Contents Part A: Upper Airway Section 1: Evaluation and Basic Management of the Difficult Airway Section 2: Pre-existing Conditions

Size: px
Start display at page:

Download "Contents Part A: Upper Airway Section 1: Evaluation and Basic Management of the Difficult Airway Section 2: Pre-existing Conditions"

Transcription

1 Contents Part A: Upper Airway Section 1: Evaluation and Basic Management of the Difficult Airway 1. Airway Approach Algorithm 2. Preoperative Endoscopic Airway Evaluation 3. Difficult Airway Letter 4. Difficult Mask Ventilation 5. Routine Mask Ventilation 6. Direct Laryngoscopy and the POGO Score 7. Unexpected Failed Direct Laryngoscopy 8. Failed Direct Laryngotracheal Intubation Rescue 9. Stylet-like Adjuncts to Laryngoscopy and Intubation 10. Reusable vs. Single-Use Devices in Airway Management 11. Awake Intubation 12. Ultrasound in Airway Evaluation 13. Ultrasound in Confirming Endotracheal Intubation 14. Optimizing Positioning for Direct Laryngoscopy 15. The Voice Professional 16. Asleep-Awake-Asleep Technique for Craniotomy Section 2: Pre-existing Conditions 17. Positioning of the Morbidly Obese Patient 18. Obstructive Sleep Apnea Surgery 19. Sleep Endoscopy 20. Severe OSA in the Pregnant Patient 21. Preoperative CPAP 22. The Patient with a History of Neck Irradiation 23. Unilateral Vocal Cord Paralysis 24. Bilateral Vocal Cord Paralysis 25. The Patient with a Previous Tracheostomy (Resolved) 26. Airway Management during Cardiopulmonary Resuscitation 27. Preinduction Cannot Ventilate 28. Should Not (or Can Not) Ventilate 29. The Patient with Severe Arthritic Syndrome Disease 30. Oropharyngeal Stenosis Section 3: Otolaryngology 31. Vocal Cord Augmentation 32. Angioneurotic Edema 33. Ishiki Thyroplasty 34. Esophageal Dilation 35. Recurrent Airway Papillomas 36. Vocal Cord Polyp Surgery 37. Upper Airway Surgery with a Supraglottic Airway 38. Soft Tissue Cancers of the Neck 39. Substernal Thyroid

2 40. Neuromonitoring Tracheal Tubes 41. Base of Tongue Tumor 42. Subglottic Stenosis - Non-Critical/Supraglottic Jet Ventilation 43. Subglottic Jet Ventilation 44. Elective Transtracheal (Trans-Cricothyroid Membrane) Jet Ventilation 45. Microlaryngoscopy with Laser Surgery 46. Airway Fire 47. Laryngectomy 48. Aintree Catheter Use for LMA to ETT Conversion 49. Hemilaryngectomy 50. Free Tissue Transfer Surgery Section 4: Maxillofacial 51. Dental Restoration 52. Cleft Palate Surgery 53. LaForte 1 Facial Advancement 54. Mandibular and TMJ Surgery Section 5: Nasal Intubation 55. Nasal Intubation 56. Nasal to Oral Tube Exchange 57. Intraoperative Oral to Nasal Tracheal Tube Exchange 58. LMA to Tracheal Tube Exchange 59. Combitube to Tracheal Tube Exchange Section 6: Tracheostomy 60. Tracheostomy in the Intubated Patient 61. Change Over From New Tracheostomy to a Shiley Catheter 62. Switching from Established Shiley to Tracheal Tube 63. Intubating an Existing Tracheostomy 64. OVL in PT with Tracheostomy - Bronchial Blocker 65. Tracheo-esophageal Puncture (TEP) for Voice Prosthesis 66. Tracheostomy Revision 67. Decannulation of the Patient with the Long Standing Tracheostomy 68. Emergency Care of Tracheostomy Tube Dislodgment 69. The Patient with a Persistent Stoma Section 7: Foreign Bodies Adult 70. The Adult with a Foreign Body in the Airway (Acute) 71. The Adult with a Long-Standing Foreign Body in the Airway 72. Esophageal Foreign Bodies Section 8: Pediatrics 73. Pediatric Post-op Bleeding Tonsil 74. An Uncooperative Child with a Difficult Airway 75. Pediatric Airway Foreign Body 76. Childhood Hemangiomas 77. Invasive Airway Access in Small Children

3 78. Flexible Bronchoscopy in the Small Child Section 9: C-Spine 79. Emergent Airway Management in the At-Risk C-Spine Patient 80. The Stable Patient with Possible Cervical Spine Injury 81. Unknown C-Spine Patient - Stable Evaluation 82. Cervical Osteophytes and Airway Management Section 10: Techniques 83. Lingual Tonsil Hyperplasia and Video Laryngoscopy 84. Optical Stylets 85. Use of the Flexible Intubation Scope 86. Pitfalls in the Use of the Flexible Intubation Scope (FOB) 87. Hangup During Intubation with the Flexible Intubation Scope 88. Combined Flexible Intubation Scope and Videolaryngoscopy 89. Blind Intubation via an Intubating SGA 90. Optically Aided Intubation via an Intubating Supraglottic Airway 91. Retrograde Wire Aided Intubation of the Trachea 92. Robotic Surgery in the Airway 93. Oxalator Automatic Resuscitator 94. TIVA 95. Intubation Without Muscle Relaxation 96. Inhalation Induction 97. Rapid Sequence Induction - Myth Busters Section 11: Extubation 98. Deep Extubation 99. The Bailey Maneuver 100. Extubation of the Difficult Airway Patient 101. Extubation in the Non-OR, Non-ICU Environment Section 12: Out of the OR 102. Out of the OR Difficult Airway 103. Endotracheal Tube Exchange in the ICU 104. Reintubation in the ICU Patient with Unexpected Post-Extubation Stridor 105. Partial Extubation Masquerading as Cuff Leak 106. Extubation of the Difficult Airway Patient in the ICU 107. Disrupted Airway Anatomy 108. RSI in the ED Section 13: Invasive Airway Rescue 109. Translaryngeal Ventilation and Complications 110. Melker Emergency Cricothyrotomy Part B: Lower Airway Section 1: Interventional Pulmonology 111. Bronchoscopy +/- EBUS 112. Bronchial Thermoplasty

