Difficult airway management for the anaesthetist

Author:

Hews J1,El-Boghdadly K2,Ahmad I2

Affiliation:

1. Specialist Registrar, Department of Anaesthesia, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT

2. Consultant Anaesthetist, Department of Anaesthesia, Guy's & St Thomas' NHS Foundation Trust, London

Abstract

This article reviews the key considerations when managing a patient with a difficult airway. The difficult airway may be anticipated from preassessment allowing time for investigations and preparation. Alternatively, the unanticipated difficult airway can present in an emergency situation, or unexpectedly during a routine anaesthetic. The main airway management techniques are discussed with a description of their advantages and limitations. Current guidelines are included that demonstrate how the techniques are incorporated into an overall strategy with a plan A–D when failure occurs. It is critical to progress through such an algorithm in a timely manner to prevent the onset of hypoxia.

Publisher

Mark Allen Group

Subject

General Medicine

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