Manage this TikTok airway

[caligas]

gotta be AFOI no? Be nice to see a CT or something, or old records

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[pgg]

Retrograde wire!

 

[GassYous]

awake trach

 

[AKMD_1984]

is this real?

 

[caligas]

awake trach

Yes. Real person.

 

[PainDrain]

awake trach

He is basically begging for it in that position.

 

[Coffee PRN]

He is basically begging for it in that position.

Pause.

 

[Monty Python]

Talk about overcoming life’s challenges …

Brave Brazilian man with upside-down head reveals Covid nightmare

A BRAZILIAN man with an upside-down head has revealed his terror of catching Covid-19. Claudio Vieira de Oliveira, 44, from Monte Santo suffers from a rare condition where his head is turned …

www.the-sun.com

 

[cchoukal]

There was a case like this in the NEJM a few years ago. Maybe not quite this jacked up, but close. They cannulated for ECMO first, and then did a topicalized FOBI, IIRC.

 

[Hoya11]

gotta be AFOI no? Be nice to see a CT or something, or old records

I bet you could easily do it with a glide scope

 

[caligas]

I bet you could easily do it with a glide scope

I think getting past vocal cords will be easy, but not sure where the airway goes from there?

 

[Beeftenderloin]

Agree, would want CT to better delineate anatomy, but patient has a patent airway that they use daily and nightly, presumably uneventfully. It’s not like it’s an expanding hematoma or angioedema. Pending CT, likely AFOI.

I am significantly more worried about how this patient gets safely positioned for anything done in supine. I’m guessing they only sleep in prone and lateral.

 

[fittipaldi1of1]

Good neck extension..

 

[GassYous]

I think getting past vocal cords will be easy, but not sure where the airway goes from there?

Probably to the lungs

 

[abolt18]

Agree, would want CT to better delineate anatomy, but patient has a patent airway that they use daily and nightly, presumably uneventfully. It’s not like it’s an expanding hematoma or angioedema. Pending CT, likely AFOI.

I am significantly more worried about how this patient gets safely positioned for anything done in supine. I’m guessing they only sleep in prone and lateral.

I was thinking the same thing. How are we positioning him for his ex-lap?

 

[nimbus]

I was thinking the same thing. How are we positioning him for his ex-lap?

Maybe elevate the body on pads or bolsters and proneview or other prone face pad of choice. But it would have to be turned 180 deg.

 

[nimbus]

Talk about overcoming life’s challenges …

Brave Brazilian man with upside-down head reveals Covid nightmare

A BRAZILIAN man with an upside-down head has revealed his terror of catching Covid-19. Claudio Vieira de Oliveira, 44, from Monte Santo suffers from a rare condition where his head is turned …

www.the-sun.com

Sounds like an incredible human being but why couldn’t he do his banking online?

 

[GassYous]

Sounds like an incredible human being but why couldn’t he do his banking online?

Because the 6s look like 9s

It's like having beer goggles on, can't trust yourself

 

[TheLoneWolf]

I bet you could easily do it with a glide scope

Said every CRNA ever

 

[jjm285]

I was thinking the same thing. How are we positioning him for his ex-lap?

Head off the top of the table in Mayfield pins?

 

[patriot6]

Prop sux ETT