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Various expert societies in airway management, including the American Society of Anesthesiologists, have recommended approaches to difficult airways. The algorithm provides a step-by-step framework to respond to situations where traditional airway management techniques may be inadequate.
In this situation, one must consider the difficult airway algorithm [6] with the possibility of waking the patient with paralytic reversal medications such as sugammadex. [5] Conversely, the induction drugs classically used for RSI have short durations of action, wearing off after only minutes.
The anaesthesia community had been calling for practice guidelines and in 1992 the ASA commissioned a task force to establish practice guidelines for managing difficult airway situations. The ASA algorithm for difficult airways was published in 1993 and stressed an early attempt at insertion of the laryngeal mask if face mask ventilation was ...
The Simplified Airway Risk Index (SARI), or El-Ganzouri Risk Index (EGRI), is a multivariate risk score thought to estimate the risk of difficult tracheal intubation. The SARI score ranges from 0 to 12 points, where a higher number of points indicates a more difficult airway. A SARI score of 4 or above is thought to indicate a difficult ...
The laryngeal tube (also known as the King LT) [1] is an airway management device designed as an alternative to other airway management techniques such as mask ventilation, laryngeal mask airway, and tracheal intubation.
Tracheal intubation in the emergency setting can be difficult with the fiberoptic bronchoscope due to blood, vomit, or secretions in the airway and poor patient cooperation. Because of this, patients with massive facial injury, complete upper airway obstruction, severely diminished ventilation, or profuse upper airway bleeding are poor ...
A systematic review of 42 studies, with 34,513 participants, found that the modified Mallampati score is a good predictor of difficult direct laryngoscopy and intubation, but poor at predicting difficult bag mask ventilation.
The Airway is managed by rapid and aggressive opening of the airway to include cricothyroidotomy for difficult airways. Respirations and breathing is managed by the assessment for tension pneumothorax and aggressive use of needle decompression devices to relieve tension and improve breathing.