4 113. Endobronchial Tumor 114. Tracheal Stenosis 115. Tracheomalacia 116. Lung Lavage b/l 117. Medical Thoracoscopy for Pleural Biopsy 118. Airway Management for Electromagnetic Navigation Section 2: Lung Isolation Techniques 119. L DLT 120. R DLT for a Left Pneumonectomy 121. DLT with Glidescope 122. Double Lumen Tube with Incorporated Fiberoptic Bronchoscopy 123. Univent Tubes 124. Fuji Blocker 125. Arndt Blocker 126. Cohen Bronchial Blocker 127. EZ Blocker 128. PT after OLV Requiring Postop Intubation Section 3: Airway Surgery 129. Tracheoplasty Surgery 130. Tracheal Resection Surgery 131. Tracheo-esophageal Fistula Repair 132. Left Main Stem Bronchus Resection via Right Thoracotomy 133. Mediastinoscopy 134. Pregnant Patient with Severe Tracheal Stenosis for C-Section Section 4: Surgeries Requiring Lung Isolation 135. RATS +- CO2 Insufflation 136. Tymectomy - Robotic 137. Lung Resection after Previous Lung Surgery 138. Lung Decortication 139. Descending Aortic Aneurysm 140. Minimally Invasive Esophagectomy Section 5: Pre-existing Conditions 141. OLV in PT with Tracheostomy - DLT 142. Large Anterior Mediastinal Mass Resection 143. OLV in Difficult Airway and Severe GERD 144. S/P Esophagectomy for Dilation Section 6: Congenital Abnormalities of the Lower Airway 145. Dextrocardia/Congenital Anomaly OLV 146. OLV in a Patient with Bronchus Suis Section 7: Lung Transplant 147. Bilateral Sequential Lung Transplant 148. Rigid Bronchoscopy and Stent Placement after Bilateral Lung Transplant

5 149. Airway Management after Lung Transplant Section 8: Lower Airway Emergencies 150. Massive Airway Bleed 151. Chest Trauma 152. Tracheal Rupture

One Lung Ventilation Module (OLV)

One Lung Ventilation Module (OLV) 1 One Lung Ventilation Module (OLV) A Thoracic Surgery Directors Association (TSDA) Cardiothoracic Surgery Resident Boot Camp Syllabus The ability to isolate one of the lungs is an essential skill set

More information

AIRWAY MANAGEMENT. Angkana Lurngnateetape, MD. Department of Anesthesiology Siriraj Hospital

AIRWAY MANAGEMENT. Angkana Lurngnateetape, MD. Department of Anesthesiology Siriraj Hospital AIRWAY MANAGEMENT Angkana Lurngnateetape, MD. Department of Anesthesiology Siriraj Hospital Perhaps the most important responsibility of the anesthesiologist is management of the patient s airway Miller

More information

The Difficult Airway. The Difficult Airway. Difficult Airway Algorithms: ASA. Ectopic Anesthesia. Cancel Case. Awaken. airway. Defining ng the problem

The Difficult Airway. The Difficult Airway. Difficult Airway Algorithms: ASA. Ectopic Anesthesia. Cancel Case. Awaken. airway. Defining ng the problem The Difficult Airway The Difficult Airway Robert J. Vissers, MD FACEP Department of Emergency Medicine Legacy, Emanuel Hospital Defining ng the problem Defining ng the difficult d airway a Identifying

More information

TRACHEOSTOMY TUBE PARTS

TRACHEOSTOMY TUBE PARTS Page1 NR 33 TRACHEOSTOMY CARE AND SUCTIONING Review ATI Basic skills videos: Tracheostomy care and Endotracheal suction using a closed suction set. TRACHEOSTOMY TUBE PARTS Match the numbers on the diagram

More information

General Thoracic Surgery ICD9 to ICD10 Crosswalks. C34.11 Malignant neoplasm of upper lobe, right bronchus or lung

General Thoracic Surgery ICD9 to ICD10 Crosswalks. C34.11 Malignant neoplasm of upper lobe, right bronchus or lung ICD-9 Code ICD-9 Description ICD-10 Code ICD-10 Description 150.3 Malignant neoplasm of upper third of esophagus C15.3 Malignant neoplasm of upper third of esophagus 150.4 Malignant neoplasm of middle

More information

Coventry Airway Management course

Coventry Airway Management course Airway workshops The workshops are based on DAS Guidelines for managing un-anticipated difficult intubation. In addition lung isolation techniques workshop is recently introduced to this course. The aim

More information

Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com

Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com ONE LUNG VENTILATION ANAESTHESIA TUTORIAL OF THE WEEK 145 3 RD AUGUST 2009 Dr B D Rippin Leeds General Infirmary, Leeds, UK Dr S Kritzinger St James University Hospital, Leeds, UK Correspondence to benrippin@doctors.net.uk

More information

Airway assessment. Bran Retnasingham Andy McKechnie

Airway assessment. Bran Retnasingham Andy McKechnie Airway assessment Bran Retnasingham Andy McKechnie The average Camberwell patient? Airway assessment There is one skill above all else that an anaesthetist is expected to exhibit and that is to

More information

UNMH Cardiothoracic Surgery Clinical Privileges

UNMH Cardiothoracic Surgery Clinical Privileges All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 02/20/2015 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.

