scholarly journals A guide to airway management

2021 ◽  
pp. 1-13
Author(s):  
Michael Sampson
Keyword(s):  
Airway Management ◽  
Airway Obstruction ◽  
Critically Ill ◽  
Anatomy And Physiology ◽  
Airway Assessment ◽  
Core Skill ◽  
Insertion Techniques ◽  
Airway Devices ◽  
Inflammatory Changes

A patent airway linking the nose and mouth with the lungs is essential to life. Critically ill people often experience airway difficulties for reasons including alterations in consciousness, the use of sedating medications, and inflammatory changes within the airway. Airway management is therefore a core skill for any clinician caring for critically ill people. This article briefly reviews the anatomy and physiology of the airway before moving on to consider causes of airway obstruction. A look-listen-feel approach to airway assessment is described, followed by a discussion of techniques used to clear, open and maintain the airway. Commonly used airway devices including oropharyngeal, nasopharyngeal and supraglottic airways are evaluated, and their indications and insertion techniques discussed. The role of the endotracheal tube in the critically ill person is also considered.

A current guide to airway management in prehospital patient care

2021 ◽  
Vol 13 (4) ◽  
pp. 1-10
Author(s):  
Michael Sampson
Keyword(s):  
Airway Management ◽  
Major Trauma ◽  
Prehospital Care ◽  
Altered Consciousness ◽  
Anatomy And Physiology ◽  
Airway Assessment ◽  
Core Skill ◽  
Insertion Techniques ◽  
Airway Devices ◽  
A Current

A patent airway linking the nose and mouth with the lungs is essential to life. In emergency care, individuals may experience airway difficulties for many reasons including major trauma, airway inflammation and altered consciousness. Airway management is therefore a core skill for paramedics and other practitioners working in prehospital care. This article reviews the anatomy and physiology of the airway before moving on to consider causes of airway obstruction. A look-listen-feel approach to airway assessment is described, followed by a discussion of techniques used to clear, open and maintain the airway. Commonly used airway devices including oropharyngeal, nasopharyngeal and supraglottic airways are evaluated, and their indications and insertion techniques discussed. The use of endotracheal intubation by paramedics is also evaluated.

scholarly journals Airway management in critically sick in intensive care

2020 ◽  
Author(s):  
S. K. Malhotra ◽  
Komal Gandhi
Keyword(s):  
Intensive Care ◽  
Airway Management ◽  
Difficult Airway ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Operation Theatre ◽  
Physiological Reserve ◽  
Airway Equipment ◽  
One Airway ◽  
Airway Devices

In critically ill patients in Intensive Care Unit (ICU), patency of airway and managementof difficult airway are of utmost importance. The incidence of difficult intubation maybe 10% to 22% depending on the various factors in patient as well as availability ofequipment facilities. As compared to the regular surgery in operation theatre, themanagement of airway in critically ill patients is considerably different and morechallenging. The physiological reserve and co-morbidities are more common in criticallyill patients. In ICU, recent techniques of airway management must be considered andpracticed, such as videolaryngoscope (VLS), fiberoptic bronchoscope and supraglotticdevices. The success for airway management would be greater if airway expert, therequired devices and an adequate protocol are available. The outcome of managingairway would be enhanced if best use of available airway devices in a particular hospitalsetup since every instrument may not be available. The standard guidelines for difficultairway and the protocol of individual hospital may reduce the complications; hencemust be followed. The availability of difficult airway cart and capnograph is a must. Theindications and timing of surgical airway must be clear to the airway team. The Trainingcourses for the staff in ICU should be held regularly to apprise them of advancementin airway management. The best use of available airway equipment should be made incritically ill patients. At least, one airway expert must be accessible in ICU at any giventime. Received: 12 Sep 2018Reviewed: 5 Oct 2018Accepted: 10 Oct 2018 Citation: Malhotra SK, Gandhi K. Airway management in critically sick in intensive care. Anaesth Pain & Intensive Care 2018;22 Suppl 1:S21-S28

Role of Virtual Endoscopy and 3-D Reconstruction in Airway Assessment of Critically Ill Patients

