Rural Surgery pp 465-481 | Cite as

Airway Management: A Surgical Perspective

Chapter

Abstract

A compromised airway is a life-threatening condition. The risk of mortality or permanent disability is high without timely and effective intervention. Failure of airway control remains a significant cause of preventable death following injury. Similarly, in the non-injured critically ill patient, the airway is often inadequately assessed or poorly managed, contributing to preventable morbidity and mortality. Although a patent airway is a necessary requisite for cellular oxygenation, it is by itself not sufficient. Aerobic metabolism also requires adequate ventilation and perfusion, the latter depending on circulating blood volume and cardiac function. Because a patient will die from an airway obstruction before succumbing to a breathing or circulatory problem, airway security commands the highest priority in resuscitation.

Recommended Reading

  1. American College of Surgeons Committee on Trauma: Advanced Trauma Life Support for Doctors: Student Course Manual, 8th edn. American College of Surgeons, Chicago (2008)Google Scholar
  2. Dorges, V.: Airway management in emergency situations. Best Pract. Res. Clin. Anaesthesiol. 19(4), 699–715 (2005)PubMedCrossRefGoogle Scholar
  3. Fowler, R.A., Pearl, R.G.: The airway – emergent management for non-anesthesiologists. West. J. Med. 176(1), 45–50 (2002)PubMedCrossRefGoogle Scholar
  4. Kummer, C., Netto, F.S., Rizoli, S., Yee, D.: A review of traumatic airway injuries: potential implications for airway assessment and management injury. Int. J. Care Injured 38, 27–33 (2007)CrossRefGoogle Scholar
  5. Lecky, F., Bryden, D., Little, R., Tong, N., Moulton, C.: Emergency intubation for acutely ill and injured patients (Review). Cochrane Database Syst. Rev. (3), (2009)Google Scholar
  6. Toschlog, E.A., Sagraves, S.G., Rotondo, M.F.: Airway control. In: Feliciano, D.V., Mattox, K.L., Moore, E.E. (eds.) Trauma, Chap. 12, 6th edn. McGraw-Hill, New York (2008)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of SurgeryThe Queen Elizabeth HospitalWoodville SouthAustralia

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