Special Articles Practice Guidelines for Management of the Difficult Airway An Updated Report by the American Society of Anesthesiologists (original) (raw)
Related papers
Anesthesiology, 2021
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.
Review of Difficult Airway Management
2018
DOI: 10.21276/sjams.2018.6.5.64 Abstract: The incidence of difficult airway and it's management frequently occur in the operating room. The anesthesiologists possess important responsibility to manage the difficult airway. Airway difficulties may be anticipated by the patient's airway assessment and asking previous anesthetic experience. Mallampati classification, Cormack and Lahane glottic appearance and Wilson Risk Sum are the most common methods to assess airway. An unpredictable difficult airway may occur, difficulty by mask ventilation, difficulty with intubation or can nor intubate cannot ventilate situation. American Anesthesia Association (ASA), DAS (Difficult Airway Society) create guidelines for difficult airway management .These guidelines provide a strategy to manage unanticipated difficulty with tracheal intubation. In this review general evaluation of the difficult airway management was made.
Clinical review: management of difficult airways
Critical care (London, England), 2006
Difficulties or failure in airway management are still important factors in morbidity and mortality related to anesthesia and intensive care. A patent and secure airway is essential to manage anesthetized or critically ill patients. Oxygenation maintenance during tracheal intubation is the cornerstone of difficult airway management and is always emphasized in guidelines. The occurrence of respiratory adverse events has decreased in claims for injuries due to inadequate airway management mainly at induction of anesthesia. Nevertheless, claim reports emphasize that airway emergencies, tracheal extubation and/or recovery of anesthesia phases are still associated with death or brain damage, indicating that additional educational support and management strategies to improve patient safety are required. The present brief review analyses specific problems of airway management related to difficult tracheal intubation and to difficult mask ventilation prediction. The review will focus on bas...
Anticipated and unanticipated difficult airway management
Current Opinion in Anaesthesiology, 2018
Purpose of review Management of difficult airway is far from optimal despite of continuous progress in science and technology. The purpose of this review is to summarize the current research in the field and bring readers up to date. Recent findings New technologies for intubation make providers more confident to handle difficult airways, but there is lack of evidence indicating the reduction in incidence of 'cannot intubate cannot ventilate (CICV)'. Optimization of mask ventilation should reduce the incidence of difficult mask ventilation but it is greatly underappreciated. Even optimization of preoxygenation is not directly associated with any decreased incidence of difficult airway, but it prolongs time of safe apnea oxygenation; therefore, is likely to improve the outcome of the patients if CICV occurs.
Unanticipated Difficult Airway in Anesthetized Patients
Anesthesiology, 2004
Background: Management strategies conceived to improve patient safety in anesthesia have rarely been assessed prospectively. The authors undertook a prospective evaluation of a predefined algorithm for unanticipated difficult airway management.
Current practice of difficult airway management: A survey
Indian journal of anaesthesia, 2015
Difficult airway (DA) management depends on both training and actual usage of the various approaches in the event of difficulty. The aim of the study was to assess how well the anaesthesiologists are equipped to deal with DA situations. The current practice preference of DA management was also assessed. A questionnaire was distributed in a continuing medical education (CME) programme dedicated to DA and responses were noted and analysed, using Statistical Package for Social Sciences (SPSS) version 18. The response rate was 73%. Airway assessment was performed by majority. Sixty eight percent consultants and 47% residents were well aware of the American Society of Anesthesiologists' DA algorithm. 67% consultants and 65% residents attended at least one CME on DA in the previous 5 years. There was an overall deficiency of video laryngoscopes, retrograde intubation and cricothyrotomy sets. Most of the respondents were comfortable in using supraglottic airway devices (SGADs). In anti...
Evolving challenges and opportunities for difficult airway management guidelines
Canadian Journal of Anaesthesia-journal Canadien D Anesthesie
Airway management is a key competency for every anesthesiologist. In 1990, Caplan et al. reported that 34% of anesthesia-related claims were related to airway management.1 Since that time, several national airway management guidelines have been published with the aim to establish and promote safer airway management practice.2,3 Since the publication of those guidelines, studies have shown a decrease in anesthesia complications related to airway management.4,5 Of course, it is not possible to determine causality, and there have been other significant changes in practice over this time, e.g., supraglottic airways are now used in more than half the patients in the United Kingdom (UK).5 Unfortunately, despite these advances in both protocols and technology, airway complications in anesthesia still occur, and they are often associated with severe complications, i.e., brain damage or death.5 Herein, we consider the contents of future airway management guidelines that might create a further i
Management of the Difficult Airway
Anesthesiology, 2005
Background The purpose of this study was to identify the patterns of liability associated with malpractice claims arising from management of the difficult airway. Methods Using the American Society of Anesthesiologists Closed Claims database, the authors examined 179 claims for difficult airway management between 1985 and 1999 where a supplemental data collection tool was used and focused on airway management, outcomes, and the role of the 1993 Difficult Airway Guidelines in litigation. Chi-square tests and multiple logistic regression analysis compared risk factors for death or brain damage (death/BD) from two time periods: 1985-1992 and 1993-1999. Results Difficult airway claims arose throughout the perioperative period: 67% upon induction, 15% during surgery, 12% at extubation, and 5% during recovery. Death/BD with induction of anesthesia decreased in 1993-1999 (35%) compared with 1985-1992 (62%; P < 0.05; odds ratio, 0.26; 95% confidence interval, 0.11-0.63; P = 0.003). In co...