Airway Management in an Anatomically and Physiologically Difficult Airway (original) (raw)

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.

Three difficult airway management strategies in the same patient at three different times

Anaesthesia, Pain & Intensive Care, 2020

Unpredictable difficult intubation is a commonly faced clinical issue and one of the most important reasons of morbidity related to anesthesia. We present a case of a 50 y old, 100 kg, 1.8 m tall (BMI=37) male patient, taken to OR (transoral robotic) for a planned biopsy because of a mass in his larynx. Videolaryngoscope was used two times but still intubation was unsuccessful.

Airway Anesthesia

Anesthesiology Clinics, 2015

Awake tracheal intubation is commonly used when ordinary intubation (for example, attempting direct laryngoscopy after the induction of general anesthesia) is expected to be difficult or hazardous. 1-8 Possible examples include patients with large glottic tumors, patients with unstable cervical spines, patients known to be difficult to intubate by virtue of previous anesthetic misadventures, and numerous other conditions. 9-15 This is an updated, reorganized and expanded version of an earlier article published in the 7th Annual Anesthesiology News Guide to Airway Management. August 2014.

Management of General Anesthesia in Difficult Airway: A Case Report

Journal of Agromedicine and Medical Sciences

When dealing with clinical disorders known as difficult airways, airway management during general anesthesia still presents challenges. A cross-sectional study done in Indonesia in 2016 found that 28 out of 250 patients receiving general anesthesia had respiratory problems. The existing algorithm must be properly and effectively managed in order to resolve this issue. This case report discusses a 14-month-old pediatric patient with right preauricular lymphoma who will undergo tumor biopsy surgery using general anesthesia. The size of the tumor mass that has grown and covered the patient's airway makes it difficult to manage the airway during general anesthesia, making intubation impossible. To overcome this, bagging was carried out by improvising the technique of reversing the position of the mask cover on the patient during the operation. The patient can be saved and allowed to go home after treatment. Appropriate management during perioperative especially related to airway man...

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...

Awake intubation of the difficult airway with the intubating laryngeal mask airway

Anaesthesia, 1998

The intubating laryngeal mask airway is a new device that facilitates intubation of the trachea. We assessed its use in 15 awake patients in whom we anticipated difficulty with tracheal intubation; we would otherwise have secured the patients' airways using a fibreoptic bronchoscope. All patients were sedated and had their airways anaesthetised with local anaesthetic. The tracheas of all 15 patients were successfully intubated. The mean time from start of sedation to successful intubation was 10.8 min. The mean time from completion of sedation and airway local anaesthesia to tracheal intubation was 2.8 min. Patients remained haemodynamically stable throughout, peripheral oxygen saturation was maintained and there were no obvious cases of pulmonary aspiration. Most patients complained of sore throat and hoarseness. We have demonstrated through this descriptive study that the intubating laryngeal mask airway may, in certain circumstances, be used as an alternative to the fibreoptic bronchoscope.

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.