Abstract
Successful emergency airway intervention incorporates the anaesthetist’s basic skills in airway management with the knowledge of the special nature of the clinical problems that arise outside the operating room. While a thorough but rapid evaluation of the key anatomical and physiological factors of an individual patient may result in an obvious choice for optimal management, clinical problems often arise in which there is not an evident “best approach.” In these less clearcut situations, the anaesthetist may do well to employ those techniques with which she/he has the greatest skills and experience. At times, however, some degree of creative improvisation is required to care for an especially difficult problem.
Résumé
En situation d’urgence, le contrôle efficace de l’intégrité des voies respiratoires fait appel aux connaissances fondamentales de l’anesthésiste et exige en plus l’identification des problèmes particuliers qui ont précédé l’entrée en salle d’opération. Bien qu’une évaluation rapide des facteurs anatomiques et physiologiques essentiels propres à une condition spéciale puisse conduire à un choix évident pour une prise en charge optimale, des problèmes cliniques qui rendent ce choix moins certain se révèlent souvent leur apparition. Dans ces situations pour le moins douteuses, l’anesthésiste serait mal avisé de d’utiliser des techniques avec lesquelles il est moins familier. Cependant, occasionnellement, il devra faire usage de son imagination et improviser pour solutionner un problème particulièrement difficile.
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Bogdonoff, D.L., Stone, D.J. Emergency management of the airway outside the operating room. Can J Anaesth 39, 1069–1089 (1992). https://doi.org/10.1007/BF03008378
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DOI: https://doi.org/10.1007/BF03008378