1. Basic Airway
Tom Morrissey, MD
Assistant Professor
University of Florida HSC
Jacksonville, Florida

2. Positioning

3. Sniffing Position

4. Sniffing Position

5. AIRWAY POSITIONING and the
BURP
Backwards
Upwards
Rightward
Pressure

6. Laryngoscopy and Intubation
 Technique:
– Placement of the laryngoscope
– Initially non-visual then active visual
stage
– No death-grip needed
– Keep right hand free

7. Technique
Nobody will steal your scope!!

8. Laryngoscopy and Intubation
 Steps of intubation
– Positioning
– Placement of Laryngoscope

9. Laryngoscope Placement

10. Laryngoscopy and Intubation
 Steps of intubation
– Positioning
– Placement of Laryngoscope
– Capture of the tongue

11. Starting Position of Visual
Phase

12. Laryngoscopy and Intubation
 Steps of intubation
– Positioning
– Placement of Laryngoscope
– Capture of the tongue
– Visualization of anatomic structures
as Miller blade is withdrawn

13. Visualization of Airway and
Exposure of Cords

14. Laryngoscopy and Intubation
 Steps of intubation
– Positioning
– Placement of Laryngoscope
– Capture of the tongue
– Visualization of anatomic structures as
Miller blade is withdrawn
– Placement of tube

15. Tube Placement

16. Final Placement

17. Laryngoscopy and Intubation
 Steps of intubation
– Positioning
– Placement of Laryngoscope
– Capture of the tongue
– Visualization of anatomic structures as
Miller blade is withdrawn
– Placement of tube
– CO2 conformation

18. Difficult Airway Predictors
 The Lemon Law
– Look externally
– Evaluate the 3-3-2 rule
– Mallampati
– Obstruction?
– Neck mobility

19. Mallampati Classification

20. AIRWAY IN THE OBESE

21. Management
 HELP!!!!!!!!!
 WHAT DO YOU DO????

22. AIRWAY IN THE OBESE