Difficult Airway Management
Overview
Every intubation in the ICU can be a difficult airway. This course will provide participants with a state-of-the-art, systematic overview and hands-on experience with the preparation, teamwork, and tools that it takes to manage common and complex airway situations. Each participant will have the opportunity to:
- Review the fundamental skills of intubation
- Identify exam findings associated with a difficult airway
- Experience advanced tools for airway management
- Work together to solve airway problems in a high fidelity, simulated clinical environment using scenarios developed from real-life cases.
Objectives
The learner will achieve the desired course goal by participating in the following course learning objectives:
- Describe risk factors, physical exam findings, and clinical situations associated with a difficult airway.
- Classify the various types of equipment used in the management of the patient with a difficult airway.
- Demonstrate effective management of the simulated patient with a difficult airway.
Agenda
| Friday, July 24 |
7:00 pm - 7:30 pm
Welcome and Introduction (30 min)
ACCP Learning Category I: Lecture-Based
7:30 pm - 9:30 pm
Review Intubation Assessment, Bag-Valve-Mask, Use of Induction Agents, and the Steps for Performing Endotracheal Intubation
ACCP Learning Category I: Lecture-Based
8:30 pm - 9:00 pm
Pretest
ACCP Learning Category II: Self-Directed
| Saturday, July 25 |
7:30 am - 8:00 am
Welcome and Introduction
ACCP Learning Category V: Simulation
8:15 am – 8:30 am
Difficult Day in the ICU
ACCP Learning Category V: Simulation
8:30 am - 9:15 am
Airway Assessment and Intubation (45 min)
Systematic, state-of-the-art review of the fundamental principles of airway management
- How To Identify a Difficult Airway
- Intubation Techniques and Tips
- Patient Positioning and Preparation
- Bag-Valve-Mask Ventilation
- Which Blade Should I Use and When?
- To Paralyze or Not To Paralyze?
- The Truth About Etomidate and Other Induction Agents
ACCP Learning Category I: Lecture-Based
9:15 am - 9:35 am
Crew Resource Management (20 min)
An overview of the background and development of crew resource management areas
- Roles and Tasks of Airway Team
- Standardized Equipment and Team Preparation
- Communication Techniques
ACCP Learning Category V: Simulation
9:35 am – 9:45 am
Break
Workshop 1
9:45 am - 10:15 am
Basic Simulations (30 min)
- Overview
- Simulation
- Debrief
- Simulation/Debrief
ACCP Learning Category V: Simulation
10:15 am – 10:25 am
Break
Workshop 2
10:25 am - 10:55 am
Crew Resource Management (30 min)
- Overview
- Simulation
- Debrief
- Simulation/Debrief
ACCP Learning Category V: Simulation
10:55 am –11:05 am
Break
Workshop 3
11:05 am - 11:35 am
ASA Difficult Airway Algorithm-Laryngeal Mask Airways/Combitube
- Overview
- Simulation
- Debrief
- Simulation/Debrief
ACCP Learning Category V: Simulation
11:35 am – 12:45 pm
Lunch
Workshop 4
12:45 pm - 1:30 pm
Percutaneous Tracheostomy (45 min)
- Overview
- Practice
ACCP Learning Category V: Simulation
Workshop 5
1:30 pm - 2:15 pm
Advanced Airways Simulations (45 min)
- Overview
- Practice
ACCP Learning Category V: Simulation
2:15 pm - 2:30 pm
Break
Workshop 6
2:30 pm - 3:15 pm
Designing an ICU Airway Cart (45 min)
A practical approach to developing a difficult airway cart and creating an airway management pathway in the ICU
- Who To Involve
- Strategies and Contents
- Maintenance
ACCP Learning Category IV: Case- and Problem-Based Learning
Workshop 7
3:15 pm - 4:00 pm
Videolaryngoscope/Video-Assisted Intubation (45 min)
Hands-on exposure to current fiberoptic airway equipment
- Review Advantages, Disadvantages, and Role of Fiberoptic Intubation
- Review Use and Differences Between Fiberoptic Intubation Tools
- Hands-on Experience With Equipment
ACCP Learning Category V: Simulation
4:00 pm - 4:30 pm
Daily Wrap-up and Discussion
ACCP Learning Category I: Lecture-Based
| Sunday, July 26 |
Workshop 8
8:00 am - 8:45 am
Simulations With Laryngeal Mask Airways and Video-Assist (45 min)
Glidescope
ACCP Learning Category V: Simulation
Workshop 9
8:45 am – 9:30 am
Simulations With Laryngeal Mask Airways and Video-Assist (45 min)
Storz
ACCP Learning Category V: Simulation9:30 am - 9:45 am
Break
Workshop 10
9:45 am -10:30 am
Surgical Airway Management (45 min)
Overview of surgical airway management, including the following:
- Indications and Anatomy
- Cricothyroidotomy, Methods of Ventilation Following Cricothyroidotomy
- Percutaneous Tracheostomy
ACCP Learning Category V: Simulation
Workshop 11
10:30 am – 11:15 am
Awake Intubation (45 min)
Overview of awake airway management, including the following:
- When To Consider Awake Intubation
- Patient Preparation
ACCP Learning Category V: Simulation
11:15 am - 12:00 pm
Lunch
12:00 pm - 1:30 pm
Taking It to the Next Level (45 min)
1:30 pm - 1:45 pm
Break
1:45 pm - 3:15 pm
Simulations With Surgical Airway (45 min)
- Patient, Airway Preparation
- Techniques
ACCP Learning Category V: Simulation
3:15 pm - 4:30 pm
Course Wrap-up
- Course Consensus Discussion and Review
- Posttest
- Evaluation Forms
ACCP Learning Category I: Lecture-Based
CME Information
CME Hours
The ACCP designates this educational activity for a maximum of 14.75 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Accreditation Statement
The ACCP is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Disclosure Statement
The ACCP (ACCP) remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by all of our faculty members. It is not the intent of the ACCP to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the ACCP to recognize situations that may be subject to questions by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair, the Education Committee, or the Conflict of Interest Review Committee to ensure that such situations are properly evaluated and, if necessary, resolved. The ACCP educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.
