The Development of Techniques for Airway Management

Hagberg, Carin A.; Ghouse, Amna A.; Iannucci, Dawn G.

doi:10.1007/978-1-4614-8441-7_54

The Wondrous Story of Anesthesia 2014

DOI: 10.1007/978-1-4614-8441-7_54

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The Development of Techniques for Airway Management

Carin A. Hagberg¹,

Amna A. Ghouse²,

Dawn G. Iannucci

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2019

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An Anesthesiologist’s Perspective on the History of Basic Airway Management

Matioc

2019

Anesthesiology

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This fourth and last installment of my history of basic airway management discusses the current (i.e., “modern”) era of anesthesia and resuscitation, from 1960 to the present. These years were notable for the implementation of intermittent positive pressure ventilation inside and outside the operating room. Basic airway management in cardiopulmonary resuscitation (i.e., expired air ventilation) was de-emphasized, as the “A-B-C” (airway-breathing-circulation) protocol was replaced with the “C-A-B” (circulation-airway-breathing) intervention sequence. Basic airway management in the operating room (i.e., face-mask ventilation) lost its predominant position to advanced airway management, as balanced anesthesia replaced inhalation anesthesia. The one-hand, generic face-mask ventilation technique was inherited from the progressive era. In the new context of providing intermittent positive pressure ventilation, the generic technique generated an underpowered grip with a less effective seal and an unspecified airway maneuver. The significant advancement that had been made in understanding the pathophysiology of upper airway obstruction was thus poorly translated into practice. In contrast to consistent progress in advanced airway management, progress in basic airway techniques and devices stagnated.

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An Anesthesiologist’s Perspective on the History of Basic Airway Management

Matioc

2019

Anesthesiology

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The Development of Techniques for Airway Management

Cited by 1 publication

References 79 publications

An Anesthesiologist’s Perspective on the History of Basic Airway Management

An Anesthesiologist’s Perspective on the History of Basic Airway Management

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