More information

Anterior Approach Burn s Space Esophagus

Anterior Approach Burn s Space Esophagus Cervical Complications Complications after Cervical Spine Surgery Dr. Rock Patel University of Michigan, Ann Arbor APPROACH RELATED Anterior Posterior PROCEDURE RELATED ACDF Disc Arthroplasty Laminectomy/Fusion

More information

LASER Safety in the Operating Room. Andrew Dick Resident Research Night February 20 th, 2008

LASER Safety in the Operating Room. Andrew Dick Resident Research Night February 20 th, 2008 LASER Safety in the Operating Room Andrew Dick Resident Research Night February 20 th, 2008 LASER LASER is an Acronym Light Amplification by Stimulated Emission of Radiation Lasers work on several principles

More information

The Floppy Airway- A Review of Tracheobronchomalacia in Adults

The Floppy Airway- A Review of Tracheobronchomalacia in Adults Jay Pahade, MS IV Gillian Lieberman, MD The Floppy Airway- A Review of Tracheobronchomalacia in Adults Jay Pahade, MS IV University at Buffalo, School of Medicine Gillian Lieberman, MD Harvard School of

More information

Virginia Office of Emergency Medical Services Scope of Practice - Procedures for EMS Personnel

Virginia Office of Emergency Medical Services Scope of Practice - Procedures for EMS Personnel Specific tasks in this document shall refer to the Virginia Education Standards. AIRWAY TECHNIQUES Airway Adjuncts Airway Maneuvers Alternate Airway Devices Cricothyrotomy Obstructed Airway Clearance Intubation

More information

Anesthetic Management for Airway Surgery

Anesthetic Management for Airway Surgery Anesthetic Management for Airway Surgery Objectives At the conclusion of this session, the participant will be able to: 1. Describe the surgical anatomy and methods of upper (tracheal) and lower (carinal)

More information

PRACTICE Guidelines are systematically developed

PRACTICE Guidelines are systematically developed Copyright by the American Society of Anesthesiologists. Unauthorized reproduction of this article is prohibited. Special Articles Practice Guidelines for Management

More information

Perioperative Management of Patients with Obstructive Sleep Apnea. Kalpesh Ganatra,MD Diplomate, American Board of Sleep Medicine

Perioperative Management of Patients with Obstructive Sleep Apnea. Kalpesh Ganatra,MD Diplomate, American Board of Sleep Medicine Perioperative Management of Patients with Obstructive Sleep Apnea Kalpesh Ganatra,MD Diplomate, American Board of Sleep Medicine Disclosures. This activity is supported by an education grant from Trivalley

More information

Airway and Breathing Skills Levels Interpretive Guidelines

Airway and Breathing Skills Levels Interpretive Guidelines Office of Emergency Medical Services and Trauma INDEX EFFECTIVE LAST REVIEW PAGES VERSION R-P11A 7/1/2011 7/1/2011 5 2011 Scope of Practice for EMS Personnel Emergency Medical Personnel are permitted to

More information

Respiratory Concerns in Children with Down Syndrome

Respiratory Concerns in Children with Down Syndrome Respiratory Concerns in Children with Down Syndrome Paul E. Moore, M.D. Associate Professor of Pediatrics and Pharmacology Director, Pediatric Allergy, Immunology, and Pulmonary Medicine Vanderbilt University

More information

SURGICAL PREAMBLE SPECIFIC ELEMENTS SURGICAL SERVICES WHICH ARE NOT LISTED AS A "Z" CODE

SURGICAL PREAMBLE SPECIFIC ELEMENTS SURGICAL SERVICES WHICH ARE NOT LISTED AS A Z CODE Surgical PreambleApril 1, 2015 PREAMBLE SPECIFIC ELEMENTS In addition to the common elements, all surgical services include the following specific elements. A. Supervising the preparation of and/or preparing

More information

Pediatric Airway Management

Pediatric Airway Management Pediatric Airway Management Dec 2003 Dr. Shapiro I., PICU Adult Chain of Survival EMS CPR ALS Early Defibrillation Pediatric Chain of Survival Prevention CPR EMS ALS Out-of-Hospital Cardiac Arrest SIDS

More information

Recurrent & Persistent Papillary Thyroid Cancer Central Nodal Dissection vs. Node-Picking Patterns of Nodal Metastases Recurrent Laryngeal Nerve,

Recurrent & Persistent Papillary Thyroid Cancer Central Nodal Dissection vs. Node-Picking Patterns of Nodal Metastases Recurrent Laryngeal Nerve, Recurrent & Persistent Papillary Thyroid Cancer Central Nodal Dissection vs. Node-Picking Patterns of Nodal Metastases Recurrent Laryngeal Nerve, Larynx, Trachea, & Esophageal Management Robert C. Wang,

More information

Continued on next page

Continued on next page Resident Journal Review An Update on Airway Management in Emergency Medicine Authors: Michael Allison, MD; Michael Scott, MD; Kami Hu, MD; David Bostick, MD; Daniel Boutsikaris, MD Edited by: Michael C.

More information

Use of stents in esophageal cancer" Hans Gerdes, M.D. Director, GI Endoscopy Unit Memorial Sloan-Kettering Cancer Center

Use of stents in esophageal cancer Hans Gerdes, M.D. Director, GI Endoscopy Unit Memorial Sloan-Kettering Cancer Center Use of stents in esophageal cancer" Hans Gerdes, M.D. Director, GI Endoscopy Unit Memorial Sloan-Kettering Cancer Center Features of esophageal cancer Esophageal cancer is an abnormal growth that arises

More information

ONE-LUNG VENTILATION. Dr Lesley Strachan Consultant Anaesthetist Aberdeen Royal Infirmary. Self Assessment

ONE-LUNG VENTILATION. Dr Lesley Strachan Consultant Anaesthetist Aberdeen Royal Infirmary. Self Assessment ONE-LUNG VENTILATION Dr Lesley Strachan Consultant Anaesthetist Aberdeen Royal Infirmary Self Assessment Complete these questions before reading the tutorial. 1. What are the indications for inserting