ACCP Education Mission
To develop educational delivery systems for chest, critical care, and sleep physicians that facilitate lifelong learning and optimize clinical care through the following Continuing Education Committee goals:
- Identify topics in which an educational need indicates that the diagnosis and management of chest disease, pulmonary, critical care, and sleep medicine could be significantly improved by providing new information. Dissemination of this information would have high global health and economic impact. The information would ideally be based upon a body of published evidence or evidence-based guidelines.
- Promote lifelong learning through the use of the ACCP education curriculum that reflects clinicians’ time, fiscal practicality, incorporation of evidence-based guidelines, and the use of current technology.
- Work with other organizations to develop sponsor and/or disseminate continuing medical education programs or enduring products.
- Implement continuing medical education delivery systems that meet or exceed the current guidelines of the Accreditation Council for Continuing Medical Education.
- Assess the educational significance and impact on learners who have participated in the ACCP education curriculum.
Faculty
Peter Spiro, MD, FCCP, Co-Chair
Assistant Professor
Columbia University, College of Physicians and Surgeons
New York, NY
Kevin Doerschug, MD, MS, FCCP, Co-Chair
Clinical Associate Professor
University of Iowa
Iowa City, IA
Alexander S. Niven, MD, FCCP
Program Director, Internal Medicine
Madigan Army Medical Center
Tacoma, WA
Eleanor M. Summerhill, MD, FCCP
Assistant Professor of Medicine
Brown University School of Medicine
Pawtucket, RI
David Bowton, MD, FCCP
Professor and Head, Section on Critical Care Medicine
Wake Forest University Baptist Medical Center
Winston Salem, NC
Bernard Roth, MD, FCCP
Pulmonary, Critical Care Medicine
Madigan Army Medical Center
Tacoma, WA
Registration
| Tuition by Category | |
| ACCP Member (Physician and/or Doctoral) |
$950 |
| Nonmember (Physician and/or Doctoral) |
$1,030 |
| ACCP Allied Health Member | $750 |
| Allied Health Nonmember (Nonphysician/Nondoctoral/Nonstudent) |
$1,030 |
| Affiliate Member | $750 |
| Physician-in-Training (verification required) |
$950 |
Hotel and Travel
Northbrook is a northern suburb of Chicago and home to the ACCP and the ACCP Simulation Center for Advanced Clinical Education. It is a short distance north of O’Hare International Airport and the site of several nationally recognized hotels, all within close proximity of the simulation center. Many nearby restaurants, shopping centers, and area attractions—along with the ease of getting around—make Northbrook an attractive destination for travelers.
Housing Accommodations
For reservations, call (847) 945-3400, and request the group rate of $55/night for the American College of Chest Physicians no less than 2 weeks prior to the course. Included in this rate are a complimentary breakfast at the hotel and complimentary shuttle to and from the hotel and the ACCP.
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Hyatt Deerfield
Travel ArrangementsYou and your guests are eligible for discounts from ACCP’s travel partners, United Airlines and Avis Rent A Car. To receive these discounts, book airline tickets online through ACCP’s official travel agency, Association Travel Concepts; contact your own travel agent; or call the travel partner directly and reference the contract number. Association Travel Concepts United Airlines Avis Rent-A-Car Ground TransportationDeerbrook Limo: (847) 945-0500 American Taxi: (800) 244-1177 (automated phone system) |
