Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-28T11:26:57.942Z Has data issue: false hasContentIssue false

Chapter 2 - Airway Management

Published online by Cambridge University Press:  24 May 2023

By
Chikezie N. Okeagu ,
Madelyn K. Craig ,
Brook Girma ,
Sumitra Miriyala ,
Meeta M. Sheth ,
Sridhar R. Tirumala ,
Rhian E. Germany  and
Alan David Kaye
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
Get access

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.

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 23 - 40
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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):65–70.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):1–28.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

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×