More information

A Practical Guide to Advances in Staging and Treatment of NSCLC

A Practical Guide to Advances in Staging and Treatment of NSCLC A Practical Guide to Advances in Staging and Treatment of NSCLC Robert J. Korst, M.D. Director, Thoracic Surgery Medical Director, The Blumenthal Cancer Center The Valley Hospital Objectives Revised staging

More information

a guide to understanding pierre robin sequence

a guide to understanding pierre robin sequence a guide to understanding pierre robin sequence a publication of children s craniofacial association a guide to understanding pierre robin sequence this parent s guide to Pierre Robin Sequence is designed

More information

Therapist Multiple-Choice Examination

Therapist Multiple-Choice Examination Therapist Multiple-Choice Examination Effective: January 2015 Detailed Content Outline Items are linked to open cells. Each scored form will include 20-item pretests. I. PATIENT DATA EVALUATION AND RECOMMENDATIONS

More information

COMPLICATIONS OF SUSPENSION LARYNGOSCOPY

COMPLICATIONS OF SUSPENSION LARYNGOSCOPY Ann Otol Rhinol Laryngol 111:2002 Ann Otol Rhinol Laryngol 111:2002 REPRINTED FROM ANNALS OF OTOLOGY, RHINOLOGY & LARYNGOLOGY November 2002 Volume 111 Number 11 COPYRIGHT 2002, ANNALS PUBLISHING COMPANY

More information

The Difficult Airway in Head and Neck Tumor Surgery. Niels F. Jensen, MD. Jonathan L. Benumof, MD

The Difficult Airway in Head and Neck Tumor Surgery. Niels F. Jensen, MD. Jonathan L. Benumof, MD 1 The Difficult Airway in Head and Neck Tumor Surgery Niels F. Jensen, MD Jonathan L. Benumof, MD 1. Assistant Professor, Department of Anesthesiology, University of Iowa 2. Professor, Department of Anesthesiology,

More information

Complications of managing the airway

Complications of managing the airway Best Practice & Research Clinical Anaesthesiology Vol. 19, No. 4, pp. 641 659, 2005 doi:10.1016/j.bpa.2005.08.002 available online at http://www.sciencedirect.com 7 Complications of managing the airway

More information

Dentistry Consult and Referral Guidelines

Dentistry Consult and Referral Guidelines Directory The primary mission of the Department of Dentistry focuses on the care of children with major medical and developmental problems. This Department also provides care for healthy children for the

More information

DEPARTMENT OF SURGERY GENERAL SURGERY SECTION

DEPARTMENT OF SURGERY GENERAL SURGERY SECTION Privilege Request Form DIRECTIONS: This Privilege Request Form must accompany all initial applications for appointment to the General Surgery Section, Department of Surgery. Please indicate those privileges

More information

Thoracoabdominal aortic aneurysm

Thoracoabdominal aortic aneurysm Thoracoabdominal aortic aneurysm Patient (1) - 69 PMH: 2013 - MVP, aortic root replacement with biological valve (Perimount) and subtotal aortic arch replacement Analysis for oppressive chest complaints

More information

Laryngeal Mask Airways (LMA), Indications and Use for the Pre-Hospital Provider. www.umke.org

Laryngeal Mask Airways (LMA), Indications and Use for the Pre-Hospital Provider. www.umke.org Laryngeal Mask Airways (LMA), Indications and Use for the Pre-Hospital Provider Objectives: Identify the indications, contraindications and side effects of LMA use. Identify the equipment necessary for

More information

Management of airway burns and inhalation injury PAEDIATRIC

Management of airway burns and inhalation injury PAEDIATRIC Management of airway burns and inhalation injury PAEDIATRIC A multidisciplinary team should provide the management of the child with inhalation injury. Childhood inhalation injury mandates transfer to

More information

Neonatal Intubation. Purpose. Scope. Indications. Equipment Cardiorespiratory monitor SaO 2 monitor. Anatomic Considerations.

Neonatal Intubation. Purpose. Scope. Indications. Equipment Cardiorespiratory monitor SaO 2 monitor. Anatomic Considerations. Page 1 of 5 Purpose Scope Indications Neonatal Intubation To assure proper placement of endotracheal tubes for maximum ventilation using proper intubation procedures. The policy applies to all Respiratory

More information

6.0 Management of Head Injuries for Maxillofacial SHOs

6.0 Management of Head Injuries for Maxillofacial SHOs 6.0 Management of Head Injuries for Maxillofacial SHOs As a Maxillofacial SHO you are not required to manage established head injury, however an awareness of the process is essential when dealing with

More information

TROUBLESHOOTING TRACHEOESOPHAGEAL VOICE PROSTHESIS ISSUES

TROUBLESHOOTING TRACHEOESOPHAGEAL VOICE PROSTHESIS ISSUES TROUBLESHOOTING TRACHEOESOPHAGEAL VOICE PROSTHESIS ISSUES Teresa H. Lyden And Marc J. Haxer Departments of Speech-Language Pathology and Otolaryngology/Head and Neck Surgery University of Michigan Health

More information

OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY-HEAD AND NECK SURGERY

OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY-HEAD AND NECK SURGERY AMERICAN OSTEOPATHIC ASSOCIATION INSTITUTIONAL SEGREGATED TOTAL LOG FORM OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY-HEAD AND NECK SURGERY Training Institution Mailing Address Daytime Phone ( ) Email Name of

More information

PLASTIC SURGERY RESIDENTS HANDBOOK

PLASTIC SURGERY RESIDENTS HANDBOOK PLASTIC SURGERY RESIDENTS HANDBOOK I. PLASTIC SURGERY REQUIREMENTS a. AACPS Post Interview Communication Guidelines b. General Competencies c. Plastic Surgery Goals & Objectives d. ACGME Required Index

More information

Department of Veterans Affairs VHA DIRECTIVE 2012-032 Veterans Health Administration Washington, DC 20420 October 26, 2012

Department of Veterans Affairs VHA DIRECTIVE 2012-032 Veterans Health Administration Washington, DC 20420 October 26, 2012 Department of Veterans Affairs VHA DIRECTIVE 2012-032 Veterans Health Administration Washington, DC 20420 OUT OF OPERATING ROOM AIRWAY MANAGEMENT 1. PURPOSE: This Veterans Health Administration (VHA) Directive

More information

UNMH Oral and Maxillofacial Surgery Clinical Privileges

UNMH Oral and Maxillofacial Surgery Clinical Privileges All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 09/26/2014 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.

