Flexible Bronchoscopic Intubation
CASE PRESENTATION Print Section Listen A 65-year-old male with carcinoma of the colon presents for colon resection. He weighs 120 kg and is 157 cm tall (BMI 48 kg·m−2). He…
Cricothyrotomy
INTRODUCTION Print Section Listen In 1799, as George Washington lay dying of life threatening upper airway obstruction, one of his physicians, Elisha Cullen Dick, argued against further bloodletting and for…
Rigid Fiberoptic and Video-Laryngoscopes
INTRODUCTION Print Section Listen Why Were Rigid and Semirigid Fiberoptic- and Video-Laryngoscopes Developed? Macewan originally performed endotracheal intubation with his fingers.1 In 1913 Janeway used a speculum very similar to…
Direct Laryngoscopy
HISTORY AND BACKGROUND Print Section Listen In this day and age with video-laryngoscopy (VL) rapidly becoming the standard of care for orotracheal intubation (OTI) one might rightly ask if there…
Extraglottic Devices for Ventilation and Oxygenation
CASE PRESENTATION Print Section Listen A 57-year-old male was admitted for laparoscopic appendectomy for acute appendicitis. He was otherwise healthy, apart from essential hypertension, for which he took hydrochlorothiazide. He…
Nonvisual Intubation Techniques
INTRODUCTION Print Section Listen Do We Still Need Nonvisual Intubating Techniques? For many decades, tracheal intubation under direct vision using a laryngoscope has been considered the standard technique of intubation….
The Algorithms
INTRODUCTION Print Section Listen What Is the Challenge of Difficult and Failed Airway Management? Competency with regard to airway management is fundamental to the practice of anesthesia, emergency medicine, emergency…
Evaluation of the Airway
INTRODUCTION Print Section Listen “Airway management” may be defined as the application of therapeutic interventions that are intended to effect gas exchange in patients who are unable to do it…
Tracheotomy
CASE PRESENTATION Print Section Listen A 58-year-old male who completed radiation therapy for a large supraglottic tumor 4 months ago now presents to the Emergency Department in significant respiratory distress…
Bag-Mask-Ventilation
INTRODUCTION Print Section Listen Providing effective ventilation and oxygenation using a bag mask is probably the single most important component of airway management. Bag-mask-ventilation (BMV) refers to the use of…
