CHEST Select - Critical Care Self-Study Resources-Airway Management and Bronchoscopy

Video Transcription

Video Summary

In this video transcript, Dr. Alex Niven discusses airway management, bronchoscopy, and tracheostomy for the Chest Critical Care Medicine Board Review. He highlights the challenges of intubating patients in the ICU, particularly in critically ill patients who often have difficult airways. He discusses the rates of complications in emergent intubations and emphasizes the need for improvement in safety and effectiveness. Dr. Niven also discusses the challenges of intubating obese patients and the increased risks associated with obesity. He emphasizes the importance of systematic planning and preparation, including pre-oxygenation and patient positioning, to maximize success and safety during intubation. He also discusses the use of pharmacological agents such as propofol, etomidate, and ketamine. In terms of tracheostomy management, Dr. Niven discusses the timing of tracheostomy, the advantages of percutaneous tracheostomy, and common complications associated with tracheostomy, including dislodgement, tracheitis, bleeding, and tracheostenosis. Finally, he briefly discusses bronchoscopy for hemoptysis and upper and central airway disease, including the management of massive hemoptysis and the use of bronchoscopy in evaluating and managing upper airway obstruction.

Meta Tag

Asset Type Video

Curriculum Category Pulmonary Disease in Critical Care

Faculty Alexander S. Niven, MD, FCCP

Keywords

airway management

bronchoscopy

tracheostomy

ICU intubation

difficult airways

complications

obese patients

systematic planning

pharmacological agents