More information

Acknowledgements. Dental Management of Obstructive Sleep Apnea in a Maxillofacial Prosthodontic Practice. Transfer of Information

Acknowledgements. Dental Management of Obstructive Sleep Apnea in a Maxillofacial Prosthodontic Practice. Transfer of Information Dental Management of Obstructive Sleep Apnea in a Maxillofacial Prosthodontic Practice Alvin G. Wee, BDS, MS, MPH Associate Professor and Director Division of Oral Facial Prosthetics / Dental Oncology

More information

Tracheostomy: Why, When, and How?

Tracheostomy: Why, When, and How? Tracheostomy: Why, When, and How? Charles G Durbin Jr MD FAARC Introduction Why Perform a Tracheostomy? Benefits of Tracheostomy Improved Comfort? Faster Weaning and Shorter Stay? Increased Patient Safety?

More information

Treatment of Vocal Fold Paralysis

Treatment of Vocal Fold Paralysis Treatment of Vocal Fold Paralysis Frank Pernas, MD Faculty Advisor: Michael Underbrink, MD Grand Rounds Presentation The University of Texas Medical Branch (UTMB Health) Department of Otolaryngology October

More information

ENT Emergencies. Injuries of the Neck. Registrar Dept Trauma and emergency Medicine Tygerberg Hospital

ENT Emergencies. Injuries of the Neck. Registrar Dept Trauma and emergency Medicine Tygerberg Hospital ENT Emergencies Injuries of the Neck Registrar Dept Trauma and emergency Medicine Tygerberg Hospital Neck Injuries Blunt and Penetrating Trauma Blunt Injuries Blunt trauma direct/indirect Trauma to larynx

More information

APPENDIX B SAMPLE PEDIATRIC CRITICAL CARE NURSE PRACTITIONER GOALS AND OBJECTIVES

APPENDIX B SAMPLE PEDIATRIC CRITICAL CARE NURSE PRACTITIONER GOALS AND OBJECTIVES APPENDIX B SAMPLE PEDIATRIC CRITICAL CARE NURSE PRACTITIONER GOALS AND OBJECTIVES The critical care nurse practitioner orientation is an individualized process based on one s previous experiences and should

More information

The EMT Instructional Guidelines in this section include all the topics and material at the EMR level PLUS the following material:

The EMT Instructional Guidelines in this section include all the topics and material at the EMR level PLUS the following material: Airway Management, Respiration and Artificial Ventilation EMR Applies knowledge (fundamental depth, foundational breadth) of general anatomy and physiology to assure a patent airway, adequate mechanical

More information

Benign Esophageal Perforations: Better Keep a Surgeon in the Toolkit

Benign Esophageal Perforations: Better Keep a Surgeon in the Toolkit Benign Esophageal Perforations: Better Keep a Surgeon in the Toolkit Bryan F. Meyers MD MPH Patrick and Joy Williamson Professor of Surgery Background Esophageal perforation is a difficult problem to characterize,

More information

POSTEXTUBATION STRIDOR IN ADULT ICU PATIENTS

POSTEXTUBATION STRIDOR IN ADULT ICU PATIENTS DISCLAIMER: These guidelines were prepared by the Department of Surgical Education, Orlando Regional Medical Center. They are intended to serve as a general statement regarding appropriate patient care

More information

Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com

Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com RHEUMATOID ARTHRITIS AND ANAESTHESIA - PART 2 ANAESTHESIA TUTORIAL OF THE WEEK 267 13 TH AUGUST 2012 Dr Rashmi Menon Leeds General Infirmary Correspondence to rashmimenon@doctors.org.uk QUESTIONS 1. A

More information

GENERAL OTOLARYNGOLOGY HEAD and NECK SURGICAL ONCOLOGY. MEE General ORL/Head and Neck Rotation - PGY 2,3,4,5 Longwood Rotation - PGY 2,3,4,5

GENERAL OTOLARYNGOLOGY HEAD and NECK SURGICAL ONCOLOGY. MEE General ORL/Head and Neck Rotation - PGY 2,3,4,5 Longwood Rotation - PGY 2,3,4,5 GENERAL OTOLARYNGOLOGY HEAD and NECK SURGICAL ONCOLOGY 1. BRIEF DESCRIPTION Training in general otolaryngology, upper aerodigestive tract endoscopy and head and neck oncologic surgery begins and continues

More information

SAMPLE. Anesthesia Services. An essential coding, billing, and reimbursement resource for anesthesiology and pain management ICD-10

SAMPLE. Anesthesia Services. An essential coding, billing, and reimbursement resource for anesthesiology and pain management ICD-10 Coding and Payment Guide www.optumcoding.com Anesthesia Services An essential coding, billing, and reimbursement resource for anesthesiology and pain management 2017 a ICD10 A full suite of resources including

More information

METHODS OF BOLUSING THE TRACHEOSTOMY STOMA

METHODS OF BOLUSING THE TRACHEOSTOMY STOMA PII S0360-3016(00)01550-9 Int. J. Radiation Oncology Biol. Phys., Vol. 50, No. 1, pp. 69 74, 2001 Copyright 2001 Elsevier Science Inc. Printed in the USA. All rights reserved 0360-3016/01/$ see front matter

More information

General Information About Non-Small Cell Lung Cancer

General Information About Non-Small Cell Lung Cancer General Information About Non-Small Cell Lung Cancer Non-small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing

