Morera HH

Language: Spanish
References: 14
Page: 293-298
PDF size: 166.73 Kb.

ABSTRACT

Airway management is an important priority for any critically ill patient. Airway adjuncts used to help maintain a patent airway may include relatively simple devices such as an oral or nasopharyngeal airway, while more complex airway support may require placement of either an endotracheal (ET) or tracheostomy tube. Artificial airways can be used for both shortand long-term airway management. Endotracheal intubation remains the gold standard for trauma airway management. Airway management in trauma patients is not just the capability to insert an oral/nasal airway or endotracheal tube beyond the vocal cords. The five components integral to modern, sophisticated airway management in trauma patients include equipment, pharmacologic adjuncts, manual techniques, physical circumstances, and patient profile. A trauma patient may require airway management in a variety of physical circumstances. Whereas, the commonly used airway management algorithms may not suffice in all these situations, the construction of a truly complete decision tree is also virtually impossible. There is consensus that it is not the intervention per se but rather the conditions, skills, and performance that might be the possible variables that affect outcome. Difficult airway management is best left for the experienced physicians to handle.

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