Details about the AirwayOnDemand difficult airway workshop

Summary: AirwayOnDemand

AirwayOnDemand is a 10 CME/CE hands-on difficult airway workshop held on-site at your choice of date and venue for practice groups, professional societies, and teaching programs. The primary audience is the anesthesia provider, but other medical specialties (e.g., critical care and emergency medicine) also participate.  The learners experience on-line, multimedia streaming video didactics at their own pace, for 2 to 3 months prior to the in-person event. The In-person meeting typically occurs on a Saturday morning and the course is completed by noon. Importantly, there is no travel or lost work days for the learners. Tuition is significantly less than similar courses because charging is based on group size.

(see www.airwayondemand.com for information about our other on-demand, on-site course, POCUS@home)

Details about AirwayOnDemand Difficult Airway Workshop

About the course: The AirwayOnDemand difficult airway course has been available since 1997, with over 140 events to date. Practitioners and students in a variety of medical specialties attend (Critical Care, ED, paramedics, nurses) though the primary focus is the anesthesia provider.

The vast majority of the AOD events are scheduled “on demand” by a single hospital practice, teaching program or professional society (e.g, national or state meetings) and held on-site at the groups choice of date and venue. The AOD mission is to advance practitioner critical airway decision making and skills through a high-level program featuring up-to-date, evidence based didactics, real patient examples and hands-on task training, and when practical based on group size, simulation.

The on-site, on-demand scheduling of an AOD event realizes a tremendous cost savings for any group - practitioners attending a national difficult airway course will spend upwards of $2000 on travel, lodging and tuition. Additionally, travel entails lost work days for both the learner and facility, and lost family time. The AOD student completes 6 hours of didactics on-line, at their leisure, and then attends 2 hours of update and Q&A and 2 or more hours of hands-on practice live, in-person for a total or 9 Category 1, CME or CEU.

The program:

 Pre-meeting:
6 hours of on-line learning. The learners will all be given a unique code and can watch the video at their convenience. Learners have more than 2 months to view the lectures before the in-person event. Below please find a sample of the lectures as well as the full lecture curriculum. The lectures are heavily animated and use real patient video.

Day of meeting:
In person didactics (about 2 hours): When we meet in person we will take questions, review some basic issues and go over recent literature updates

Hands-on workshop (2+ hours): below please find a list of hands-on stations. Gastric POCUS training is often added to the airway workshop - this may require recruitment of an additional faculty and will increase cost.

CE/CME (10hrs)
The course is approved for 10 hours of CE though the AANA. CME for physicians is sought on a per-course basis through a variety of CME accreditors.

Costs:
 Typical costs are $200-$450 per person, though the group is charged as a whole. Depending on group size the pp cost may be higher or lower. Individual learners payment is available but will increase cost and require a minimum. It must be appreciated that this is a tiny fraction of the cost a learner would pay to attend a national course in consideration of travel, lodging and tuition. In addition there is no lost work days nor loss of staff to the facility. An added benefit is the consistent education across the entire staff.

Sample of the on-line lectures:The learner can play the video at 1.25x, 1.5x, or faster depending on their browser
https://vimeo.com/262800188?share=copy#t=0

Lecture curriculum
AOD agenda - 6 hour online video to be completed at learners leisure
Introduction
Epidemiology
-Prevalence and causes of catastrophe
-Decision making in airway managment
     -Does the patient need airway control
     -Will my laryngoscopy be difficult -Will my mask/SGA ventilation be difficult
     -Is there an aspiration risk
     -Is there a safe apneic period
     -Preoxygenation -advanced oxygenation techniques
Advanced airway evaluation (including trauma and OB)
-Obesity
-Cervical spine
-Facial trauma
-Disrupted airway
-Foreign body
-Angioneurotic edema
Obstetric airway
Pediatric airway
-Oxygenation
-Difficult intubation
-Difficult Ventilation
-Invasive airways / Bronchoscopy
Awake intubation
-Informed consent
-Desiccation 
-Airway Blocks
-Sedation
-Oxygenation techniques
-Time management
Flexible intubation Scopes
Rigid videolaryngoscopy
-Standard geometry blade
-Hyperangulated blade
-Channel scope blade
Advances in supraglottic airways
-Second generation devices
-Intubating devices and techniques
Invasive airways
-Percutaneous 
-Surgical
Integration in an airway code - the ASA infographic
Extubation of the difficult airway
-Evaluation
-Bridging reintubation
Summary

Hands on session (as available by manufacturer rep)
Flexible scope simulator Standard flexible scope
GlideScope
McGrath Scope
Video Stylets
KingVision
Teleflex LMA
Intubating LMA
Ambu LMA
iGel
High Flow Nasal Oxygen
Cook invasive airways
Cook Exchange catheters
Other as available
Swine skin/3D print larynx knife-bougie-tube trainer station

Add on: POCUS - Gastric and other

Durable Material
Syllabus 56 page pdf
Airway “cheat sheet” 4x6 index card
ASA infographic placard

Host responsibilities
As host, you are responsible for
- Learner recruitment
- Providing a facility for the event. Classroom facility and hands-on workspace with tables (detailed worksheets are provided during the planning phase)
- Catering if desired

Course benefits
- Up to date literature
- Uniform staff education
- Held on site at your choice of date and venue
- No travel and missed work or family days
- Cost is a small fraction of typical national workshop model - based on group size. Typically $250 to $550 per-person
- 25 yrs of AOD with over 140 workshops to date
- 10 hours CE/CME (may be available at no or low cost from your institution)