More information

Goals and Objectives for the General Surgery Rotation Resident PGY1 Hamilton Health Sciences or St. Joseph Healthcare (2 four-week rotational blocks)

Goals and Objectives for the General Surgery Rotation Resident PGY1 Hamilton Health Sciences or St. Joseph Healthcare (2 four-week rotational blocks) Goals and Objectives for the General Surgery Rotation Resident PGY1 Hamilton Health Sciences or St. Joseph Healthcare (2 four-week rotational blocks) Overview During the first year of their residency training

More information

Benign Gastro-bronchial Fistula. An Uncommon Complication of Esophagectomy: Case Report

Benign Gastro-bronchial Fistula. An Uncommon Complication of Esophagectomy: Case Report Benign Gastro-bronchial Fistula An Uncommon Complication of Esophagectomy: Case Report Mohan P Devbhandari 1 Rohit Jain 1 Simon Galloway 2 Peter Krysiak 1 mohandev@hotmail.com rohitjain@hotmail.co.uk Simon.Galloway@smuht.nwest.nhs.uk

More information

UNIVERSITA' DEGLI STUDI DI ROMA TOR VERGATA

UNIVERSITA' DEGLI STUDI DI ROMA TOR VERGATA SYSTEMATIC PATHOLOGY I IIIYear Scientific Field DISCIPLINE TUTOR Systematic Pathology I MED/21 MED/10 Thoracic Surgery Respiratory Diseases Tommaso Claudio Mineo Paola Rogliani MED/10 Respiratory Diseases

More information

Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose

Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose Acute Abdominal Pain following Bariatric Surgery Kathy J. Morris, DNP, APRN, FNP C, FAANP University of Nebraska Medical Center College of Nursing Disclosure I have nothing to disclose Objectives Pathophysiology

More information

Interventional Pulmonology Course and Hands-On Workshop

Interventional Pulmonology Course and Hands-On Workshop University of Maryland and the Foundation of Cardio-Respiratory Disorders present Interventional Pulmonology Course and Hands-On Workshop A C M E S Y M P O S I U M Sponsored by June 15-16, 2015 Locations:

More information

Levels of Critical Care for Adult Patients

Levels of Critical Care for Adult Patients LEVELS OF CARE 1 Levels of Critical Care for Adult Patients STANDARDS AND GUIDELINES LEVELS OF CARE 2 Intensive Care Society 2009 All rights reserved. No reproduction, copy or transmission of this publication

More information

Management of Chest Tubes and Air Leaks after Lung Resection

Management of Chest Tubes and Air Leaks after Lung Resection Management of Chest Tubes and Air Leaks after Lung Resection Emily Kluck PA-C The Johns Hopkins Hospital Baltimore, MD AATS 2014, Toronto, CAN April 2014 Management of Chest Tubes 1 Overview Review the

More information

SWISS SOCIETY OF NEONATOLOGY. Selective bronchial occlusion in a preterm infant with unilateral pulmonary interstitial emphysema

SWISS SOCIETY OF NEONATOLOGY. Selective bronchial occlusion in a preterm infant with unilateral pulmonary interstitial emphysema SWISS SOCIETY OF NEONATOLOGY Selective bronchial occlusion in a preterm infant with unilateral pulmonary interstitial emphysema December 2002 2 Riedel T, Pfenninger J, Pediatric Intensive Care Unit, University

More information

Oxygen - update April 2009 OXG

Oxygen - update April 2009 OXG PRESENTATION Oxygen (O 2 ) is a gas provided in compressed form in a cylinder. It is also available in liquid form, in a system adapted for ambulance use. It is fed via a regulator and flow meter to the

More information

THYMECTOMY. Thymectomy. Common questions patients ask about thymectomies. www.myasthenia.org

THYMECTOMY. Thymectomy. Common questions patients ask about thymectomies. www.myasthenia.org THYMECTOMY Thymectomy Common questions patients ask about thymectomies. www.myasthenia.org The following are some of the most common questions asked when a thymectomy is being considered for adult and

More information

Minimally Invasive Mitral Valve Surgery

Minimally Invasive Mitral Valve Surgery Minimally Invasive Mitral Valve Surgery Stanford Health Care offers leading, superior options in cardiac surgery, including the latest techniques and research for Minimally Invasive Cardiac surgery. Advanced

More information

INSURANCE COMPANY OF SCOTT AND WHITE FIXED INDEMNITY BASIC MEDICAL-SURGICAL EXPENSE POLICY REQUIRED OUTLINE OF COVERAGE

INSURANCE COMPANY OF SCOTT AND WHITE FIXED INDEMNITY BASIC MEDICAL-SURGICAL EXPENSE POLICY REQUIRED OUTLINE OF COVERAGE INSURANCE COMPANY OF SCOTT AND WHITE FIXED INDEMNITY BASIC MEDICAL-SURGICAL EXPENSE POLICY REQUIRED OUTLINE OF COVERAGE (1) READ YOUR POLICY CAREFULLY. This outline of coverage provides a very brief description

More information

endotracheal tube guide We provide Rusch quality.

endotracheal tube guide We provide Rusch quality. endotracheal tube guide We provide Rusch quality. 2 RUSCH ENDOTRACHEAL TUBE GUIDE RUSCH ENDOTRACHEAL TUBE GUIDE 3 subglottic secretion removal a vap reduction strategy Ventilator-Associated Pneumonia (VAP)

More information

UC Davis Medical Center Emergency Medicine Airway Equipment: Contents, Cleaning and Stocking

UC Davis Medical Center Emergency Medicine Airway Equipment: Contents, Cleaning and Stocking UC Davis Medical Center Emergency Medicine Airway Equipment: Contents, Cleaning and Stocking Introduction: Due to the large volume of critically ill patients who present for care at the U.C. Davis Emergency

