Talk:Advanced airway management

This article was the subject of a Wiki Education Foundation-supported course assignment, between 10 January 2022 and 4 February 2022. Further details are available on the course page. Student editor(s): Rnr11b (article contribs). Peer reviewers: Pskroenung.

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Skykryswest. Peer reviewers: Ctp8678.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:54, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article is currently the subject of a Wiki Education Foundation-supported course assignment, between 10 January 2022 and 4 February 2022. Further details are available on the course page. Student editor(s): Rnr11b.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:54, 17 January 2022 (UTC)

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Plans for Editing

I will be editing this page for a resident research project and plan to make the following changes:

• Addition of subsections under Tracheal intubation to include Indications, Techniques and Equipment, and Confirmation of Placement.
• Pediatric Considerations as a new section immediately following Surgical Methods
• Outcomes or Prognosis section as a conclusion
• Improvement of grammar and clarity in the lead section

I appreciate any suggestions and will post my intended sources shortly. Skykryswest (talk) 10:45, 12 April 2018 (UTC)

Plans for editing

Hi everyone! I am currently a fourth-year medical student from UCF taking a Wikiproject Medicine elective. I plan to make the following improvements to this article:

1. To improve organization, I plan to create headings titled "pharyngeal airways" and "extraglottic airways." I will leave "tracheal intubation" as is, and re-name the surgical section to "surgical airways."

2. In each of these subheadings I will add information about indications, contraindications, and any potential complications.

3. I plan to move the information contained in "pediatric considerations" to a more general "special considerations" section. I will also add "difficult airways" to this section.

4. I will add images and diagrams to illustrate relevant anatomy.

5. I will edit to improve clarity.

6. I will be adding additional references and checking the existing references for quality.

Please let me know if you have any thoughts about my plan or additional suggestions!

Rnr11b (talk) 22:35, 13 January 2022 (UTC)

1. To improve organization, I plan to create a heading called "Techniques," which will include the subheadings: supraglottic methods, endotracheal intubation, and surgical techniques. I am not seeing a techniques section. However I think that the way the article is currently organized works very well. 2. In each of these subheadings I will add information about indications, contraindications, and any potential complications. All of the sections seem very comprehensive regarding indications and contraindications. 3. I plan to move the information contained in "pediatric considerations" to a more general "special considerations" section. I will also add "difficult airways" to this section. I saw that the final paragraph speaks about unsuccessful intubation and I am assuming that this is the difficult airway section. If you are no longer planning to create a “special considerations” section I think that this works as is. 4. I will write a "history" section to briefly discuss the history and evolution of management guidelines I do not see a history section. 5. I will add images and diagrams to illustrate relevant anatomy. Photographs are relevant and help visualize written text. 6. I will edit to improve clarity. Clarity achieved. 7. I will be adding additional references and checking the existing references for quality. Please let me know if you have any thoughts about my plan or additional suggestions! High quality resources and strong bibliography. Everything looks like it follows the Wikipedia format. Very impressive and informative article. Reads well and is easy to understand. — Preceding unsigned comment added by Pskroenung (talk • contribs) 16:12, 2 February 2022 (UTC)

Wiki Education assignment: WikiMed UTSW

This article was the subject of a Wiki Education Foundation-supported course assignment, between 21 November 2023 and 15 December 2023. Further details are available on the course page. Student editor(s): Mzimmer33 (article contribs).

— Assignment last updated by Mzimmer33 (talk) 17:44, 22 November 2023 (UTC)

Plans for Editing

Hi everyone! I am currently a fourth-year medical student from UTSW taking a Wikiproject Medicine elective. I plan to make the following improvements to this article:

Changes to be made:

1. Improve discussion of tracheal intubation methods section with greater organization

2. Include more detail about the different equipment which is used for visualization of the airway (direct laryngoscopy, video laryngoscopy, fiberoptic) as well as the indications, advantages, and disadvantages of each

3. Build upon the nasotracheal intubation section, including a discussion of indications and technique as well as RAE tubes / McGill forceps

4. Add citation for nasotracheal intubation discussion

5. Edit pediatric considerations section style to integrate better with the article as a whole

I appreciate any feedback and will be posting my intended sources shortly!

