2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

2021 ◽  
Author(s):  
Jeffrey L. Apfelbaum ◽  
Carin A. Hagberg ◽  
Richard T. Connis ◽  
Basem B. Abdelmalak ◽  
Madhulika Agarkar ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Airway Management ◽  
Difficult Airway ◽  
Practice Guidelines ◽  
Pediatric Anesthesia ◽  
Ambulatory Anesthesia ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Trauma Anesthesiology

The American Society of Anesthesiologists; All India Difficult Airway Association; European Airway Management Society; European Society of Anaesthesiology and Intensive Care; Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care, Learning, Teaching and Investigation Difficult Airway Group; Society for Airway Management; Society for Ambulatory Anesthesia; Society for Head and Neck Anesthesia; Society for Pediatric Anesthesia; Society of Critical Care Anesthesiologists; and the Trauma Anesthesiology Society present an updated report of the Practice Guidelines for Management of the Difficult Airway.

scholarly journals Difficult Airway Trolleys for the Critical Care Unit

2010 ◽  
Vol 11 (2) ◽  
pp. 98-103 ◽  
Author(s):  
Paul Jeanrenaud ◽  
Vandana Girotra ◽  
Tim Wharton ◽  
Norman Main ◽  
Rifat Konuralp ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Airway Management ◽  
Difficult Airway ◽  
Critical Care Unit ◽  
Intensive Care Society ◽  
Difficult Airway Management ◽  
Management Algorithm ◽  
Operating Theatres ◽  
Standards And Guidelines

Airway management is paramount to patient safety in critical care. Intensive Care Society (ICS) standards state that all critical care areas should have a designated difficult airway trolley (DAT) equivalent to that found in operating theatres. We conducted a national survey to determine compliance with this guideline. Adult intensive care units (ICUs) were questioned about the presence of a DAT, its contents and airway training for clinicians. Two hundred and sixty-two ICUs responded to the survey (90%), of which 130 (50%) had a designated DAT. In 38 (29%), a difficult airway management algorithm was available. Capnography was unavailable in 51 (40%) units with a DAT. Compliance with ICS standards and guidelines should be encouraged with respect to DATs. DATs should be available for immediate use within the ICU. Staff should be trained in the use of DAT equipment and be familiar with a difficult airway management algorithm.

scholarly journals Anticipated Difficult Airway in Ear, Nose and Throat Procedures

2015 ◽  
Vol 7 (1) ◽  
pp. 10-16
Author(s):  
Namita Mahesh Baldwa
Keyword(s):  
Difficult Airway ◽  
Difficult Intubation ◽  
Practice Guidelines ◽  
Morbidity And Mortality ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Nose And Throat

ABSTRACT Contrary to general and obstetric populations, where difficult airway is widely studied and well documented, it requires further research in elective and emergency ear, nose and throat (ENT) surgeries. American Society of Anesthesiologists (ASA) has published practice guidelines for the management of difficult airway, which help us deal with it perioperatively. All patients posted for ENT surgeries with difficult airway should be evaluated preoperatively and the strategy for management of difficult intubation as well as extubation chalked out. In the event, that the primary approach fails, the secondary plan should always be clear preoperatively, to reduce morbidity and mortality. How to cite this article Baldwa NM. Anticipated Difficult Airway in Ear, Nose and Throat Procedures. Int J Otorhinolaryngol Clin 2015;7(1):10-16.

Parental Presence during Induction of Anesthesia Improves Compliance of the Child and Reduces Emergence Delirium

2021 ◽  
Author(s):  
Diego Gil Mayo ◽  
Pascual Sanabria Carretero ◽  
Luis Gajate Martin ◽  
Jose Alonso Calderón ◽  
Francisco Hernández Oliveros ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Pediatric Anesthesia ◽  
Preoperative Anxiety ◽  
Preoperative Preparation ◽  
Parental Presence ◽  
Emergence Delirium ◽  
Group 2 ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Preparation Strategy