2019 ◽  
pp. 117-128 ◽  
Author(s):  
Adel E. Ahmed Ganaw ◽  
Moad Ehfeda ◽  
Nissar Shaikh ◽  
Marcus Lance ◽  
Arshad Hussain Chanda ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Virtual Endoscopy ◽  
Airway Assessment

scholarly journals Airway Management in the Pre-Hospital Setting

2020 ◽  
Author(s):  
Lamia Tawfik ◽  
Mohammad Al Nobani ◽  
Tarek Tageldin
Keyword(s):  
Airway Management ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Hospital Setting ◽  
Morbidity And Mortality ◽  
Rapid Sequence Intubation ◽  
Medical Providers ◽  
Rapid Sequence ◽  
Research Findings

This chapter explores the different techniques and challenges faced by emergency medical providers during pre-hospital airway management of critically ill patients. It is a crucial topic that has a major impact on patient’s safety. Improper airway management in this category of patients can lead to catastrophic results in terms of morbidity and mortality, this fact stimulates the ongoing improvement and evolution in this area of practice. We explore some of the debatable topics in pre-hospital airway management like airway management in the pediatric group, the use of medication assisted intubation and rapid sequence intubation in the field as well as the role of video assisted intubation and it’s challenges in the field. The up-to-date practices and research findings in the most recent related articles are discussed here in this chapter.

The airway in anaesthetic practice

2017 ◽  
Author(s):  
Christopher Frerk ◽  
Takashi Asai
Keyword(s):  
Airway Management ◽  
Preoperative Evaluation ◽  
Historical Context ◽  
Short Review ◽  
Tracheal Extubation ◽  
Tube Placement ◽  
Anatomy And Physiology ◽  
Audit Project ◽  
Airway Devices ◽  
Induction Of Anaesthesia

This chapter provides a comprehensive review of current airway management set against its historical context and likely future developments in the field. Developments in equipment design are discussed against the background of a short review of the anatomy and physiology relevant to clinical airway management. An exploration of airway devices examines progress in design from the first facemasks and early hands-free delivery systems, through to current second-generation supraglottic airways and the future of providing improved protection against aspiration. Continuing advances in tracheal tube and cuff design are set alongside developments in techniques and equipment for laryngoscopy and possibilities for supplementing capnography in confirmation of correct tube placement within the trachea. The use of newer drugs to facilitate control of airway reflexes is also discussed. The importance of using optimal evidence-based techniques in airway management is highlighted in the reduction of complications. This covers preoperative evaluation of the airway, planning a strategy, induction of anaesthesia, and establishing a clear airway through to safe termination of anaesthesia, emergence, tracheal extubation, and recovery. Techniques for dealing with complications if they arise are described. Drawing on lessons from the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society ‘Major complications of airway management in the United Kingdom’ (NAP4) and the general literature, emphasis is placed on high-risk areas of airway management and areas where the existing knowledge base is not covered in depth in other texts.

An Update on Airway Management

2020 ◽  
Keyword(s):  
Airway Management ◽  
Surgical Techniques ◽  
Daily Practice ◽  
Postoperative Management ◽  
Diagnostic Methods ◽  
Emergency Rooms ◽  
Specific Patient ◽  
Medical Practitioners ◽  
Preoperative Diagnostic ◽  
Airway Devices

In recent years, there have been many advances in the safe management of the patient's airway, a cornerstone of anesthetic practice. An Update on Airway Management brings forth information about new approaches in airway management in many clinical settings. This volume analyzes and explains new preoperative diagnostic methods, algorithms, intubation devices, extubation procedures, novelties in postoperative management in resuscitation and intensive care units, while providing a simple, accessible and applicable reading experience that helps medical practitioners in daily practice. The comprehensive updates presented in this volume make this a useful reference for anesthesiologists, surgeons and EMTs at all levels. Key topics reviewed in this reference include: New airway devices, clinical management techniques, pharmacology updates (ASA guidelines, DAS algorithms, Vortex approach, etc.), Induced and awake approaches in different settings Updates on diagnostic accuracy of perioperative radiology and ultrasonography Airway management in different settings (nonoperating room locations and emergency rooms) Airway management in specific patient groups (for example, patients suffering from morbid obesity, obstetric patients and critical patients) Algorithms and traditional surgical techniques that include emergency cricothyrotomy and tracheostomy in ‘Cannot Intubate, Cannot Ventilate’ scenarios. Learning techniques to manage airways correctly, focusing on the combination of knowledge, technical abilities, decision making, communication skills and leadership Special topics such as difficult airway management registry, organization, documentation, dissemination of critical information, big data and databases

Sign in / Sign up

Export Citation Format

Share Document