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That Look Arya gives to Drogon

March 6, 2019

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April 20, 2016

Ricky Bobbie is the one who said the statement above. Do you believe it?

Too much pride. Do you really Piss Excellence when Intubating?


I know many need to be very confident. Confident on false pride, false self evaluation or Confident from being well practiced, well re...

April 19, 2016


I SHOULD HAVE BEEN READY SOONER. There was no lumen that would have allowed any blade direct or video to enter her mouth. Naso fibroptics or surgical airway thru the neck were the only viable options.

I had oped she was going to the O.R. soon.


Hoped she was...

April 19, 2016

Can you imagine a case when a patient's daughter tells you that the patient has been desating to the low 80% for past 3 weeks while on bipap on home. She has more than copd but Morbid Obesity is not mentioned as her medical problems. Luckily my eyes work well with my g...

April 19, 2016

How my limited training with simulation was not enough the day I failed to successfully intubate via the nose, this patient with the worse Angioedema I have ever seen on a patient. 

Blood trickled from both sides of her mouth. The swelling was that severe that the tongu...

April 11, 2016




Best Practices on Insertion.The Don't care just shove it in method like my residents love.

The Archie Brain (who is he) Method. the inventor of LMA.

The Dr. Cook method of insertion with a Tongue Blade or Laryngoscope Method





April 11, 2016

Video Laryngoscopy again. 

Suction is your best friend when dealing with Video Laryngoscopy. There is suction device on the blades used nor any window wipers nor air is available to blow away the debris encountered down the hole called the OROPHARYNX. 

Now there are thos...

April 11, 2016

Many believe the only back up Rescue Intubation Device that exists is the Glidescope by Verathon.

I am not shaming a product here. I will just state Facts.

David versus Goliath. A little airway History.

I wonder how the final chapter will turn out.

Remember Imitation is th...

April 11, 2016




or Tracheostomy

If not done by you, then you are waiting for someone else to save YOUR PATIENT'S LIFE.


Would need to have a manikin modified to mimic a difficult airway that warrants a surgical airway from the get go or later on after fa...

April 11, 2016



Very hard to mimic real life for surgical airways.

No one volunteers. And cadavers are not always available. 

Some skilled trainers/partial skill manikins come with a neck but w/o a chest or some come with the chest and no chin or chin connected to a face. Some have a...

March 16, 2016

SuperNO2VA™ Device, Nasal Oxygenation & Ventilation Apparatus, is designed to provide continuous ventilation before and during intubation. This device is a game-changer.


This device will change how bag mask ventilation/rescue ventilation is done long with pre-oxygenati...

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