Skip to main content
SpringerLink
Log in

Emergency Intubation: The Difficult Airway

  • Conference paper
Book cover Yearbook of Intensive Care and Emergency Medicine 1998

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 1998))

  • 191 Accesses

Abstract

One of the fundamental responsibilities of anesthesiologists, intensive care and emergency physicians is to maintain adequate gas exchange. In order to perform this goal, the airway must be managed in such a way that it is almost continuously patent. Inadequate lung ventilation results in irreversible brain damage or cardiac arrest within a few minutes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Caplan RA, Posner KL, Richard JW, Cheney FW (1990) Adverse respiratory events in anesthesia: A closed claims analysis. Anesthesiology 72: 828–833

    Article  PubMed  CAS  Google Scholar 

  2. Williamson JA, Webb RK, Szekely S, Gillies ERN, Dreosti AV (1993) Difficult intubation: An analysis of 2000 incident reports. Anaesth Intensive Care 21: 602–607

    PubMed  CAS  Google Scholar 

  3. Schwartz DE, Matthay MA, Cohen NH (1995) Death and other complications of emergency airway management in critically ill adults. Anesthesiology 82: 367–376

    Article  PubMed  CAS  Google Scholar 

  4. Taryle DA, Chandler JE, Good JT, Potts DE, Sahn SA (1979) Emergency room intubations - complications and survival. Chest 75: 541–543

    Article  PubMed  CAS  Google Scholar 

  5. American Society of Anesthesiologists Task Force on management of the difficult airway (1993) Practice guidelines for mangement of the difficult airway: a report. Anesthesiology 78: 597–602

    Article  Google Scholar 

  6. Mallampati SR (1995) Recognition of the difficult airway. In: Benumof JL (ed) Airway manage-ment: Principles and practice. Mosby, New York, pp 126–142

    Google Scholar 

  7. Mallampati SR, Gatt SP, Gugino LD, et al (1985) A clinical sign to predict difficult tracheal in-tubation: a prospective study. Can J Anaesth 32: 429–434

    Article  CAS  Google Scholar 

  8. Samsoon GLT, Young JRB (1987) Difficult tracheal intubation: a retrospective study. Anaesthesia 42: 487–490

    Article  PubMed  CAS  Google Scholar 

  9. Mathew M, Hanna LS, Aldretre JA (1989) Preoperative indices to anticipate a difficult tracheal intubation. Anesth Analg 68: S187

    Google Scholar 

  10. Bellhouse CP, Dore C (1988) Criteria for estimating likelihood of difficulty of endotracheal intubation with Macintosh laryngoscope. Anaesth Intensive Care 16: 329–337

    PubMed  CAS  Google Scholar 

  11. Benumof JL (1995) The American Society of Anesthesiologists’ management of the difficult airway algorithm and explanation-analysis of the algorithm. In: Benumof JL (ed) Airway management: Principles and practice. Mosby, New York, pp 143–156

    Google Scholar 

  12. McGee IIJP, Vender JS (1995) Nonintubation management of the airway: Mask ventilation. In: Benumof JL (ed) Airway management: Principles and practice. Mosby, New York, pp 228–254

    Google Scholar 

  13. Joshi GP, Smith I, White PF (1995) Laryngeal mask airway. In: Benumof JL (ed). Airway management: Principles and practice. Mosby, New York, pp 353–373

    Google Scholar 

  14. Brain AIJ (1983) The laryngeal mask: a new concept in airway management. Br J Anaesthesia 55: 801–805

    Article  CAS  Google Scholar 

  15. Brain AIJ (1991) The development of the laryngeal mask: a brief history of the invention, early clinical studies and experimental work from which the laryngeal mask evolved. Eur J Anaesthesiol 4: 5–17

    CAS  Google Scholar 

  16. Brain AIJ (1992) The Intravent laryngeal mask instruction manual, 2nd edn., Brain Medical, Berkshire

    Google Scholar 

  17. Frass (1995) The Combitube: Esophageal/tracheal double-lumen airway. In: Benumof JL (ed) Airway management: Principles and practice. Mosby, New York, pp 444–454

    Google Scholar 

  18. Frass M, Frenzer R, Ilias W, Lackner F, Hoflehner G, Losert U (1987) Tierexperimentelle Ergeb- nisse mit einem neuen Notfalltubus. Anásth, Intensivther, Notfallmed 22: 142–144

    CAS  Google Scholar 

  19. Frass M, Frenzer R, Zahler J, Ilias W, Lackner F (1987) Ergebnisse erster experimenteller Studien mit einem neuen Notfalltubus (ETC). Intensivmed, Notfallmed 24: 390–392

    Google Scholar 

  20. Frass M, Frenzer R, Zdrahal F, Hoflehner G, Porges P, Lackner F (1987) The esophageal tracheal combitube: Preliminary results with a new airway for CPR. Ann Emerg Med 16: 768–772

