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2000, Number 4

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Rev Med Hosp Gen Mex 2000; 63 (4)

Difficult airway. Recognition and management

Yánez CAFJ

Language: Spanish
References: 30
Page: 254-260
PDF size: 71.88 Kb.


ABSTRACT

Prevention in medical practice is one of the main goals; concerning the airway management, identification and recognition of a difficult case, should alert the physician in order to perform the optimal management and provide the assurance of a satisfactory, ventilation, and oxygen supply, in the presence of any event threatening the patient’s life. This review shows the different predictive values to detect a difficult airway and the mode to face them, they are also mentioned the procedures to carry out an eminently good ventilation and laryngoscopy. They are here mentioned some pathology cases which engaged anatomy and respiratory function. It is insisted and stressed that a complete case history and adequate physical exploration will give an invaluable information about the possible difficulties in front of a troublesome airway approach and the different proposals to solve the problem. Airway management will always be a challenge in the every day practice.


REFERENCES

  1. Benumof JL. Management of the difficult airway with special emphasis on awake tracheal intubation. Anesthesiology 1991; 75: 1087-1110.

  2. Wison W, Benumof J. Fisiopatología y tratamiento de las vías respiratorias difíciles. Clin Anestesiol Norteam 1998; 1: 31-81.

  3. Keenan RL, Boyan CP. Cardiac arrest due to anesthesia. JAMA 1985; 252: 2373.

  4. Caplan RA, Posner KL, Ward RJ et al. Adverse respiratory events in anesthesia: A closed claims analysis. Anesthesiology 1990; 72: 828.

  5. Randell T et al. Prediction of difficult intubation. Acta Anaesthesiol Scand 1996; 40 (8-2): 1016-1023.

  6. Mallampati SR. Valoración clínica de las vías respiratorias. Clin Anestesiol Norteam 1995; 2: 279-286.

  7. Mallampati SR. Atención de la vía respiratoria. En: Barash, Cullen, Stoelting. Anestesia clínica. McGraw-Hill Interamericana, 1999; I: 673-697.

  8. Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologist Task Force on Management of the Difficult Airway. Anesthesiology 1993; 78: 597-602.

  9. D Savva MB. Prediction of the difficult tracheal intubation. Br J Anaesth 1994; 73: 149-153.

  10. Langeron O, Masso E, Huraux C, Guggiari M, Bianchi A, Coriat P. Prediction of difficult mask ventilation. Anesthesiology 2000; 92: 1229-1236.

  11. Stone DJ, Gal TJ. Control de la vía aérea. En: Ronal Miller. Anestesia. 4a ed. Harcourt Brace, 1998; 42-2: 1371-1402.

  12. Benumof J. The ASA difficult airway algorithm: New thoughts/considerations. 50th Annual Refresher. Course Lectures. American Society of Anesthesiologists: ASA, Dallas, Texas; october 9-13, 1999. E-mail address: rcl@asahq.org. (847) 825-5586.

  13. Ramsim M, Benyamin Yaser W, Rames S, Nimes J, Joseph B. Two handed mask ventilation of the difficult airway by a single individual. Anesthesiology 1998; 88: 1134.

  14. Frédéric Adnet. Difficult mask ventilation, an underestimated aspect of the problem of the difficult airway? Anesthesiology 2000; 92: 1217-1218.

  15. Benumof JL. Preoxigenation, best method for both efficacy and efficiency? Anesthesiology 1999; 91: 603-605.

  16. Russell G, Smith C, Snowdons S, Bryson T. Preoxigenation techniques. Anesth Analg 1987; 66: 1341-1342.

  17. Hamilton W, Eastwood D. A study of denitrogenation with some inhalation anesthetic systems. Anesthesiology 1955; 16: 861-867.

  18. Baraka AS, FRCA, Katha S, Aouad M, Mohamed F, Khatib E. Preoxigenation, comparison of maximal breathing and tidal volume breathing techniques. Anesthesiology 1999; 91: 612-616.

  19. Lewis M, Keramati S, Benumof J, Berry Ch. What is the best way to determine oropharyngeal classification and mandibular space length to predict difficult laringoscopy? Anesthesiology 1994; 81: 69-75.

  20. Hogan K, Rusy D, Scott S. Difficult laringoscopy and diabetes mellitus. Anesth Analg 1988; 67: 1162-1165.

  21. Reisell EO, Maunuksel ELL. Predictability of difficult laringoscopy in patients with long-term diabetes mellitus. Anesthesia 1990; 45: 1024-1027.

  22. Yamamoto K, Tsubokawa T, Omhura S, Kobayashi T. Left-molar approach improves the laringeal view in patients with difficult laringoscopy. Anesthesiology 2000; 92: 70-74.

  23. Domino K, Posner K, Caplan R, Cheney F. Airway injury during anesthesia. A close claims analysis. Anesthesiology 1999; 91: 1703-1711.

  24. Vezono S, Goto T, Nakata Y, Ichinose F, Miimi Y, Morita S. The cuffed oropharyngeal airway, a novel adjunct to the management of difficult airways. Anesthesiology 1998; 88: 1677-1679.

  25. Benumof J. The glottic aperture seal airway a new ventilatory device. Anesthesiology 1998; 88: 1219-1226.

  26. Benumof JL. Laringeal mask aiway. Indications and contraindications editorial. Anesthesiology 1992; 77: 843-846.

  27. Baraka A. Laringeal airway in the cannot-intubate, cannot-ventilate situation. Anesthesiology 1993; 79: 1151-1152.

  28. Doyle J. Medicals conditions with airway implications. Department of Anaesthesia the Toronto Hospital, Toronto Canada. 200 Elizabeth Street, Toronto, M5G-2C4 Canada Telephone 416-340-3242. Fax: 416-340-3698. http://gasnet.med.yale.edu:gta/medical-airway.html.

  29. Santos A, Pederson H, Finster M. Anestesia obstétrica. En: Barash, Cullen, Stoelting. Anestesia clínica. McGraw-Hill Interamericana, 1999; II: 1245-46.

  30. Shopper G, Johnson M. Obstrucción de vías respiratorias e intubación traqueal difícil. En: Gambling, Gouglas. Anestesia obstétrica. McGraw-Hill Interamericana, 2000: 95-107.




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