TY - BOOK AU - Glick,David B. AU - Cooper,Richard M. AU - Ovassapian,Andranik TI - The difficult airway: an atlas of tools and techniques for clinical management SN - 0387928480 AV - RC732 .D54 2013 U1 - 616.23 23 PY - 2013///] CY - New York PB - Springer KW - Airway (Medicine) KW - Trachea KW - Intubation KW - Clinical medicine KW - Methodology KW - Respiratory therapy KW - Airway Management KW - methods KW - Airway Obstruction KW - therapy N1 - Includes bibliographical references and index; 1; The Difficult Airway: Definitions and Algorithms; Zdravka Zafirova and Avery Tung --; Introduction --; Definitions --; Incidence --; Algorithms for Addressing the Difficult Airway --; Conclusion -- --; 2; The Expected Difficult Airway; Satya Krishna Ramachandran and Sachin Kheterpal --; Introduction --; Anatomy of the Difficult Airway --; Factors Affecting Tongue-Pharyngeal Volume Disproportion --; Factors Affecting Access to the Upper Airway --; Factors Affecting Laryngoscopic Visualization Vector --; Factors Affecting Laryngeal Structures --; Anatomy and Physiology of the Compromised and Critical Airway --; Clinical Assessment of the Airway --; Systemic Conditions --; Airway Tumors --; Upper Airway Infections --; Specific Airway Assessment --; Measures of Tongue-Pharyngeal Volume Disproportion --; Measures of Laryngoscopic Visualization Vector --; Other Airway-Related Tests --; Clinical Prediction of the Difficult Airway --; Clinical Prediction of Difficult Intubation --; Clinical Prediction of Difficult Mask Ventilation --; Difficult Mask Ventilation Combined with Difficult Intubation --; Clinical Prediction of Need for Awake Surgical Airway --; Summary -- --; 3; The Role of Awake Intubation; P. Allan Klock Jr. --; Introduction --; Indications for Awake Intubation --; Contraindications to Awake Intubation --; Advantages of Awake Tracheal Intubation --; Keys to Successful Awake Intubation --; Psychological Preparation --; Dry the Airway --; Supplemental Oxygen --; Anxiolysis and Sedation --; Anesthesia of the Airway --; Applied Airway Anatomy --; Topical Anesthesia of the Tongue --; Intubating the Trachea -- --; 4; Unanticipated Difficult Direct Laryngoscopy: Methods to Improve Its Success; Mark E. Nunnally and Michael R. Hernandez --; Introduction --; Lingual Tonsil Hyperplasia --; Copious Blood and Secretions --; Blades --; Shape --; Construction --; Lights --; Adjuncts to Direct Laryngoscopy --; Stylets and Introducers --; Laryngoscope Optical Modifications --; Technique of Direct Laryngoscopy --; Sniffing Position --; Head Extension --; Neck Flexion --; Obesity and the Sniffing Position --; Laryngeal Manipulation --; Cervical Spine Injury --; Techniques for Difficult Laryngoscopy --; Complications --; Conclusion -- --; 5; The Role of Rigid Fiberoptic Laryngoscopes; Richard M. Cooper --; Introduction --; Limitations of Direct (Line-of-Sight) Laryngoscopy --; Rigid Fiberoptic Laryngoscopes --; Upsher Scope --; Wu Scope --; Bullard --; Truview EVO --; Conclusion -- --; 6; Role of Rigid Video Laryngoscopy; Richard M. Cooper and Corina Lee --; Introduction --; Channeled Scopes --; Airtraq --; Pentax AWS100 --; Non-channeled Scopes --; Glide Scope Video Laryngoscope (GVL) --; Visualization --; ETT Delivery --; ETT Advancement --; Clinical Applications --; Mc Grath Series 5 --; Clinical Applications --; Video Macintosh/C-MAC --; Conclusion and Future Directions -- --; 7; The Role of the Supraglottic Airway; Irene P. Osborn --; Introduction --; Basic Use --; The LMA as a Rescue Device --; Flexible Bronchoscopic Intubation Via the SGA --; Other Supraglottic Airways for Intubation --; Awake Placement of the Laryngeal Mask --; The Intubation LMAs (Fastrach and CTrach) --; The Intubating LMA (Fastrach) --; LMAs with Gastric Access --; The LMA Pro Seal --; LMA Supreme --; Intubating Through LMAs (Classic, Supreme, and Pro Seal: Using the Aintree Intubation Catheter) --; Conclusion -- --; 8; The Role of Flexible Bronchoscopy; David B. Glick --; Introduction --; Equipment Necessary for Fiberoptic Intubation --; Additional Supplies Necessary for Flexible Bronchoscopy --; The Intubating Airway --; Other Common Contents of the Cart --; Setting up for Fiberoptic Intubation --; Techniques for Fiberoptic Intubation --; Asleep Oral Intubation --; Asleep Nasal Intubation --; Awake Fiberoptic Intubation --; Awake Oral Fiberoptic Intubation --; Awake