Emergency Surgical Airway Algorithm for Difficult Airway Management During the COVID-19 Pandemic

2021 ◽  
pp. 019459982098656
Author(s):  
Soham Roy ◽  
John D. Cramer ◽  
Carol Bier-Laning ◽  
Patrick A. Palmieri ◽  
Christopher H. Rassekh ◽  
...  
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Difficult Airway Management ◽  
Surgical Airway

Emergency Surgical Airways Following Activation of a Difficult Airway Management Team in Hospitalized Critically Ill Patients: A Case Series

2016 ◽  
Vol 33 (9) ◽  
pp. 517-526 ◽  
Author(s):  
Joseph M. Darby ◽  
Gregory Halenda ◽  
Courtney Chou ◽  
Joseph J. Quinlan ◽  
Louis H. Alarcon ◽  
...  
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Case Series ◽  
Management Team ◽  
Team Approach ◽  
High Morbidity ◽  
Difficult Airway Management ◽  
Surgical Airway

Introduction: An emergency surgical airway (ESA) is widely recommended for securing the airway in critically ill patients who cannot be intubated or ventilated. Little is known of the frequency, clinical circumstances, management methods, and outcomes of hospitalized critically ill patients in whom ESA is performed outside the emergency department or operating room environments. Methods: We retrospectively reviewed all adult patients undergoing ESA in our intensive care units (ICUs) and other hospital units from 2008 to 2012 following activation of our difficult airway management team (DAMT). Results: Of 207 DAMT activations for native airway events, 22 (10.6%) events culminated in an ESA, with 59% of these events occurring in ICUs with the remainder outside the ICU in the context of rapid response team activations. Of patients undergoing ESA, 77% were male, 63% were obese, and 41% had a history of a difficult airway (DA). Failed planned or unplanned extubations preceded 61% of all ESA events in the ICUs, while bleeding from the upper or lower respiratory tract led to ESA in 44% of events occurring outside the ICU. Emergency surgical airway was the primary method of airway control in 3 (14%) patients, with the remainder of ESAs performed following failed attempts to intubate. Complications occurred in 68% of all ESAs and included bleeding (50%), multiple cannulation attempts (36%), and cardiopulmonary arrest (27%). Overall hospital mortality for patients undergoing ESA was 59%, with 38% of deaths occurring at the time of the airway event. Conclusion: An ESA is required in approximately 10% of DA events in critically ill patients and is associated with high morbidity and mortality. Efforts directed at early identification of patients with a difficult or challenging airway combined with a multidisciplinary team approach to management may reduce the overall frequency of ESA and associated complications.

Difficult airway management patterns among attending anaesthetists practising in Israel

2005 ◽  
Vol 20 (8) ◽  
pp. 619-623 ◽  
Author(s):  
T. Ezri ◽  
S. Konichezky ◽  
D. Geva ◽  
R. D. Warters ◽  
P. Szmuk ◽  
...  
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Difficult Airway Management

Difficult airway management in the ambulatory setting

2020 ◽  
Vol 30 ◽  
pp. e109
Author(s):  
Tariq Syed ◽  
Jeffery Cerny ◽  
Alicia Kowalski ◽  
Spencer Kee ◽  
Elizabeth Rebello ◽  
...  
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Ambulatory Setting ◽  
Difficult Airway Management

scholarly journals Difficult airway management - a glass half empty

Anaesthesia ◽  
2009 ◽  
Vol 64 (9) ◽  
pp. 1024-1025 ◽  
Author(s):  
K. B. Greenland ◽  
M. J. Edwards ◽  
L. Beckmann ◽  
N. Hutton
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Difficult Airway Management
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