More information

5/30/2014 OBJECTIVES THE ROLE OF A RESPIRATORY THERAPIST IN THE DELIVERY ROOM. Disclosure

5/30/2014 OBJECTIVES THE ROLE OF A RESPIRATORY THERAPIST IN THE DELIVERY ROOM. Disclosure THE ROLE OF A RESPIRATORY THERAPIST IN THE DELIVERY ROOM Ona Fofah, MD FAAP Assistant Professor of Pediatrics Director, Division of Neonatology Department of Pediatrics Rutgers- NJMS, Newark OBJECTIVES

More information

PATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS

PATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS As a patient you must be adequately informed about your condition and the recommended surgical procedure. Please read this document carefully and ask about anything you do not understand. Please initial

More information

AWAKE FIBREOPTIC INTUBATION THE BASICS ANAESTHESIA TUTORIAL OF THE WEEK 201

AWAKE FIBREOPTIC INTUBATION THE BASICS ANAESTHESIA TUTORIAL OF THE WEEK 201 AWAKE FIBREOPTIC INTUBATION THE BASICS ANAESTHESIA TUTORIAL OF THE WEEK 201 18 TH OCTOBER 2010 Dr S Kritzinger Registrar in Anaesthetics Pinderfields General Hospital, Wakefield, UK Dr M van Greunen Consultant

More information

Basic ATLS. The Primary Survey. Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon

Basic ATLS. The Primary Survey. Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon Basic ATLS The Primary Survey Jason Smith MD DMI FRCS(Gen.Surg) Consultant Surgeon Trauma - expression comprising a spectrum of severity of mechanical violation of tissues, from a little scratch to a multiply

More information

Management of the airway remains a major

Management of the airway remains a major Acta Anaesthesiol Scand 2011; 55: 1155 1173 Printed in Singapore. All rights reserved 2011 The Author Acta Anaesthesiologica Scandinavica 2011 The Acta Anaesthesiologica Scandinavica Foundation ACTA ANAESTHESIOLOGICA

More information

Respiratory System Outpatient Coding, Part II (CPT)

Respiratory System Outpatient Coding, Part II (CPT) Break Time Fluid Exchanges Respiratory System Outpatient Coding, Part II (CPT) Montana Hospital Association June 29, 2011 10 am - Noon Irene Mueller, EdD, RHIA 1 http://media.healthday.com/images/editorial/respiratory.jpg

More information

Secrets of the Pediatric Intubated Patient:

Secrets of the Pediatric Intubated Patient: Secrets of the Pediatric Intubated Patient: Evidence-Based Keys to Success Leslie Grant, RN, BSN, CFRN, CCRN Matt Payne, RN, CFRN, FP-C Ranked #1 in Virginia by U.S. News & World Report VCU Total Artificial

More information

Congenital Diaphragmatic Hernia. Manuel A. Molina, M.D. University Hospital at Brooklyn SUNY Downstate

Congenital Diaphragmatic Hernia. Manuel A. Molina, M.D. University Hospital at Brooklyn SUNY Downstate Congenital Diaphragmatic Hernia Manuel A. Molina, M.D. University Hospital at Brooklyn SUNY Downstate Congenital Diaphragmatic Hernias Incidence 1 in 2000 to 5000 live births. 80% in the left side, 20%

More information

676$$76 &2',1* 1(:6/(77(5 Recent Information on CPT and ICD-9 CM Codes for Cardiothoracic Surgeons

676$$76 &2',1* 1(:6/(77(5 Recent Information on CPT and ICD-9 CM Codes for Cardiothoracic Surgeons N E W S L E T T E R Vol. 13 No. 3 & 4, Fall/Winter 2004 2005, The Society of Thoracic Surgeons, Chicago, IL 60611 INSIDE &RGLQJ&KDQJHV1DWLRQDO&RUUH W&RGLQJ,QLWLDWLYH'25 3UR HGXUH&RGLQJ:RUNVKRSV4 $ Clarification

More information

Laser Therapy and Airway Stenting for Central-Type Lung Cancer

Laser Therapy and Airway Stenting for Central-Type Lung Cancer Lung Cancer Laser Therapy and Airway Stenting for Central-Type Lung Cancer JMAJ 46(12): 547 553, 2003 Kinya FURUKAWA*, Komei KINOSHITA**, Takamoto SAIJO***, Takeshi HIRATA***, Hisashi SAJI*** and Harubumi

More information

Anaesthesia tutorial of the week 112: Prone Positioning

Anaesthesia tutorial of the week 112: Prone Positioning Anaesthesia tutorial of the week 112: Prone Positioning Dr D G Hovord Specialist Trainee Registrar - Anaesthetics University Hospitals of Coventry and Warwick d_hovord@hotmail.com Self-assessment Before

More information

Treatment for Snoring and Obstructive Sleep Apnea. Ri 林 鴻 錡 /AsP 譚 慶 鼎

Treatment for Snoring and Obstructive Sleep Apnea. Ri 林 鴻 錡 /AsP 譚 慶 鼎 Treatment for Snoring and Obstructive Sleep Apnea Ri 林 鴻 錡 /AsP 譚 慶 鼎 Nonsurgical treatment Weight loss Avoidance of alcohol,sedatives,tobacco Positional devices Oral or nasal appliances Nasal continuous

More information

Neoplasms of the LUNG and PLEURA

Neoplasms of the LUNG and PLEURA Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:

More information

Cancer Income Protection Policy

Cancer Income Protection Policy Cancer Income Protection Policy The Insurance Company of Scott & White offers peace of mind when the financial burden associated with cancer arises. Cancer Income Protection Policy Fighting cancer takes

More information

The Need for Accurate Lung Cancer Staging

The Need for Accurate Lung Cancer Staging The Need for Accurate Lung Cancer Staging Peter Baik, DO Thoracic Surgery Cancer Treatment Centers of America Oklahoma Osteopathic Association 115th Annual Convention Financial Disclosures: None 2 Objectives

