Dr. Alan Lane
Welcome to the Airway Module. This module is based at the General Campus under the direction of Drs. Alan Lane, Paul Connolly, and Ted Crosby. The role of this module is to focus on key competencies within airway management; skills you will continue to refine throughout your residency.
The majority of your time in this module will be spent in the OR involving otolaryngology – head and neck surgery, dental, gynecology, and other lists. It is helpful if you can discuss ahead of time with your staff what techniques you want to perform. It may be appropriate to help staff in other ORs who do not have assigned residents and who have flagged difficult airway cases; discuss on the day with staff involved. Please take the opportunity to assist the otolaryngology surgeons with a tracheostomy if this arises.
EPAs & Milestones
- Management and support of airway and ventilation
- Demonstrates advanced indirect airway management including airway topicalization for awake techniques.
- Demonstrates extubation strategies for difficult airways.
- Demonstrates management of the anticipated difficult airway.
- Extubation of the Trachea in a Morbidly Obese Patient with Known Sleep Apnea
- Management of the Patient with a Non-Reassuring Airway Assessment
- Difficult Ventilation Following Tracheal Intubation
- Approach to the Stridorous Patient
- Airway Complications Post Thyroidectomy
- Airway Trauma after MVA
- Anesthesia for ENT Laser Surgery
- Intubation of Patient with Respiratory Failure due to Suspected Infectious Etiology (optional)
- Obstructed Airway: Base of the Tongue Tumor (optional)
- Airway Management After Steam Inhalation (optional)
- Urgent Difficult Intubation in the Intoxicated Patient (optional)
- Urgent Anticipated Difficult Airway, Empyema and Subcutaneous Emphysema (optional)
- Urgent Intubation, Airway Compromised after Carotid Endarterectomy, Remote Location (optional)
- Difficult Intubation After Blunt Traumatic Injury (optional)
- Submitted the required number of CCATs (12)
- Demonstrated evidence of self-learning
- Attend the airway rotation orientation day
- Completed 7 Core 1 Airway learning cases
- Compliant with Resident Logbook
- The main reading material will be from the airway chapters in the standard text books: Miller and Barash.
- Management of the Difficult and Failed Airway (O Hung) is an excellent read and has many interesting case studies.
- Dr. Lane will provide you with a collection of interesting airway papers, reports, and websites for your reference when you commence the module.
- The University Health Network (UHN) have developed a PIE (perioperative interactive educational) website on awake fiberoptic intubation with 5 modules and a self test, which is an excellent resource: