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Review
. 2020 May 21:1-2:100005.
doi: 10.1016/j.resplu.2020.100005. eCollection 2020 Mar-Jun.

Suction Assisted Laryngoscopy and Airway Decontamination (SALAD): A technique for improved emergency airway management

Christopher W Root  1 , Oscar J L Mitchell  2 , Russ Brown  3 , Christopher B Evers  4 , Jess Boyle  5 , Cynthia Griffin  6 , Frances Mae West  7 , Edward Gomm  8 , Edward Miles  8 , Barry McGuire  9 , Anand Swaminathan  10 , Jonathan St George  11 , James M Horowitz  12 , James DuCanto  13
Affiliations
Review

Suction Assisted Laryngoscopy and Airway Decontamination (SALAD): A technique for improved emergency airway management

Christopher W Root et al. Resusc Plus. .

Abstract

Emergency airway management is often complicated by the presence of blood, emesis or other contaminants in the airway. Traditional airway management education has lacked task-specific training focused on mitigating massive airway contamination. The Suction Assisted Laryngoscopy and Airway Decontamination (SALAD) technique was developed in order to address the problem of massive airway contamination both in simulation training and in vivo. We review the evidence describing the dangers associated with airway contamination, and describe the SALAD technique in detail.

Keywords: Airway management; Anesthesia resuscitation; Emergency medicine; Intensive care; SALAD, (Suction Assisted Laryngoscopy and Airway Decontamination).

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Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Dr. DuCanto is the inventor of the Nasco SALAD Mannequin, SSCOR DuCanto Catheter, and the EM Innovations SEADUC. He receives royalties on these devices. Dr. DuCanto invented the SALAD Technique and does not receive any compensation for that innovation. Mr. Boyle has been compensated by SSCOR products for educational consultancy and technological assistance.

Figures

Fig. 1
Fig. 1
1a) The rigid suction catheter (RSC) is gripped overhand. 1b) The RSC displaces the structures of the upper airway. 1c) The airway is continuously suctioned as the laryngoscope blade is positioned. 1d) The RSC is withdrawn and repositioned to the left of the laryngoscope blade and seated in the hypopharynx in order to provide continuous suction. 1e) The endotracheal tube is delivered through the vocal cords. 1f) The endotracheal tube is suctioned prior to ventilation.
See this image and copyright information in PMC

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