In recent years, there have been many advances in the safe management of the patient's airway, a cornerstone of anesthetic practice. An Update on Airway Management brings forth information about new approaches in airway management in many clinical settings.
This volume analyzes and explains new preoperative diagnostic methods, algorithms, intubation devices, extubation procedures, novelties in postoperative management in resuscitation and intensive care units while providing a simple, accessible and applicable reading experience that helps medical practitioners in daily practice. The comprehensive updates presented in this volume make this a useful reference for anesthesiologists, surgeons, and EMTs at all levels.
Key topics reviewed in this reference include:
- New airway devices, clinical management techniques, pharmacology updates (ASA guidelines, DAS algorithms, Vortex approach, etc.),
- Induced and awake approaches in different settings
- Updates on the diagnostic accuracy of perioperative radiology and ultrasonography
- Airway management in different settings (nonoperating room locations and emergency rooms)
- Airway management in specific patient groups (for example, patients suffering from morbid obesity, obstetric patients and critical patients)
- Algorithms and traditional surgical techniques that include emergency cricothyrotomy and tracheostomy in ‘Cannot Intubate, Cannot Ventilate’ scenarios.
- Learning techniques to manage airways correctly, focusing on the combination of knowledge, technical abilities, decision making, communication skills, and leadership
- Special topics such as difficult airway management registry, organization, documentation, dissemination of critical information, big data and databases
Table of Contents
Chapter 1 An Update On Diagnostic Accuracy (Ct, X-Ray) For Airway Management
- Background
- Conventional Radiology
- Computed Tomography
- Ultrasonography
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgment
- References
Chapter 2 An Update On Ultrasonography As A Tool For Airway Management
- Introduction
- Basic Concepts
- Anatomy Of The Airway
- Systematization Of The Echographic Examination
- A. Transversal Cut
- B. Longitudinal Cut
- Parameters That Could Define A Difficult Airway
- Location Of The Cricothyroid Membrane
- Confirmation Of Oesophageal Vs. Endotracheal Intubation
- Directly
- Indirectly
- Percutaneous Dilatational Tracheostomy
- Ultrasound Vs. Anatomic References
- Ultrasound Vs. Fiberoptic Bronchoscopy
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgment
- References
Chapter 3 An Update On Preoxygenation, Apneic Oxygenation, And Prevention Of Distortion During Airway Management
- Introduction
- Pathophysiology Of Oxygenation
- Preoxygenation
- Montiel Redondo Castillo And Eduardo González Constán
- Miguel Ángel Fernández Vaquero, Maria Aliaño Piña, Maria Aymerich De Franceschi
- And Monir Kabiri Sacramento
- Paloma Muñoz Saldaña, Norma Aracil Escoda, Elena Sáez Ruiz, Ana Tirado
- Errazquin And Flores María Rey Tabasco
- Secondary Effects Of Preoxygenation
- Apneic Oxygenation
- Preoxygenation Before Extubation
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgments
- References
Chapter 4 Supraglottic Airway Devices Update
- Introduction
- Classification Of Sads
- Laryngeal Masks Airway (Lma)
- Types
- Classic Laryngeal Mask (Clma)
- Flexible Laryngeal Mask (Flma)
- Laryngeal Mask Proseal (Plma)
- Mask Lma (Mlf Or Ilma) Intubation Laryngeal Fastrach
- Disposable Laryngeal Masks
- Lma Protector™
- Lma Indications
- Basic Indications
- Indications Of Rescue
- Advanced Instructions
- Complications
- Risk Factors For Airway Management With Sad
- Other Supraglottic Airway Devices
- Combitube
- Easy tube
- Laryngeal Tube
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgments
- References
Chapter 5 Optic Airway Devices Update
- Introduction
- Concept
- Features
- Indications
- Limitations
- Complications
- Classification
- Video laryngoscopes With Rigid Blade
- Vl With 'Standard' Rigid Blade
- Vl With Angled Rigid Blade
- Video laryngoscopes With Blade With Channel To Guide The Endotracheal Tube
- María Luisa Mariscal Flores, Rocío Castellanos González, María Jesús Jiménez
- Garcia, Sonia Martín Ventura And Claudia Palacios Muñoz
- Eugenio Daniel Martinez-Hurtado, Miriam Sanchez-Merchante, Pablo Renedo
- Corcóstegui, Manuel Granell Gil And Guillermo Navarro
