Definition
Airway exchange is an advanced airway management procedure that will convert a “temporary/dedicated” airway, a supraglottic airway (SGA), or a defective endotracheal tube (ETT) into a “definitive” airway, an ETT, using an airway exchange catheter (AEC) or another technique. AEC is used to gain access to the trachea through the SGA or ETT and then to railroad an ETT into place. This exchange is needed for prolonged mechanical ventilation, airway protection, or general anesthesia.
Today’s airway management algorithms emphasize oxygenation over intubation. Many prehospital programs use a SGA as their primary airway management device; similarly a SGA may be used in trauma in the hospital environment to salvage an unexpected difficult airway. Airway exchange in the trauma patient should be implemented in a timely...
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Matioc, A. (2015). Airway Exchange in Trauma Patients. In: Papadakos, P.J., Gestring, M.L. (eds) Encyclopedia of Trauma Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29613-0_461
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DOI: https://doi.org/10.1007/978-3-642-29613-0_461
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