More information

Medical Review Criteria Dental and Oral Surgery Services

Medical Review Criteria Dental and Oral Surgery Services Medical Review Criteria Dental and Oral Surgery Services Effective Date: April 13, 2016 Subject: Dental and Oral Surgery Services Policy: HPHC covers medically necessary dental/oral surgery services included

More information

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery Chapter 1 Minimally Invasive Spine Surgery 1 H.M. Mayer Primum non nocere First do no harm In the long history of surgery it always has been a basic principle to restrict the iatrogenic trauma done to

More information

Interventional Radiology

Interventional Radiology Nationwide Children s Hospital Department of Radiology is recognized as a pioneering center for research and innovation, and a renowned leader in diagnostic and interventional pediatric radiology. Our

More information

Oxygenation. Chapter 21. Anatomy and Physiology of Breathing. Anatomy and Physiology of Breathing*

Oxygenation. Chapter 21. Anatomy and Physiology of Breathing. Anatomy and Physiology of Breathing* Oxygenation Chapter 21 Anatomy and Physiology of Breathing Inspiration ~ breathing in Expiration ~ breathing out Ventilation ~ Movement of air in & out of the lungs Respiration ~ exchange of O2 & carbon

More information

Small cell lung cancer

Small cell lung cancer Small cell lung cancer Small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing organs that are found within

More information

Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety

Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety Scope of Practice Approved by the State Board of EMS (EMS Board), within the Division of EMS of the Ohio Department of Public Safety This document offers an at-a-glance view of the Scope of Practice for

More information

GWAS Competency Mapping Levels of Medical Support Within GWAS

GWAS Competency Mapping Levels of Medical Support Within GWAS GWAS Competency Mapping Levels of Medical Support Within GWAS Great Western Ambulance Service NHS Trust is pleased to be able to work with a range of doctors in delivering effective pre-hospital care.

More information

Special Training Three months training on general thoracic surgery at Emory University,Atlanta, Georgia, USA in

Special Training Three months training on general thoracic surgery at Emory University,Atlanta, Georgia, USA in NCI, Kasr El Elini St. Fom El Khalig, Cairo Egypt Mobile : +20100-104 1988 Clinic : +2 239 3 5544 Voice : +2 28406421 Abdelrahman.mohamed@nci.cu.edu.eg Email : rahmannci@yahoo.com Abdel Rahman Mohammed

More information

SPONDYLOEPIPHYSEAL DYSPLASIA, CONGENITA NATURAL HISTORY INTRODUCTION:

SPONDYLOEPIPHYSEAL DYSPLASIA, CONGENITA NATURAL HISTORY INTRODUCTION: SPONDYLOEPIPHYSEAL DYSPLASIA, CONGENITA NATURAL HISTORY Richard M. Pauli, M.D., Ph.D., Midwest Regional Bone Dysplasia Clinics revised 8/2009 INTRODUCTION: The following summary of the medical expectations

More information

April 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE

April 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE April 2015 CALGARY ZONE CLINICAL REFERENCE CENTRAL ACCESS & TRIAGE Introduction Pulmonary consulting services are organized through the Calgary Zone Pulmonary Central Access and Triage (PCAT). Working

More information

THE ANATOMY OF THE PEDIATRIC AIRWAY

THE ANATOMY OF THE PEDIATRIC AIRWAY by Esther Weathers RRT, RCP V7110 HC 02 RC Educational Consulting Services, Inc. P.O. Box 1930, Brockton, MA 02303-1930 (800) 441-LUNG / (877) 367-NURS www.rcecs.com BEHAVIORAL OBJECTIVES UPON COMPLETION

More information

NURSING SERVICES DEPARTMENT

NURSING SERVICES DEPARTMENT NURSING SERVICES DEPARTMENT TITLE: Mechanical Ventilation PATIENT CARE PLAN DIAGNOSIS: DISCHARGE CRITERIA: 1 The patient will: Maintain adequate mechanics of PERTINENT INFORMATION:. ventilation as demonstrated

More information

Vascular Technology (VT) Content Outline Anatomy & physiology 20% Cerebrovascular Cerebrovascular normal anatomy Evaluate the cerebrovascular vessels

Vascular Technology (VT) Content Outline Anatomy & physiology 20% Cerebrovascular Cerebrovascular normal anatomy Evaluate the cerebrovascular vessels Vascular Technology (VT) Content Outline Anatomy & physiology 20% normal anatomy Evaluate the cerebrovascular vessels hemodynamics Evaluate the cerebrovascular vessels for normal perfusion normal anatomy

More information

We take good care of you

We take good care of you We take good care of you Hospital Martha-Maria Munich Teaching Hospital of the Ludwig-Maximilians-University Munich Department of Surgery Efficiency Report 2006, 2007, 2008 Training Quality of life Health

More information

AEROSPACE MEDICAL SERVICE SPECIALTY INDEPENDENT DUTY MEDICAL TECHNICIAN EMERGENCY MEDICINE PROCEDURES

AEROSPACE MEDICAL SERVICE SPECIALTY INDEPENDENT DUTY MEDICAL TECHNICIAN EMERGENCY MEDICINE PROCEDURES QTP4N0X1C-9 02 July 2015 AEROSPACE MEDICAL SERVICE SPECIALTY INDEPENDENT DUTY MEDICAL TECHNICIAN EMERGENCY MEDICINE PROCEDURES Volume 9 TOTAL FORCE, TOTAL CARE EVERYTIME, ANYWHERE 383d TRAINING SQUADRON/XUFB

More information

Laparoscopic One Anastomosis Gastric Bypass (LOAGB) How I do it

Laparoscopic One Anastomosis Gastric Bypass (LOAGB) How I do it CENTER OF EXCELLENCE FOR THE STUDY AND OBESITY TREATMENT Laparoscopic One Anastomosis Gastric Bypass (LOAGB) How I do it Concepts and Results in a series of 11-years experience with 2,200 patients Miguel-A.

More information