The ASA Difficult Airway Algorithm: Is It Time to Include Video Laryngoscopy and Discourage Blind and Multiple Intubation Attempts in the Nonemergency Pathway?

Saxena, Shashank

doi:10.1213/ane.0b013e31819341e4

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…The difficulty increases when there is limited neck mobility. 1 The same was the reason in this case where there was perioral scarring along with limited neck mobility.…”

Section: Discussionmentioning

confidence: 61%

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Successful intubation with Macintosh laryngoscope after failed intubation with McGrath videolaryngoscope in post burn contracture of the neck

Salhotra¹,

Arora²,

Sharma³

et al. 2014

Sri Lankan J Anaesthesiol

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A 29 year old woman, a case of post burn contracture of the neck came for the release. McGrath video laryngoscope was chosen as the initial tool for airway management. Despite an excellent view, intubation failed due to lack of working airway space available after use of video laryngoscope. Successful intubation was achieved with Macintosh laryngoscope although the laryngoscopy view was Cormack and Lehane grade IIIa and percentage of glottic opening score was 25%. More research into the predictors of difficult laryngoscopy or intubation with the video laryngoscope needs to be done before recommending these devices for use in difficult airway scenarios.

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“…The difficulty increases when there is limited neck mobility. 1 The same was the reason in this case where there was perioral scarring along with limited neck mobility.…”

Section: Discussionmentioning

confidence: 61%

“…Recently there has been a suggestion to include VLS in the anticipated DA algorithms. 1 They provide a look "around the corner" and are proving to be good educational tools. The excellent views have not always been translated into successful intubations.…”

Section: Introductionmentioning

confidence: 99%

Successful intubation with Macintosh laryngoscope after failed intubation with McGrath videolaryngoscope in post burn contracture of the neck

Salhotra¹,

Arora²,

Sharma³

et al. 2014

Sri Lankan J Anaesthesiol

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“…Gries Saxena stellte bereits 2009 zur Diskussion, den "Schwieriger-Atemweg-Algorithmus" der American Society of Anesthesiologists (ASA) dahingehend zu modifizieren, Videolaryngoskopie bereits frühzeitig in den Ablauf der nichtnotfälligen Atemwegssicherung zu integrieren, mit dem Ziel, bereits von vornherein mehrfache (z.T. "blinde") Intubationsversuche zu vermeiden [6]. Cavus zeigt in seinem Artikel über die Videolaryngoskopie, dass eine früh zeitige Verwendung dieser neuen Technologie auch in der Präklinik vorteilhaft sein kann, wenngleich die vereinfach- …”

Section: Einführung Zum Themaunclassified

Präklinisches Atemwegsmanagement

Hossfeld

Helm

Kreimeier³

2011

Notfall Rettungsmed

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“…The ‘Difficult Airway Algorithm’ guidelines may have to be adjusted to include new tools in our practice. [14] As the laparoscope and thoracoscope are the future of surgical practice, it seems to us that a video laryngoscope is the future of airway management in anaesthetic practice.…”

Section: Introductionmentioning

confidence: 99%

Paediatric airway management: What is new?

2012

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Airway management plays a pivotal role in Paediatric Anaesthesia. Over the last two decades many improvements in this area have helped us to overcome this final frontier. From an era where intubation with a conventional laryngoscope or blind nasal intubation was the only tool for airway management, we have come a long way. Today supraglottic airway devices have pride of place in the Operating Room and are becoming important airway devices used in routine procedures. Direct and indirect fibreoptic laryngoscopes and transtracheal devices help us overcome difficult and previously impossible airway situations. These developments mean that we need to update our knowledge on these devices. Also much of our basic understanding of the physiology and anatomy of the paediatric airway has changed. This article attempts to shed light on some of the most important advances/opinions in paediatric airway management like, cuffed endotracheal tubes, supraglottic airway devices, video laryngoscopes, rapid sequence intubation, the newly proposed algorithm for difficult airway management and the role of Ex Utero Intrapartum Treatment (EXIT) procedure in the management of the neonatal airway.

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The ASA Difficult Airway Algorithm: Is It Time to Include Video Laryngoscopy and Discourage Blind and Multiple Intubation Attempts in the Nonemergency Pathway?

Cited by 12 publications

References 7 publications

Successful intubation with Macintosh laryngoscope after failed intubation with McGrath videolaryngoscope in post burn contracture of the neck

Successful intubation with Macintosh laryngoscope after failed intubation with McGrath videolaryngoscope in post burn contracture of the neck

Präklinisches Atemwegsmanagement

Paediatric airway management: What is new?

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