    Article  PubMed  CAS  Google Scholar 

  21. Frass M, Frenzer R, Rauscha F, Weber H, Pacher R, Leithner C (1987) Evaluation of esophageal tracheal combitube in cardiopulmonary resuscitation. Crit Care Med 15: 609–611

    Article  PubMed  CAS  Google Scholar 

  22. Frass M, Frenzer R, Rauscha F, Schuster E, Glogar D (1988) Ventilation with the esophageal tracheal combitube in cardiopulmonary resuscitation. Promptness and effectiveness. Chest 93: 781–784

    Article  PubMed  CAS  Google Scholar 

  23. Frass M, Rodler S, Frenzer R, Ilias W, Leithner C, Lackner F (1989) Esophageal tracheal combitube, endotracheal airway and mask: Comparison of ventilatory pressure curves. J Trauma 29: 1476–1479

    Article  PubMed  CAS  Google Scholar 

  24. Rumball CJ, MacDonald D (1997) PTL, Combitube, laryngeal mask, and oral airway: A randomized prehospital comparative study of ventilatory device effectiveness and cost-effectiveness in 470 cases of cardiorespiratory arrest. Prehosp Emerg Care 1: 1–10

    Article  PubMed  CAS  Google Scholar 

  25. Liao D, Shalit M (1996) Successful intubation with the Combitube in acute asthmatic distress by a paramedic. J Emerg Med 14: 561–563

    Article  PubMed  CAS  Google Scholar 

  26. Baskett PJF, Bossaert L, Carli P, et al (1996) Guidelines for the advanced management of the airway and ventilation during resuscitation. Resuscitation 31: 201–230

    Article  Google Scholar 

  27. Emergency Cardiac Care Committee and Subcommittees, American Heart Association (1992) Guidelines for cardiopulmonary resuscitation and emergency cardiac care. JAMA 268: 2199–2241

    Article  Google Scholar 

  28. Krafft P, Roggla M, Fridrich P, Locker GJ, Frass M, Benumof JL (1997) Bronchoscopy via a redesigned Combitube™ in the esophageal position. A clinical evaluation. Anesthesiology 86: 1041–1045

    Article  PubMed  CAS  Google Scholar 

  29. Benumof JL (1995) Transtracheal jet ventilation via percutaneous catheter and high-pressure source. In: Benumof JL (ed) Airway management: Principles and practice. Mosby, New York, pp 455–474

    Google Scholar 

  30. Zornow M,Thoma T, Scheller MS (1989) The efficacy of three different methods of transtracheal ventilation. Can J Anaesth 36: 624–628

    Article  PubMed  CAS  Google Scholar 

  31. Klain M, Smith RB (1988) High frequency percutaneous trantracheal jet ventilation. Crit Care Med 5: 280–287

    Article  Google Scholar 

  32. Cote CJ, Eavey RD, Todres ID, Jones DE (1988) Cricothyroid membrane puncture: oxygenation and ventilation in a dog using an intravenous catheter. Crit Care Med 16: 615–619

    Article  PubMed  CAS  Google Scholar 

  33. Weymuller EA, Paugh D, Pavlin EG, Cummings CW (1987) Management of difficult airway problems with percutaneous transtracheal ventilation. Ann Otol Rhinol Laryngol 96: 34–37

    PubMed  Google Scholar 

  34. Jacobs HB (1974) Transtracheal catheter ventilation: clinical experience in 36 patients. Chest 65: 36–40

    Article  PubMed  CAS  Google Scholar 

  35. Monnier PH, Ravussin P, Savary M, Freeman J (1988) Percutaneous transtracheal ventilation for laser endoscopic treatment of laryngeal and subglottic lesions. Clin Otolaryngol 13: 209–217

    Article  PubMed  CAS  Google Scholar 

  36. Smith BR, Babinski M, Klain M, Pfaeffle H (1976) Percutaneous transtracheal ventilation. J Am Colleg Emerg Physicians 5: 765–770

    Article  CAS  Google Scholar 

  37. Benumof JI, Scheller MS (1989) The importance of transtracheal jet ventilation in the manage-ment of the difficult airway. Anesthesiology 71: 769–778

    Article  PubMed  CAS  Google Scholar 

  38. Davidson TM, Magit AE (1995) Surgical airway. In: Benumof JL (ed) Airway management: Principles and practice. Mosby, New York, pp 513–530

    Google Scholar 

Download references

Authors
  1. J. Kofler
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Stoiser
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Frass
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Clinical Director) (Clinical Director)

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Kofler, J., Stoiser, B., Frass, M. (1998). Emergency Intubation: The Difficult Airway. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1998. Yearbook of Intensive Care and Emergency Medicine, vol 1998. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72038-3_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-72038-3_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-63798-1

  • Online ISBN: 978-3-642-72038-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation