Outpatient Surgery Magazine

ORX Awards and the Winners Are ... - September 2014 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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9 4 O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | S E P T E M B E R 2 0 1 4 You have a difficult mask ventilation or a difficult airway? Use an SGA. We saved a common airway challenge for last. We've all come across the patient who, after inducing with propofol narcotic and paralytic, is apneic and all of a sudden hard to ventilate — but not paralyzed enough to intubate. For the hard-to-ventilate patient, plac- ing an SGA gets all of the soft tissue out of the way and often results in an easier mask until you're ready for an intubation attempt. Additionally, if you try and fail to intubate a patient, a quick SGA placement can keep your patient ventilated until someone brings the video laryngoscope to you. Or, if you have it available, you could use an intubating SGA and place the ETT through it. OSM Mr. MacKinnon ( mma ck innon123@g mail.com ) is a partner in a CRNA- only practice in Arizona. He is the current state president of the Arizona Association of Nurse Anesthetists and lectures nationally on the topic of air- way management, ultrasound-guided regional anesthesia and the business of anesthesia. 10 D I F F I C U L T A I R W A Y S

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