- Video laryngoscopes That Allow The Oxygenation During Intubation Manoeuvre
- Total track Vlm
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgment
- References
Chapter 6 Tracheal Tube Introducers, Stylets, Exchange Catheters, And Staged Extubation Sets In Airway Management
- Tracheal Tube Introducers And Stylets
- Endotracheal Tube Introducer Stylets
- Lighted Stylet
- Optical Stylets
- Exchange Catheters And Staged Extubation Sets In Airway Management
- Patients That Need Special Extubation May Be Categorized In One Of These Three Cases
- Complications Associated With Extubation
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgment
- References
Chapter 7 An Update On Can't Intubate, Can't Oxygenate Situation (Cico) Scenarios
- Introduction
- Management Of Unanticipated Difficult Tracheal Intubation In
- Adults
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgments
- References
Chapter 8 An Update On Bronchoscopy And Other Airway Device Updates
- Introduction
- History
- Description
- Types Of Bronchoscopy
- Different Types Of Flexible Intubating Scope
- The Classic Fiberscope
- Flexible Video Bronchoscopes
- María Jesús Galán Arévalo, Javier Béjar García, Alicia Ruiz Escobar And Enrique
- Platas Gil
- María Eugenia Centeno Robles, Emilio Herrero Gento, María Paez Hospital And
- María Elena Pinilla Carbajo
- Norma Aracil Escoda, Ana Tirado Errazquin, Elena Sáez Ruiz, Paloma Muñoz
- Saldaña1 And Olivia Espinosa De Los Monteros
- Indications Of Flexible Intubating Scope
- Equipment
- Oral Airway
- Ovassapian Intubating Airway
- Berman Ii Intubation Airway
- Williams Intubation Airway
- Vama Intubation Airway
- Facemask
- Patil-Syracuse Mask
- Endoscopy Mask Vbm Medizintechnik
- Endotracheal Tube (Ett)
- Uses Of Flexible Intubating Scope
- Video laryngoscopes
- Contraindications And Disadvantages Of Flexible Intubating
- Scope
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgments
- References
Chapter 9 An Update On Awake Intubation Management
- Indications
- Contraindications
- Local Anaesthesia
- Local Anesthetics
- Lidocaine
- Cocaíne
- Vasoconstrictor Agents
- Oxymetazoline 0.1%
- Phenylephrine
- Local Anesthesia Techniques
- Topical Anesthesia
- Fogging
- Nerve Blocks
- Techniques Of Local Anesthesia In The Hospital Universitario De Getafe (Hug)
- Sedation
- What Is Changing Currently?
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgment
- References
Chapter 10 An Update On The Sedative Agents On Awake Intubation
- Introduction
- Sedative Agents
- Benzodiazepines
- María Luisa Mariscal Flove, Claudia Palacios Muñoz, Rocío Castellanos González
- María Jesús Jiménez Gascla And Sonia Martín Ventura
- Maria Aliaño Piña And Miguel Ángel Fernández Vaquero
- Midazolam
- Opioids
- Fentanyl
- Remifentanil
- Hypnotics
- Propofol
- Sevoflurane
- Dexmedetomidine
- Contraindications
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgements
- References
Chapter 11 An Update On Paediatric Airway Management
- Airway Anatomy
- Airway Physiology
- Clinical Situations Of Expected Difficult Airway
- Face Mask Ventilation
- Predictors Of Difficult Airway
- Rapid Sequence Induction
- Supraglottic Airway Devices
- Laryngoscopy And Tracheal Intubation
- Alternative Techniques To Optimize Laryngoscopy
- Guideline For The Unexpected Difficult Airway In Pediatric Patients
- Difficult Mask Ventilation During Anesthesia Induction
- Step A: It Considers Three Interventions To Check
- Step B: Consider To Insert An Oropharyngeal Airway Device
- Step C: Insert A Supraglottic Airway Device (Sad)
- Unanticipated Difficult Tracheal Intubation During Induction Of Anesthesia In A Child Aged 1 To 8 Years
- Step A: Initial Intubation Plan When Mv Is Satisfactory
- Step B: Secondary Tracheal Intubation Plan
- Cannot Intubate And Cannot Ventilate (Cicv) In A Paralyzed Anaesthetized Child 1 To Years
- Step A: Continue To Attempt Oxygenation And Ventilation
- Step B: Attempt Wake Up If Maintaining Spo2 > 80%
- Step C: Airway Rescue Technique For Cicv (Spo2< 80% And Failing) And/Or Heart
- Rate Decreasing
- Expected Difficult Airway In Pediatric Patient
- Conclusion
- Consent For Publication
- Conflict Of Interest
- Acknowledgments
- References
Chapter 12 An Update On Obstetric Airway Management
Samples
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Author
- Eugenio Daniel Martinez-Hurtado
- María Luisa Mariscal Flores
