A mental model for better tracheal access
In the age of the video laryngoscope (VL) we can achieve spectacular views of airway anatomy, but this advance hasn’t uniformly lead to improved first pass success. That’s because in the quest to improve our view of the larynx we neglected tracheal access and tube delivery suffered.
15 years into the VL paradigm our approach is in need of an upgrade. It’s time for a different mental model, one that prioritizes geometry over anatomy, and access over images. With it we need new skills and new tools. that integrate effectively with the advantages the use of VL brings.
The Secondary Curve, the point of inflection and tracheal access
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