The Video Never Lies: Advanced Video Laryngoscopy

Video assisted laryngoscopy is not the same skill as direct laryngoscopy. The tool is immensely powerful, but when used improperly can lead to false confidence or even make intubation more difficult. This session will help learners to better understand the how and why of when video intubation goes well. We will review the relevant anatomy, particularly as it relates to patient positioning. I will demonstrate how the view through a video device may be falsely reassuring or even make tube delivery more challenging than necessary. Importantly, it will demonstrate common failure points and how to troubleshoot them in real time. This will all be done by reviewing high definition videos of real intubations from the field. Our service has amassed thousands of videos and we have hand picked the most educational to share with you. Learners will leave this session with new skills, muscle memory and trouble shooting techniques to help avoid video laryngoscopy pitfalls.

Session Outline:
Total session time: 30 minutes
Review airway anatomy, focusing on how it differs with a camera than in DL: 2 minutes
Patient Positioning for Success to align axes and curves: 3 minutes
Discuss the "Two Curves Theory," and why this is crucial to troubleshooting difficult tube delivery: 3 minutes
Review Review:
- Plunge and Pray / Don't go too Deep: 4 mins
- Failure to Engage the Hyoepiglottic LIgament: 4 mins
- What to do when the tube won't go: 4 minutes
- Stay High and Dry / Hug the tongue: 4 minutes
- Putting it all together: Success! 4 mins