Emergency front-of-neck access (eFONA) is one of the most feared clinical interventions any of us is likely to face. Unfortunately, current evidence does not seem to provide enough guidance as to what is the most effective way of dealing with the dreaded can’t intubate can’t oxygenate scenario.
In this study, Rees et al have compared cannula and scalpel-bougie eFONA techniques using time to oxygen delivery as their primary outcome. The value of this study is, perhaps, not as much in the main findings as it is in the analysis of failures and repeated attempts. Rees et al. found that the participants had lower odds of failure using cannula (one failure) than using scalpel – bougie technique (15 failures).
Knowing how and why failures happen can be invaluable and is likely to help individual anaesthetist make a more informed decision about what eFONA technique is likely to suit better their clinical environment and skill mix. Well worth reading.
Rees KA, O’Halloran LJ, Wawryk JB, Gotmaker R, Cameron EK, Woonton HDJ: Time to oxygenate for cannula- and scalpel-based techniques for emergency front-of-neck access: a wet lab simulation using an ovine model. Anaesthesia 2019; Early View.
The British Journal of Anaesthesia is pleased to announce the publication of a special issue on Respiration and the Airway to coincide with WAMM 2019, the second World Airway Management Meeting in Amsterdam, 13- 16 November.
As the summer is underway, we may find time to contemplate and reflect on the issues related to anaesthesia and airway management.
To illustrate the unexpected nature of difficult airways, Pandit and Heidegger (Anaesthesia 2017; 72: 283-95) paraphrased the opening line of Tolstoy’s Ana Karenina stating that ‘all easy airways are alike, each difficult airway is difficult in its own way’.
That unexpected nature of the airway management difficulty is perhaps a good reason to read this month’s article of the month while sitting in your garden on a lazy Sunday afternoon with a glass of your favourite refreshment.
This month’s article of the month is a narrative review of the strategies for the prevention of airway complications. The article provides an excellent overview of the current evidence pointing towards potential surprises and how to avoid them. I am still working on making some of these strategies part of my routine when managing the airway. I am picking one strategy at a time and making it become a habit so I can implement it without actively thinking about whether or how.
First TAT course in Portugal in the beautiful city of Braga! Amazing team work was the key to turn this experience into a wonderful moment of one and a half days.
Thanks to everyone that made that possible, especial prof. Greif (Tino) and the magnificent group of 15 students that couldn't have been better chosen...
We think that EAMS has another team to go forward!
Sofia Torrinha, Portugal
Welcome letter from the new President, Michael Seltz Kristensen
Dear EAMS member! Dear co-airway-afficionado!
It is an honour to take over this position as President of EAMS!
The “European” in “European Airway Management Society” is not meant geographically!
It is meant to describe a European approach based on multiple inputs, discussion and best evidence, accepting different needs and resources, and based on human diversity.
Therefore, we are a true GLOBAL society, with members, You!, from all parts of the world.
Dear EAMS members
We invite you to take the European Airway Management Society Survey about Videolaryngoscopes.
Please click on the banner below.