Vázquez-Lesso A, Flores-Flores OA, León-Fernández OD, Sánchez-Sánchez Y, Álvarez-Calderón R, Azocar-Mambie A, Minakata-Quiroga A, Gutiérrez-Zarate D, Rosas-Sánchez K, Cortes-Lares JA

Language: Spanish
References: 44
Page: 192-201
PDF size: 419.07 Kb.

ABSTRACT

Airway management is a critical intervention, being a challenge in complicated patients and scenarios. The development of video laryngoscopes and their great advance in availability and acceptance have redefined intubation strategies, guaranteeing effectiveness, safety and speed. The need to have an airway management algorithm under videolaryngoscopy that meets the current parameters of guaranteeing patient safety, always avoiding complications in the peri-intubation period, should be ideal in all critical areas (anesthesiology, critical medicine, emergency medicine). Taking into account the characteristics of critical or severe patients, it is necessary to have guidelines or action plans that allow the adoption of these devices as a management standard without losing sight of a multidisciplinary care approach in airway management. An easy-to-remember and apply algorithm optimized for video laryngoscopes is presented, based on four critical pillars: oxygenation-ventilation, hemodynamic status, acid base and neuromonitoring and with the recommendation of guaranteeing a single intubation attempt always assisted by a bougie during videolaryngoscopy.

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