Grandview blade

[Apollyon]

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So I used the Grandview blade for two of my 3 tubes today, and, I have to tell you, I'm hooked!

I started out (13 years ago) as a Miller only (you know, only GIRLS and weak men used a Mac!) tuber, but then I thought about it, and I thought that I should have more than one trick in my bag, but I never thought that a code was the right time to try the Mac, until someone put it in my hand.

However, today, I said that I would just try something new, and, boy howdy, it worked!

For those that may not know, the Grandview is a blade that was developed by an EM doc - it is low profile, so it is easier to fit into a small mouth. It is so wide that it controls the tongue better than anything else I've used. It has a golden tip so that you can see where it's at. It is designed to either engage the epiglottis, or work like a Mac in the vallecula.

Anyone else have any comments on the Grandview, used it, like it, hate it, anything?

 

[Apollyon]

(you know, only GIRLS and weak men used a Mac!)

This refers to the "paragods" that thought this because of the relative less physical strength needed to use the Mac automatically meant it was less worthy. For a long time, I've been a Mac convert.

 

[a_ditchdoc]

Crap, another one of my invention ideas down the drain....

 

[nadeem]

Yeah, it's a cool blade, the inventor is actually a former graduate of our program

 

[southerndoc]

I've never used one, but I've heard great things about them.

 

[psychbender]

I used one for the first time last night on a morbidly obese woman. Gotta say, I really like that blade now.

 

[Apollyon]

So I used it last night on a morbidly obese lady who had essentially no neck flexion - I was able to visualize the epiglottis, but could not engage it. She had a 3-finger submental distance, but I still foresaw trouble. Even with cric pressure, I could not visualize the cords. I had my attending and 2 respiratory therapists with me, and I had set the plan that, if I could not get it with the Grandview, I would switch blades to a Mac4, and, if that didn't work, I would let the attending in. Well, with the Mac4, I couldn't make out anything (including her slow but continuous ooze of tube feeds), so I let the attending in (with the Mac4), who put the most hockey stick I've ever seen on the end of the tube, and just put it where he thought the cords should be - he didn't visualize the cords, either. He got it, but it was a travail, and he did what I would have done had I been by myself.

Even with the GREAT blade, this was one patient that would have benefited from the Airway Cam, or the Levitan stylet, or the Karl Storz.

Always something to keep you humble.

 

[southerndoc]

Does anyone use a WuScope in their ED? Those things look nice. We have a fiberoptic setup in our difficult airway cart, but no WuScope.

 

[Apollyon]

Does anyone use a WuScope in their ED? Those things look nice. We have a fiberoptic setup in our difficult airway cart, but no WuScope.

I know you've done the Airway Course with Ron Walls, but, if you EVER get the chance, do the airway lab at ACEP. You get to try all of these modalities (and more), and it will, for one, "whet your whistle" even more, and 2, give you more confidence. Way cool stuff.

 

[southerndoc]

I've never attended an ACEP conference. Looking forward to breaking my ACEP conference virginity.

 

[Seaglass]

Neither have I.

 

[Oats]

you know, only GIRLS and weak men used a Mac!

😱 Oh no you din't!