Peer Review (UTSW - 12/9/2023)

• I think you can consider re-wording the fourth paragraph of the introduction section to something like "Supraglottic devicdes are the least invasive of advanced airway techniques. Examples include...." Infraglottic techniques are more invasive, followed by surgical techniques.
• In the fourth paragraph of the introduction section, I don't think you need to italicize the initialisms (e.g. OPA, NPA vs OPA, NPA)
• In the last paragraph of the introduction section, I'd consider re-wording to: "The ease of airway management can differ markedly between patients, though some bedside tests have been developed to predict difficulty." You can then cite the Cochrane systematic review at the end of this sentence without necessarily mentioning Cochrane in the sentence itself.

• Pharyngeal airway section: Consider re-writing to "NPAs can be used when OPAs are contraindicated, such as in patients with restricted mouth opening or oral trauma. NPAs themselves are contraindicated in suspected basilar skull fractures, due to the risk of the tube entering the cranium, as well as in cases of severe facial trauma."
• The pharyngeal airway section was otherwise really well-written! Concise and informative

• Extraglottic airway section was well-written

• Tracheal intubation section --> the image of the CXR needs a better description

• Surgical airway section was well-written

• Pediatric section was well-written

Overall, really impressive article and it's clear you put in a ton of work! I think my edits/suggestions are mostly stylistic more than anything.

Other notes:

• Generally speaking, you use the Oxford comma in some sentences but don't in others, so I would suggest you stick to either using it throughout the article or not using it at all, for consistency.
• I made very minor edits to remove some words for consistency's sake, feel free to undo these edits
• I added some punctuation to help with the flow, feel free to undo these edits if you feel they're unnecessary

Mzimmer33 (talk) 14:32, 27 November 2023 (UTC)

Plans for Editing

Hello everyone,

After reviewing the article, I will be attempting to update the following:

• Add a section on the difficult airway algorithm
• Provide a description of video laryngoscopy without references to brand names or manufacturers
• Eliminate bias in sections to certain manufacturers
• Provide clarity on confirming correct endotracheal tube placement
• Add discussion on jet airway ventilation
• Add discussion on the limitations of video laryngoscopy
• Add discussion on alternate intubation methods including lightwand intubation
• Add discussion on intubation through a supraglottic airway
• Add discussion on the goal of direct laryngoscopy (alignment of oral, pharyngeal, and laryngeal axis) if a picture can be found
• Add discussion on using fog in the endotracheal tube as a sign of correct endotracheal tube placement
• Add discussion on providing a large tidal volume manual breath via the ventilator to auscultate correct placement and confirm no right mainstem bronchus placement
• Organize the “Methods” subsection into further subsections named “Direct Laryngoscopy”, “Video Laryngoscopy”, and “Fiberoptic Intubation” Dy773400 (talk) 00:46, 11 January 2024 (UTC)

- I think you did a great job making edits and adding information based on the workplan that you provided. The article flows really well and is easy to follow. The subsections you added also help with clarity and readability. The information you added on confirming placement is also very helpful for readers. It looks like you completed everything as initially proposed, except for the discussions on jet airway ventilation and lightwand intubation. There are also a few instances where manufacturer names are still mentioned.

- I checked several of the hyperlinks and citations and they all link to existing pages and articles.

- Great job hyperlinking words and phrases to other Wikipedia articles, so that readers can get additional information on those topics.

- I like the pictures you added!

- Under the ‘Video Laryngoscopy’ section, I like that you added some limitations to this technique, as opposed to the section just mentioning its benefits. I think this adds to the unbiased nature of the article.

- The ‘Difficult airway algorithm’ is a very nice way to summarize all of the preceding information with recommendations on how to approach this issue. Great addition to the article.

- Grammar:

o ‘Cricothyrotomy’ section: Add the words ‘the patient’ before ‘is at risk of asphyxiation’

o ‘Cricothyrotomy’ section: Add the word ‘an’ before ‘otorhinolaryngologist’

- Suggestions:

o The first sentence under the ‘Surgical airways’ heading describing the cricothyrotomy technique seems redundant from what is described in the ‘Cricothyrotomy’ section.

o Under the ‘Tracheotomy’ section, there is information about complications of the technique. Are you able to add a sentence or two describing complications for the ‘Cricothyrotomy’ section?

o The 3rd sentence in the ‘Difficult airway algorithm’ seems a bit long and difficult to follow.

- Great job!! Umc1640F (talk) 20:56, 31 January 2024 (UTC)

Wiki Education assignment: WikiProject Medicine Winter 2024 UCF COM

This article was the subject of a Wiki Education Foundation-supported course assignment, between 8 January 2024 and 2 February 2024. Further details are available on the course page. Student editor(s): Dy773400 (article contribs).

— Assignment last updated by Dy773400 (talk) 21:04, 11 January 2024 (UTC)