Urgent Awake Tracheotomy for Impending Airway Obstruction

Yuen, Heng-Wai; Loy, Andrew H.; Johari, Shirish

doi:10.1016/j.otohns.2006.12.012

Cited by 47 publications

(63 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cricothyrotomy needs to be converted to a standard tracheostomy within 24 to 48 hours to avoid long term complications. 5 In one of our patients airway had to be maintained with cricothyrotomy which was converted immediately to tracheostomy.…”

Section: Resultsmentioning

confidence: 94%

Ludwig’s Angina - A Night Mare : Our Experience

Gupta¹,

Abraham²,

Mittal³

2015

jemds

View full text Add to dashboard Cite

INTRODUCTION:Patients with ludwig's angina present challenging airways for anesthesiologist and may die as a result of inability to manage the airway effectively. Successful airway management is critical, but a safe method to control the airway in these patients is yet to be established. METHODS: We retrospectively studied airway management techniques used in 17 patients of Ludwig's Angina, who required surgical drainage over a period of 12 months from January 2010 to December 2010. RESULTS: Of the 17 patients studied, 13 patients were intubated tracheally while 4 patients needed surgical tracheostomy for maintenance of airway. Two patients were intubated using fiberoptic intubation scope, while 11 patients were successfully intubated by direct laryngoscopy. CONCLUSION: Sound clinical judgement is critical for timing and for selecting the method for airway intervention.

show abstract

Section: Resultsmentioning

confidence: 94%

Ludwig’s Angina - A Night Mare : Our Experience

Gupta¹,

Abraham²,

Mittal³

2015

jemds

View full text Add to dashboard Cite

show abstract

“…26 Tracheostomy performed under local anaesthesia is widely considered the standard practice in airway management for patients with deep neck infections. 27 We performed tracheostomy under general anaesthesia in three patients with laterocervical abscesses after nasotracheal intubation. We firmly believe that tracheostomy should be avoided as much as possible, and reserved only for cases of severe and reduced breathing space, to avoid the spread of infection through the tracheostomy site.…”

Section: Discussionmentioning

confidence: 99%

How to avoid life-threatening complications following head and neck space infections: an algorithm-based approach to apply during times of emergency. When and why to hospitalise a neck infection patient

et al. 2017

View full text Add to dashboard Cite

Background: Head and neck space infections present with a potential mortality rate of 40-50 per cent. This paper proposes an algorithm-based management of head and neck space infection to prevent life-threatening events.Methods: A total of 225 patients with head and neck space infection were prospectively analysed at our institution. An experimental scoring system determined the level of clinical risk for the development of major complications. Accordingly, patients were classified into three risk groups: low-, intermediate-and high-risk.Results: Only intermediate-and high-risk patients were hospitalised. Intermediate-risk patients received intravenous medical therapy with daily re-evaluation; 18 of them required delayed surgery. Of the high-risk patients, three required immediate surgical treatment and five received delayed surgery, while in five cases medical therapy was the only treatment received. Low-risk patients were treated in an out-patient setting.Conclusion: The algorithm-based management of head and neck space infection was successful in enabling the avoidance of lethal complications onset.

show abstract

“…(16,90) NAP4 reported 29 successful first-choice emergency tracheostomies, (3) with 11 being performed for true emergencies (i.e. patients in extremis).…”

Section: Noninvasive or Invasive Airway Devicesmentioning

confidence: 99%

“…At risk of CICV (a) Plan A: awake intubation. Awake tracheostomy is most commonly performed, (16,90) as AFOI is often contraindicated (see section 'Direct or indirect laryngoscopy'). (b) Plan B: cardiopulmonary bypass.…”

Section: Formulating Plans a B And Cmentioning

confidence: 99%

Anaesthetic management of acute airway obstruction

Wong¹,

Wong²,

Mok³

2016

smedj

View full text Add to dashboard Cite

The acutely obstructed airway is a medical emergency that can potentially result in serious morbidity and mortality. Apart from the latest advancements in anaesthetic techniques, equipment and drugs, publications relevant to our topic, including the United Kingdom's 4th National Audit Project on major airway complications in 2011 and the updated American Society of Anesthesiologists' difficult airway algorithm of 2013, have recently been published. The former contained many reports of adverse events associated with the management of acute airway obstruction. By analysing the data and concepts from these two publications, this review article provides an update on management techniques for the acutely obstructed airway. We discuss the principles and factors relevant to the decision-making process in formulating a logical management plan.

show abstract

Urgent Awake Tracheotomy for Impending Airway Obstruction

Abstract: Awake tracheotomy should be performed for impending airway obstruction and in a timely manner before complete obstruction occurs.

Cited by 47 publications

References 15 publications

Ludwig’s Angina - A Night Mare : Our Experience

Ludwig’s Angina - A Night Mare : Our Experience

How to avoid life-threatening complications following head and neck space infections: an algorithm-based approach to apply during times of emergency. When and why to hospitalise a neck infection patient

Anaesthetic management of acute airway obstruction

Contact Info

Product

Resources

About