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ERCP: The Unresolved Question of Endotracheal Intubation

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Abstract

The anesthesia community is still divided as to the appropriate airway management in patients undergoing endoscopic retrograde cholangiopancreatography. Increasingly, gastroenterologists are comfortable with deep sedation (normally propofol) without endotracheal intubation. There are no comprehensive reviews addressing the various pros and cons of an un-intubated airway management. It is hoped that the present review will benefit both anesthesia providers and gastroenterologists. The reasons to avoid routine endotracheal intubation and the approaches for an un-intubated anesthetic management are discussed. The special situations where endotracheal intubation is the preferred approach are mentioned. Many special techniques to manage airway are illustrated.

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Authors and Affiliations

  1. Clinical Anesthesiology and Critical Care, Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

    Basavana Goudra

  2. Department of Anesthesia, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

    Preet Mohinder Singh

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  1. Basavana Goudra
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  2. Preet Mohinder Singh
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Correspondence to Basavana Goudra.

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Goudra, B., Singh, P.M. ERCP: The Unresolved Question of Endotracheal Intubation. Dig Dis Sci 59, 513–519 (2014). https://doi.org/10.1007/s10620-013-2931-3

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  • DOI: https://doi.org/10.1007/s10620-013-2931-3

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