Book contents
- Core Topics in Airway Management
- Core Topics in Airway Management
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Section 1 Airway Management: Background and Techniques
- Chapter 1 Anatomy
- Chapter 2 Physiology of Apnoea, Hypoxia and Airway Reflexes
- Chapter 3 The Epidemiology of Airway Management Complications
- Chapter 4 Structured Planning of Airway Management
- Chapter 5 Pre-anaesthetic Airway Assessment
- Chapter 6 Pre-anaesthetic Airway Endoscopy, Real and Virtual
- Chapter 7 Ultrasonography for Airway Management
- Chapter 8 Oxygenation: before, during and after Airway Management
- Chapter 9 Awake Tracheal Intubation
- Chapter 10 Drugs for Airway Management
- Chapter 11 How to Avoid Morbidity from Aspiration of Gastric Content to the Lungs
- Chapter 12 Face Mask Ventilation
- Chapter 13 Supraglottic Airways
- Chapter 14 Tracheal Intubation: Direct Laryngoscopy
- Chapter 15 Tracheal Tube Introducers (Bougies), Stylets and Airway Exchange Catheters
- Chapter 16 Tracheal Intubation Using the Flexible Optical Bronchoscope
- Chapter 17 Videolaryngoscopy
- Chapter 18 Expiratory Ventilation Assistance and Ventilation through Narrow Tubes
- Chapter 19 Multimodal Techniques for Airway Management
- Chapter 20 Front of Neck Airway (FONA)
- Chapter 21 Extubation
- Section 2 Airway Management: Clinical Settings and Subspecialties
- Section 3 Airway Management: Organisation
- Index
- References
Chapter 11 - How to Avoid Morbidity from Aspiration of Gastric Content to the Lungs
from Section 1 - Airway Management: Background and Techniques
Published online by Cambridge University Press: 03 October 2020
Book contents
- Core Topics in Airway Management
- Core Topics in Airway Management
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Section 1 Airway Management: Background and Techniques
- Chapter 1 Anatomy
- Chapter 2 Physiology of Apnoea, Hypoxia and Airway Reflexes
- Chapter 3 The Epidemiology of Airway Management Complications
- Chapter 4 Structured Planning of Airway Management
- Chapter 5 Pre-anaesthetic Airway Assessment
- Chapter 6 Pre-anaesthetic Airway Endoscopy, Real and Virtual
- Chapter 7 Ultrasonography for Airway Management
- Chapter 8 Oxygenation: before, during and after Airway Management
- Chapter 9 Awake Tracheal Intubation
- Chapter 10 Drugs for Airway Management
- Chapter 11 How to Avoid Morbidity from Aspiration of Gastric Content to the Lungs
- Chapter 12 Face Mask Ventilation
- Chapter 13 Supraglottic Airways
- Chapter 14 Tracheal Intubation: Direct Laryngoscopy
- Chapter 15 Tracheal Tube Introducers (Bougies), Stylets and Airway Exchange Catheters
- Chapter 16 Tracheal Intubation Using the Flexible Optical Bronchoscope
- Chapter 17 Videolaryngoscopy
- Chapter 18 Expiratory Ventilation Assistance and Ventilation through Narrow Tubes
- Chapter 19 Multimodal Techniques for Airway Management
- Chapter 20 Front of Neck Airway (FONA)
- Chapter 21 Extubation
- Section 2 Airway Management: Clinical Settings and Subspecialties
- Section 3 Airway Management: Organisation
- Index
- References
Summary
Pulmonary aspiration of gastric contents during general anaesthesia can be fatal. A 1956 report identified pulmonary aspiration as the commonest cause of death during general anaesthesia and NAP4 reported similarly in 2011. Major efforts have been made to reduce its incidence. Cricoid pressure (force) was introduced in the 1960s but remains controversial. Recent studies and new techniques have shed further light on the debate. The role of second generation supraglottic airway devices and videolaryngoscopy is also discussed.
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- Core Topics in Airway Management , pp. 91 - 96Publisher: Cambridge University PressPrint publication year: 2020
References
Further Reading
Asai, T. (2016). Videolaryngoscopes: do they have role during rapid-sequence induction of anaesthesia? British Journal of Anaesthesia, 116, 317–319.Google Scholar
Birenbaum, A, Hajage, D, Roche, S, et al. (2019). Effect of cricoid pressure compared with a sham procedure in the rapid sequence induction of anesthesia The IRIS Randomized Clinical Trial. JAMA Surgery, 154, 9–17.Google Scholar
Kluger, MT, Short, TG. (2002). Aspiration during anaesthesia: a review of 133 cases from the Australian Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia, 54, 19–26.CrossRefGoogle Scholar
Salem, MR, Khorasani, A, Zeidan, A, Crystal, GJ. (2017). Cricoid pressure controversies. Anesthesiology, 126, 738–52.CrossRefGoogle ScholarPubMed
Warner, MA, Warner, ME, Weber, JG. (1993). Clinical significance of pulmonary aspiration during the perioperative period. Anesthesiology, 78, 56–62.Google Scholar