The difficult airway: Difference between revisions

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==Background==
*ASA Difficult Airway Algorithm does not necessary apply to the ED since the patient can always be awakened and case cancelled
==Pre-Intubation==
==Pre-Intubation==
See:
See:
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*[[Apneic oxygenation]]
*[[Apneic oxygenation]]


==ASA Difficult Airway Algorithm==
==Difficult Intubation==
*Does not necessary apply to the ED since the patient can always be awakened and case cancelled
*[[Advanced airway adjuncts]]
**[[Cricothyrotomy]] should always be the last step in patients with failure to oxygen and ventilate with BVM and inability to intubate
**Straight blade- Miller- may offer better manipulation of a large epiglottis in children or for micrognathia or "buck teeth"
 
==[[Advanced airway adjuncts]]==


==Intubation Options==
===Intubation Options===
{| {{table}}
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''Intubation Type'''
| align="center" style="background:#f0f0f0;"|'''Intubation Type'''
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==Surgical Airways==
==Surgical Airways==
''A surgical airway should always be the last step in patients with failure to oxygen and ventilate with BVM and inability to intubate''
*[[Surgical cricothyrotomy]]
*[[Surgical cricothyrotomy]]
*[[Needle cricothyrotomy]]
*[[Needle cricothyrotomy]]

Revision as of 14:35, 2 February 2019

Background

  • ASA Difficult Airway Algorithm does not necessary apply to the ED since the patient can always be awakened and case cancelled

Pre-Intubation

See:

Difficult Intubation

Intubation Options

Intubation Type Pros Cons
Traditional
Awake intubation
Nasal intubation
  • Lower success rate
  • Higher complication rate (e.g. bleeding, emesis, and airway trauma)
  • Do not attempt in patients with posterior pharyngeal swelling such as in angioedema
Retrograde intubation
  • Need time to set up
  • Risk hematoma, pneumothorax
Fiberoptic bronchoscopic intubation
  • Takes time to set up
  • Limited by secretions, bleeding, poor suction,

Surgical Airways

A surgical airway should always be the last step in patients with failure to oxygen and ventilate with BVM and inability to intubate

See Also

Airway Pages

Video

{{#widget:YouTube|id=8y8QN1j_m4g}}

References