Nasal Fiberoptic Intubation --; Fiberoptic Bronchoscopy in Combination with Other Airway Management Techniques --; Fiberoptic Intubation Through the Laryngeal Mask Airways --; Complications Associated with Fiberoptic Intubations -- --; 9; The Role of Optical Stylets; Richard Levitan --; Introduction --; Design Variation --; Principles of Optical Stylets and Progressive Visualization --; Patient Positioning --; Tube Tip Design and Relevance to Optical Stylets --; Mechanics and Tube Delivery Issues --; Oxygen Ports --; Cleaning --; Combining Optical Stylets with Supraglottic Airways --; Specific Uses of the Different Instruments, Pediatric Versions --; Literature Reports of Optical Stylets --; Bibliography --; General or Multi-device Review --; Bonfils --; Levitan --; Shikani --; Manufacturer's Web Sites -- --; 10; The Role of the Lightwand; Ashutosh Wali --; Introduction --; Principle --; Assembly and Positioning --; Method --; Orotracheal Intubation --; Nasotracheal Intubation --; Literature Review --; Indications --; Problems --; Conclusion -- --; 11; Role of Retrograde Intubation; Martin Dauber --; Introduction --; Historical Development --; Techniques --; Contraindications to Retrograde Intubation --; Applications for this Technique --; Conclusion -- --; 12; The Role of the Combitube and Laryngeal Tube; Michael Woo and Michael F. O'Connor --; Introduction --; Indications --; Placement of the Esophageal Combitube --; Placement Phase --; Placement with Laryngoscope, Vocal Cords Visualized --; Blind Placement, with Laryngoscope, Blind Placement, without Laryngoscope --; Modified Lipp Maneuver --; Ventilation Phase --; Emergent --; Non-emergent --; Lateral Placement to Avoid Tongue Engorgement --; Minimal Leakage Technique to Avoid Tongue Engorgement --; Complications Associated with Combitube Use --; Ninth and Twelfth Cranial Nerve Dysfunction --; Esophageal Perforation --; Pyriform Sinus Perforation --; Endotracheal Intubation After Combitube Placement --; Next Generation Devices --; Easy Tube --; King LT, LT-D, LTS-D --; Conclusion -- --; 13; The Role of Transtracheal Jet Ventilation; Julio Cortiñas-Díaz and Seth Manoach --; Introduction --; Indications for TTJV --; Contraindications --; Equipment --; Gas Source --; Pressure-Flow Regulators --; Gas Conduits --; Types of Catheter --; Anatomy --; Technique for Performing Cricothyroid Puncture and Tracheal Catheterization --; Ventilation Technique --; Complications --; Analysis and Prevention of Complications --; Drawbacks of TTJV with Respect to Surgical or Dilatational Cricothyroidotomy --; Appendix: Approximate Measures of Pressure --; Physiology and Mechanism of Action --; Maintaining One's Skills -- --; 14; The Role of Surgical Airway Access; Kerstin M. Stenson --; Introduction --; Rigid Endoscopy --; Cricothyroidotomy --; Tracheotomy --; Extraordinary Circumstances --; Conclusion -- --; 15; Evaluation and Management of the Difficult Pre-Hospital Airway; Janis P. Tupesis and Nathan Van Dyk --; Introduction --; Emergency Medical Services Systems --; Evaluation and Approach --; Management --; Patient Positioning --; Bag-Mask Ventilation --; Combitube --; LMA --; Laryngeal Tube --; Glottic Devices --; Conclusion -- --; 16; Extubation of the Difficult Airway; Louise Ellard and Richard M. Cooper --; Introduction --; Summary of Extubation Problems --; Risk Stratification of Extubation --; Surgical Procedures Associated with High-Risk Extubations --; Medical Conditions Associated with High-Risk Extubations --; Strategies to Manage Extubation of the Difficult Airway --; Exchange for a Supraglottic Airway --; Extubation over a Flexible Bronchoscope --; Airway Exchange Devices and Jet Ventilation via These Devices --; Oxygenation --; Conclusion N2 - "The Difficult Airway provides comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The book begins with a review of current definitions of the difficult airway, its incidence, and the evolution of algorithms to facilitate its management. The chapters that follow offer a comprehensive update on the techniques and concepts described in the American Society of Anesthesiologists' Difficult Airway Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for health care professionals who are concerned with the management of the difficult airway, including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders."--Publisher's website ER -