Abstract Introduction Preoperative stress and anxiety in pediatric patients are associated with poor compliance during induction of anesthesia and a higher incidence of postoperative maladaptive behaviors. The aim of our study was to determine which preoperative preparation strategy improves compliance of the child during induction and decreases the incidence and intensity of emergence delirium (ED) in children undergoing ambulatory pediatric surgery. Materials and Methods This prospective observational study included 638 pediatric American Society of Anesthesiologists I–II patients who underwent ambulatory pediatric surgery, grouped into four preoperative preparation groups: NADA (not premedicated), MDZ (premedicated with midazolam), PPIA (parental presence during induction of anesthesia), and PPIA + MDZ. The results were subsequently analyzed in four age subgroups: Group 1 (0–12 months), Group 2 (13–60 months), Group 3 (61–96 months), and Group 4 (> 96 months). Preoperative anxiety (modified Yale Preoperative Anxiety Scale [m-YPAS]), compliance of the child during induction (Induction Compliance Checklist [ICC]), and ED (Pediatric Anesthesia Emergence Delirium scale) were analyzed in each group. Results Eighty-one percent of patients in the PPIA + MDZ preparation group presented a perfect compliance during the induction of anesthesia (ICC = 0), less preoperative anxiety (mean score m-YPAS = 26), less probability of ED (odds ratio: 10, 5 [3–37.5]; p < 0.05), and less ED intensity compared with the NADA group (1.2 vs. 5.8; p = 0.001). Conclusion PPIA associated with midazolam premedication improves compliance during induction and decreases the incidence and intensity of ED.

Practice Guidelines for the Prevention, Detection, and Management of Respiratory Depression Associated with Neuraxial Opioid Administration

2016 ◽  
Vol 124 (3) ◽  
pp. 535-552 ◽  
Keyword(s):  
Respiratory Depression ◽  
Regional Anesthesia ◽  
Practice Guidelines ◽  
Task Force ◽  
Digital Content ◽  
Pain Medicine ◽  
Practice Parameters ◽  
Opioid Administration ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract The American Society of Anesthesiologists Committee on Standards and Practice Parameters and the Task Force on Neuraxial Opioids and the American Society of Regional Anesthesia and Pain Medicine present an updated report of the Practice Guidelines for the Prevention, Detection, and Management of Respiratory Depression Associated with Neuraxial Opioid Administration. Supplemental Digital Content is available in the text.

Practice Guidelines for Obstetric Anesthesia

2016 ◽  
Vol 124 (2) ◽  
pp. 270-300 ◽  
Keyword(s):  
Practice Guidelines ◽  
Task Force ◽  
Obstetric Anesthesia ◽  
Supplemental Digital Content ◽  
Digital Content ◽  
Practice Parameters ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract The American Society of Anesthesiologists Committee on Standards and Practice Parameters and the Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology present an updated report of the Practice Guidelines for Obstetric Anesthesia. Supplemental Digital Content is available in the text.

scholarly journals SYSTEMIC INFLAMMATORY RESPONSE SYNDROME: THE CURRENT STATUS

2018 ◽  
Vol 6 (1) ◽  
pp. 56-61
Author(s):  
Manisha Shrestha ◽  
Anand Kumar
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Diagnostic Criteria ◽  
Current Knowledge ◽  
Laboratory Diagnosis ◽  
Systemic Inflammatory Response ◽  
Current Status ◽  
American Society

Systemic inflammatory response syndrome (SIRS) is a frequent and serious problem faced by clinicians in day to day practice and is a major factor of intensive care morbidity and mortality. The American College of Chest Physicians and the American Society of Critical Care Medicine in 1991 published definitions and criteria for systemic inflammatory response syndrome.  Since then many researches have been undertaken  to better understand the pathophysiology of systemic inflammatory response syndrome and to determine the accuracy of its diagnostic criteria. The criteria set by the 1991 consensus  is still popularly  used  today. However,  with  the current  knowledge   on this matter many researchers have put forward the need of refinement in the criteria of systemic inflammatory response syndrome defined by 1991 consensus. This article aims to review  the epidemiology, etiology, pathophysiology, laboratory diagnosis,  treatment and the current views regarding SIRS.Journal of Universal College of Medical SciencesVol. 6, No. 1, 2018, Page: 56-61

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