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I had the pleasure of meeting Dr. Paul Mayo recently, while I was prowling around the newly refubished ICU at Nepean Hospital during a break between presenting Arvind Rajamani’s Sydney Written Course. He was over from New York, where he practices critical care medicine,pulmonology and internal medicine at the Long Island Jewish Medical Centre, to assist and talk at the Nepean Critical Care General Ultrasound course, held at Bondi Beach. Paul is the guy in the dark blue scrubs in the photo (not the plastic guy lying down on the trolley) and is a Clinical Professor of Medicine at the Albert Einstein College of Medicine. He has authored multiple papers and is the organiser of the ACCP Critical Care Ultrasonography training course.On of his pet topics is Airway Management and it was on this topic that he gave a talk at the candidate dinner during the Sydney Written Course. He has kindly given us the slides from his presentation and permission to make them available to all of you. It would have been good to have the podcast for you, but the recording equipment died half-way through and couldn’t be resuscitated. Sorry!
His talk centres around the difficulties encountered in managing a critically ill patient’s airway and their implications, particularly those of hypoxia and hypotension. He then explores how the situation might be improved, adopting an integrated whole-of-practice approach, which will no doubt spark some debate. His faith in this approach is strong enough that it is now his department’s policy never to call for anaesthetic assistance when managing a patient’s airway. Interestingly, he is also an advocate of sedative-only RSI – that’s right, no neuromuscular blocking agent! For more information, go to Scott Weingarts EM Crit site for a debate between himself and Paul Mayo on this practice … Available here. Paul Mayo’s Airway talk is available here. |
