scholarly journals Reappraising the role of supraglottic airway devices for difficult airway management in critical care and emergency medicine

2017 ◽  
Vol 24 (5) ◽  
pp. 535-541
Author(s):  
Yuko Ono ◽  
Kazuaki Shinohara ◽  
Koichi Tanigawa
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Airway Management ◽  
Difficult Airway ◽  
Supraglottic Airway ◽  
Difficult Airway Management ◽  
Supraglottic Airway Devices ◽  
Airway Devices

Die Larynxmaske – Schritt für Schritt

2019 ◽  
Vol 144 (10) ◽  
pp. 690-694
Author(s):  
Rolf Dembinski ◽  
Daniel Scholtyschik
Keyword(s):  
Mechanical Ventilation ◽  
Critical Care ◽  
Pulmonary Aspiration ◽  
Supraglottic Airway ◽  
Difficult Airway Management ◽  
Clinical Routine ◽  
Laryngeal Masks ◽  
Supraglottic Airway Devices ◽  
Airway Devices ◽  
Airway Access

AbstractLaryngeal masks are supraglottic airway devices developed in the early 1980s. Today, they are frequently used in clinical routine to provide airway access for mechanical ventilation in patients undergoing surgery with a short duration. Moreover, the they have also become integral part of difficult airway management in patients who cannot be intubated by the use of conventional laryngoscopy.Relevant advances have been made to simplify their positioning and improve tightness with the aim to allow for the use of higher airway pressures during mechanical ventilation thereby reducing the risk of gastric insufflation and pulmonary aspiration. Focusing on this goal, several different prototypes have been developed and introduced in clinical practice until today. However, even these new developed laryngeal masks still do not provide reliable protection against pulmonary aspiration until today. Consequently, their use In critical care medicine is still limited to rescue situations with intubation failure.In this review some of the most popular lanryngeal masks are presented, indications for their use are outlined and their handling is described.

scholarly journals Difficult Airway Management Algorithm in Emergency Medicine: Do Not Struggle against the Patient, Just Skip to Next Step

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Jérôme Sudrial ◽  
Caroline Birlouez ◽  
Anne-Laurette Guillerm ◽  
Jean-Luc Sebbah ◽  
Roland Amathieu ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Airway Management ◽  
Difficult Airway ◽  
Macintosh Laryngoscope ◽  
Difficult Airway Management ◽  
Arterial Oxygenation ◽  
Management Algorithm ◽  
Early Activation ◽  
Airway Devices

We report a case of prehospital “cannot intubate” and “cannot ventilate” scenarios successfully managed by strictly following a difficult airway management algorithm. Five airway devices were used: the Macintosh laryngoscope, the gum elastic Eschmann bougie, the LMA Fastrach, the Melker cricothyrotomy cannula, and the flexible fiberscope. Although several airway devices were used, overall airway management duration was relatively short, at 20 min, because for each scenario, failed primary and secondary backup devices were quickly abandoned after 2 failed attempts, each attempt of no more than 2 min in duration, in favor of the tertiary rescue device. Equally, all three of these rescue devices failed, an uncuffed cricothyroidotomy cannula was inserted to restore optimal arterial oxygenation until a definitive airway was secured in the ICU using a flexible fiberscope. Our case reinforces the need to strictly follow a difficult airway management algorithm that employs a limited number of effective devices and techniques, and highlights the imperative for early activation of successive preplanned steps of the algorithm.

Difficult Airway

2017 ◽  
Author(s):  
Romina G. Ilic
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Awake Intubation ◽  
Supraglottic Airway ◽  
Patient Evaluation ◽  
Advanced Airway ◽  
Supraglottic Airway Devices ◽  
Surgical Airway ◽  
Airway Exchange ◽  
Airway Devices

The difficult airway chapter focuses on preparing the clinician for a challenging airway. Management of both the expected, as well as the unexpected, difficult airway is critical to the care of the perioperative patient. Proper patient evaluation, organization, and preparation with a variety of airway tools are imperative to successfully securing the airway. The chapter reviews the difficult airway algorithm and discusses advanced airway techniques such as the use of awake intubation, airway exchange catheters, supraglottic airway devices, and surgical airway. Gaining familiarity with and using these advanced airway techniques in non-urgent situations will help ensure success when they are needed in emergencies.

scholarly journals Making the transition in difficult airway management: are new perspectives in critical emergency medicine nurses curricula needed?

Resuscitation ◽  
2019 ◽  
Vol 142 ◽  
pp. e64
Author(s):  
Ileana Lulic ◽  
Saqr AlHemeiri ◽  
AlAnood Bin Sulaiman ◽  
Afaf Sayed Jaafer ◽  
Mirna Diab ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Airway Management ◽  
Difficult Airway ◽  
Difficult Airway Management
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