tag:blogger.com,1999:blog-2722509310767947398.post1758479765728633316..comments2024-02-27T21:32:04.260-08:00Comments on KI Doc: Keeping it SimpleTim Leeuwenburghttp://www.blogger.com/profile/02071386260651236300noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-2722509310767947398.post-37150417598135969292011-10-19T23:01:52.048-07:002011-10-19T23:01:52.048-07:00I don't think they got it..doesn't have su...I don't think they got it..doesn't have suction channel but what do you expect from a disposable scope.<br />Its a good idea to have a standard list of gear for airway management. For the moment its probably going to have to be done at an individual level. I don't know about you but I carry my own laryngoscope LED handle and a couple of decent blades. I also carry a Fastrach ILMA disposable set..and now my KINg vision VL. any basic ED setup or country hospital should have the gear to do a surgical airway...even a needle cric. So for <$1500 AU I have my own difficult airway kit, its portable, I know it works because I check it every retrieval shift. If I lose it it can be quickly replaced without selling one of my children.<br /><br />Walk into any ED and you will find different kit, from McCoy blades to Airtraqs to Glidescopes to FOB. Until everyone agrees that a minimum list of kit is actually a good idea, it will be up to individuals to promote best practice in their own practice.rfdsdochttps://www.blogger.com/profile/13919495080954427480noreply@blogger.comtag:blogger.com,1999:blog-2722509310767947398.post-43673158879842942942011-10-19T15:14:35.282-07:002011-10-19T15:14:35.282-07:00Ah yes, but when it's a mobile phone paid for ...Ah yes, but when it's a mobile phone paid for from Govt coffers, you may not get a choice!<br /><br />Heard a rumour that medSTAR were looking at AmbuAscope, but not sure where they are at currently - feel free to pass my blog comments onto any of your insiders there...<br /><br />I'd be particularly interested if Matt Hooper or colleagues felt that concordance on both equipment and protocols across the board from ambulance-retrieval-rural would be of benefit. Difficult airway, infusion pumps (the Niki T34 is my fav) and low-volume infusions would seem a good place to start and I'd be keen to push this across rural hospitals in SA.<br /><br />Interestingly, one of my former interns who went on to locum as a GP-anaesthetist in SA recently pulled out - his issue? Too much variety in equipment between centres which made him feel unsafe as moved from one locum post to another!Tim Leeuwenburghttps://www.blogger.com/profile/02071386260651236300noreply@blogger.comtag:blogger.com,1999:blog-2722509310767947398.post-68742216495468574522011-10-19T13:55:19.397-07:002011-10-19T13:55:19.397-07:00Great post Tim
Totally agree with you on trying to...Great post Tim<br />Totally agree with you on trying to standardise difficult airway gear across all centres<br />Sadly I think its not going to happen<br />I asked a senior ICU colleague of mine about this and he said "Why do you think everyone has got a different mobile phone?"<br /><br />Fact is these airway toys become a bit personal for many of us. Some like one toy and others like another. <br /><br />Did you know MedStar were looking at getting the Ambuscope earlier this year? They do have a FOB they can take out on retrieval. I don't think they got the Ambuscope though. But they did have a case earlier this year where the FOB was used successfully on retrieval to Kapunda I think and evacuated a bronchial clot that was causing major problems.rfdsdochttps://www.blogger.com/profile/13919495080954427480noreply@blogger.com