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Airway Anesthesia

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The Airway Manual

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Abstract

Endotracheal intubation is most commonly performed under general anaesthesia (GA). However, when the safety is threatened by induction of GA, awake intubation under airway anesthesia, with or without sedation is considered. Awake tracheal intubation has a good safety profile due to preservation of spontaneous ventilation and intrinsic airway muscle tone but can still fail in 1–2% of patients. Fatal complications like complete loss of airway and myocardial infarction have also been reported. In an awake patient, good local anesthesia (LA) will produce minimal discomfort during airway manipulation and helps to minimize local and systemic effects such as coughing, bucking, laryngospasm, bronchospasm, tachycardia, and hypertension. Successful local anaesthesia dependent on understanding of the rationale, selection of drugs, preparation of patient, execution of the appropriate technique and monitoring. Different aspects of airway anaesthesia are discussed in this chapter.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, JSS Medical College and Hospital, JSS Academy of Higher Education and Research (JSSAHER), Mysuru, Karnataka, India

    Anil Kumar & N. R. Anup

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  1. Anil Kumar
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  2. N. R. Anup
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Correspondence to Anil Kumar .

Editor information

Editors and Affiliations

  1. Department of Anaesthesiology, Jerudong Park Medical Centre, Jerudong Park, Brunei Darussalam

    Raveendra Shankaranarayana Ubaradka

  2. Department of Anesthesiology (BRA-IRCH), All India Institute of Medical Sciences, New Delhi, Delhi, India

    Nishkarsh Gupta

  3. Division of Neuroanesthesiology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, Pondicherry, India

    Prasanna Udupi Bidkar

  4. Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

    Debendra Kumar Tripathy

  5. Department of Anaesthesia Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Anju Gupta

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Kumar, A., Anup, N.R. (2023). Airway Anesthesia. In: Ubaradka, R.S., Gupta, N., Bidkar, P.U., Tripathy, D.K., Gupta, A. (eds) The Airway Manual. Springer, Singapore. https://doi.org/10.1007/978-981-19-4747-6_24

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  • DOI: https://doi.org/10.1007/978-981-19-4747-6_24

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  • Online ISBN: 978-981-19-4747-6

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