What is the vortex approach?
The Vortex Approach is a cognitive aid tool created by Dr Nicholas Chrimes, consultant anaesthetist in Melbourne, Australia. It provides a simple and consistent template for airway management and can be used as a complement to other guidelines.
What is considered a difficult intubation?
Definition and incidence: “An intubation is called difficult if a normally trained anesthesiologist needs more than 3 attempts or more than 10 min for a successful endotracheal intubation.” The incidence of difficult intubation depends on the degree of difficulty encountered showing a range of 1-18% of all intubations …
Can’t oxygenate can’t ventilate?
“Can’t Intubate Can’t Ventilate” is one of the frightening statements that causes massive surges of adrenaline in everyone. Unfortunately, most neural synapses don’t function well with that large surge of adrenaline, and it is, therefore, imperative to contemplate how to manage this scenario before it arises.
How do you intubate better?
Remember, no intubation is always better than bad intubation, even if an ET tube is eventually placed.
- Determine if intubation is indicated.
- Prepare the patient.
- Prepare your equipment.
- Advance the laryngoscope blade.
- Abandon the attempt and reassess.
What is the Vortex approach to difficult airway management?
The Vortex approach is a cognitive aid designed to help with situational awareness and decision making during difficult airway management. 10,11 The main justification for the approach is that in times of stress, clinicians need very simple decision rules which are goal focused, rather than technique focused.
Which is the core of the Vortex approach?
THE VORTEX APPROACH. The Vortex implementation tool is the core of the broader Vortex Approach which provides a comprehensive array of resources to facilitate all phases of airway advanced airway care including airway assessment, development of an airway strategy and performance of airway interventions in both the routine and emergency setting.
How are algorithms used in emergency airway management?
The major airway algorithms are valuable training tools to familiarise clinicians with an approach to emergency airway management prior to the occurrence of an airway crisis.
What’s the difference between Vortex and high acuity?
The Vortex Approach, in contrast, is based around a “high acuity implementation tool”, specifically designed to be used during the high-stakes, time critical situation of an evolving airway emergency.