaticly through that goose neck.
I could probably get the scope in but not pass the tube, even a MLT tube would not pass atraumaticly through that goose neck.
@dmk5n Assuming elective. Agreed with everything you said. The whole thing was just glib, and it’s like, what kind of case, what’s the urgency, why I am finding out about this at the bedside, am I going to be able to extubate this guy safely? Such a terrible scenario and “correct” answer, I’m astounded that Doximity let that get through.
