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Chapter 2 - Airway Management

Published online by Cambridge University Press:  24 May 2023

Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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Summary

Airway management is a vital component of administering anesthesia, allowing for the exchange of gases between the patient and the surrounding atmosphere. Difficult or unsuccessful management of the airway is a significant source of anesthesia-related morbidity and mortality [1]. As such, it is important for anesthesia providers to be adept at all aspects of managing the airway. A thorough understanding of the pertinent anatomy and physiology, the ability to use clinical evaluation to identify potential difficulties, and a mastery of interventional techniques and procedures are crucial to safe and effective airway management. This chapter presents a comprehensive overview of the elements related to effective airway management.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Klinger, K, Infosino, A. Airway management. In: Pardo, M, Miller, R, eds. Basics of Anesthesia, 7th ed. Philadelphia, PA: Elsevier, 2018; pp. 239–72.Google Scholar
Ward, JPT, Ward, J, Leach, RM. The Respiratory System at a Glance, 3rd ed. Oxford: John Wiley & Sons; 2010.Google Scholar
Davies, A, Moores, C. The Respiratory System, 2nd ed. Oxford: Elsevier; 2010.CrossRefGoogle Scholar
Ball, M, Hossain, M, Padalia, D. Airway anatomy. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2020. Available from: www.ncbi.nlm.nih.gov/books/NBK459258/.Google Scholar
Bates, JHT. Systems physiology of the airways in health and obstructive pulmonary disease. Wiley Interdiscip Rev Syst Biol Med. 2016;8(5):423–37.CrossRefGoogle ScholarPubMed
Harless, J, Ramaiah, R, Bhananker, SM. Pediatric airway management. Int J Crit Illn Inj Sci. 2014;4(1):6570.Google ScholarPubMed
Nimmagadda, U, Salem, MR, Crystal, GJ. Preoxygenation: physiologic basis, benefits, and potential risks. Anesth Analg. 2017;124(2):507–17.CrossRefGoogle ScholarPubMed
Weingart, SD, Levitan, RM. Preoxygenation and prevention of desaturation during emergency airway management. Ann Emerg Med. 2012;59(3):165–75.e1.Google Scholar
Alalami, AA, Ayoub, CM, Baraka, AS. Laryngospasm: review of different prevention and treatment modalities. Pediatr Anesth. 2008;18(4):281–8.CrossRefGoogle ScholarPubMed
Nason, KS. Acute intraoperative pulmonary aspiration. Thorac Surg Clin. 2015;25(3):301–7.CrossRefGoogle ScholarPubMed
El-Orbany, M, Woehlck, HJ. Difficult mask ventilation. Anesth Analg. 2009;109(6):1870–80.CrossRefGoogle ScholarPubMed
Apfelbaum, JL, Hagberg, CA, Caplan, RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118(2):251–70.Google ScholarPubMed
Gordon, J, Cooper, RM, Parotto, M. Supraglottic airway devices: indications, contraindications and management. Minerva Anestesiol. 2018;84(3):389–97.CrossRefGoogle ScholarPubMed
Hernandez, MR, Klock, PA, Ovassapian, A. Evolution of the extraglottic airway: a review of its history, applications, and practical tips for success. Anesth Analg. 2012;114(2):349–68.Google Scholar
Haas, CF, Eakin, RM, Konkle, MA, Blank, R. Endotracheal tubes: old and new. Respir Care. 2014;59(6):933–55.Google Scholar
Gray, AW. Endotracheal tubes. Clin Chest Med. 2003;24(3):379–87.CrossRefGoogle ScholarPubMed
Hurford, WE. Techniques for endotracheal intubation. Int Anesthesiol Clin. 2000;38(3):128.Google Scholar
Cooper, RM. Strengths and limitations of airway techniques. Anesthesiol Clin. 2015;33(2):241–55.CrossRefGoogle ScholarPubMed
Koerner, IP, Brambrink, AM. Fiberoptic techniques. Best Pract Res Clin Anaesthesiol. 2005;19(4):611–21.CrossRefGoogle ScholarPubMed
Frerk, C, Mitchell, VS, McNarry, AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115(6):827–48.Google Scholar
Apfelbaum, JL, Hagberg, CA, Caplan, RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118(2):251–70.Google ScholarPubMed
Eisenburger, P, Laczika, K, List, M, et al. Comparison of conventional surgical versus Seldinger technique emergency cricothyrotomy performed by inexperienced clinicians. Anesthesiology. 2000;92(3):687–90.CrossRefGoogle ScholarPubMed
Templeton, TW, Goenaga-Díaz, EJ, Downard, MG, et al. Assessment of common criteria for awake extubation in infants and young children. Anesthesiology. 2019;131(4):801–8.CrossRefGoogle ScholarPubMed
Howie, WO, Dutton, RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. AANA J. 2012;80(3);179–84.Google Scholar
Cortés, E, Parrado, BK, Arango, F. Negative inspiratory pressure as a predictor of weaning mechanical ventilation. J Anaesth Intensive Care Med. 2017;3(1). DOI: 10.19080/JAICM.2017.03.555602.Google Scholar
Hartley, M, Vaughan, RS. Problems associated with tracheal extubation. Br J Anaesth. 1993;71(4);561–8.Google Scholar

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