Intubation Techniques for Unanticipated Difficult Direct Laryngoscopy: Stylets and Introducers

Henderson, John

doi:10.1007/978-3-642-18701-8_25

Cited by 2 publications

(4 citation statements)

References 140 publications

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“…Even when the larynx can be visualised, it is sometimes difficult to pass the tracheal tube. Use of optimum shape of the tracheal tube, with [15][16][17][18][19] or without [20] a stylet, or passage of an introducer ('bougie') under vision ('visual bougie' technique) with subsequent 'railroading' of the tube into the trachea, are recommended [21].…”

Section: Methodsmentioning

confidence: 99%

“…If, despite these measures, there is still a grade 3 or 4 [25] view, then alternative techniques will be needed. These techniques include use of an introducer ('gum elastic bougie') [21] and ⁄ or a different laryngoscope. Alternative direct laryngoscopes of proven value include the McCoy [36][37][38][39][40] and straight [41,42] laryngoscopes.…”

Section: Plan A: Initial Tracheal Intubation Planmentioning

confidence: 99%

See 1 more Smart Citation

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Henderson¹,

Popat²,

Latto³

et al. 2012

Anaesthesia

186

254

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

Section: Plan A: Initial Tracheal Intubation Planmentioning

confidence: 99%

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Henderson¹,

Popat²,

Latto³

et al. 2012

Anaesthesia

186

254

View full text Add to dashboard Cite

“…Even when the larynx can be visualised, it is sometimes difficult to pass the tracheal tube. Use of optimum shape of the tracheal tube, with [15–19] or without [20] a stylet, or passage of an introducer (‘bougie’) under vision (‘visual bougie’ technique) with subsequent ‘railroading’ of the tube into the trachea, are recommended [21].…”

Section: Methodsmentioning

confidence: 99%

“…If, despite these measures, there is still a grade 3 or 4 [25] view, then alternative techniques will be needed. These techniques include use of an introducer (‘gum elastic bougie’) [21] and/or a different laryngoscope. Alternative direct laryngoscopes of proven value include the McCoy [36–40] and straight [41, 42] laryngoscopes.…”

Section: Plan A: Initial Tracheal Intubation Planmentioning

confidence: 99%

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Henderson¹,

Popat²,

Latto³

et al. 2004

Anaesthesia

885

327

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SummaryProblems with tracheal intubation are infrequent but are the most common cause of anaesthetic death or brain damage. The clinical situation is not always managed well. The Difficult Airway Society (DAS) has developed guidelines for management of the unanticipated difficult tracheal intubation in the non-obstetric adult patient without upper airway obstruction. These guidelines have been developed by consensus and are based on evidence and experience. We have produced flow-charts for three scenarios: routine induction; rapid sequence induction; and failed intubation, increasing hypoxaemia and difficult ventilation in the paralysed, anaesthetised patient. The flowcharts are simple, clear and definitive. They can be fully implemented only when the necessary equipment and training are available. The guidelines received overwhelming support from the membership of the DAS. Disclaimer: It is not intended that these guidelines should constitute a minimum standard of practice, nor are they to be regarded as a substitute for good clinical judgement.

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Intubation Techniques for Unanticipated Difficult Direct Laryngoscopy: Stylets and Introducers

Cited by 2 publications

References 140 publications

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

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