- Inject 3 cc of lidocaine using a small butterfly needle through the cricothyroid membrane. This causes coughing, which spreads the lidocaine throughout the upper airway.
- Inject 5 cc of atomized lidocaine through the fiberoptic scope port to anesthetize the posterior oropharynx and vocal cords.
- Slide the endotracheal tube over the fiberoptic scope.
Seeing is believing.
(The video really gets started around the 1:17 mark.)
Thanks to Dr. Demain Szyld (Simulation Education Fellow at Brigham and Women's Hospital) for letting me know about this crazy/amazing teaching video.