Emergency surgical airway in life-threatening acute airway emergencies - Why are we so reluctant to do it?

Anaesthesia and Intensive Care

Volumn 39, Issue 4, 2011, Pages 578-584

  Greenland, K B ^a,f   Acott, C ^b   Segal, R ^c   Goulding, G ^a   Riley, R H ^d   Merry, A F ^e  

^a UNIVERSITY OF QUEENSLAND   (Australia)

^b ROYAL ADELAIDE HOSPITAL   (Australia)

^c ROYAL MELBOURNE HOSPITAL   (Australia)

^d UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^e UNIVERSITY OF AUCKLAND   (New Zealand)

^f UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

Airway; Education; Intubation; Obstruction; Tracheostomy

Indexed keywords

AIRWAY; ANESTHESIA; CONSULTATION; DATA BASE; DECISION MAKING; EMERGENCY SURGERY; EMERGENCY SURGICAL AIRWAY; HUMAN; INCIDENCE; INTUBATION; MANAGEMENT; MEDICAL EDUCATION; MEDICAL SPECIALIST; NONHUMAN; OXYGENATION; PATIENT CARE; REVIEW; SKILL; STANDARDIZATION;

EID: 79960451278     PISSN: 0310057X     EISSN: 14480271     Source Type: Journal    
DOI: 10.1177/0310057x1103900407     Document Type: Review

References (27)

1. Office of the State Coroner, Queensland. Inquest into the death of Kathryn Marnie Sabadina. From http://www.courts.qld.gov.au/Sabadina-findings- final.pdf Accessed June 2010.
2. Yentis SM. Predicting difficult intubation - worthwhile exercise or pointless ritual? Anaesthesia 2002; 57:105-109.
3. Office of the State Coroner, Queensland. Inquest into the death of Karl David Scholtz. From http://www.courts.qld.gov. au/OSC-Inquest-ScholzKD231107.pdf Accessed October 2010.
4. Office of the State Coroner, South Australia. Inquest into the death of Daniel Brindley Salmon. From http://www.courts.sa.gov.au/courts/coroner/ findings/findings-2006/salmon.finding.htm Accessed October 2010.
5. Office of the State Coroner, Western Australia. Inquest into the death of Richard Christopher Jankowski. From http://www.safetyandquality.health.wa.gov. au/docs/mortality-review/inquest-finding/jankowski%20finding.pdf Accessed October 2010.
6. Office of the State Coroner, Western Australia. Inquest into the death of Rachael Anne Rasmussen. From http://www.safetyandquality.health.wa.gov.au/docs/ mortality-review/inquest- finding/Rasmussen-finding.pdf Accessed October 2010.
7. Walls RM, Murphy MF. Manual of Emergency Airway Management. Lippincott Williams & Wilkins, Philadelphia 2008.
8. Heard AMB, Green RJ, Eakins P. The formulation and introduction of the "can't intubate, can't ventilate" algorithm into clinical practice. Anaesthesia 2009; 64:601-608.
9. Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004; 59:675-694. (Pubitemid 38997010)
10. Riley RH, Strang T, Rao S. Survey of airway skills of surgeons in Western Australia. Anaesth Intensive Care 2009; 37:630-633.
11. Awad Z, Pothier DD. Management of surgical airway emergencies by junior ENT staff: a telephone survey. J Laryngol Otol 2007; 121:57-60. (Pubitemid 46202896)
12. Gaba DM, Fish KJ, Howard SK. Crisis management in Anesthesiology: Churchill Livingstone Inc. New York 1994.
13. Adams BD, Cuniowski PA, Muck A, De Lorenzo RA. Registry of Emergency Airways Arriving at Combat Hospitals. J Trauma 2008; 64:1548-1554.
14. Berlin JI, Gruber EV, Holmes CW, Jensen PK, Lau JR. Pilot Judgment Training and Evaluation, Volume I. Federal Aviation Administration, Washington, DC 1982. From: http://handle. dtic.mil/100.2/ADA117508 Accessed October 2010.
15. Smith N, Koutantos A. Airway experience of anaesthetic registrars. Anaesth Intensive Care 2008; 36:516-519. (Pubitemid 352030237)
16. Weller J, Segal R. The acquisition of airway skills by new trainee anaesthetists (editorial). Anaesth Intensive Care 2008; 36:487-488. (Pubitemid 352030233)
17. Parmet JL, Colonna-Romano P, Horrow JC, Miller F, Gonzales J, Rosenburg H. The laryngeal mask airway reliably provides rescue ventilation in cases of unanticipated difficult intubation along with difficult mask ventilation. Anesth Analg 1998; 87:661-665. (Pubitemid 28397494)
18. Wong DT, Lai K, Chung FF, Ho RY. Cannot intubate-cannot ventilate and difficult intubation strategies: results of a Canadian national survey. Anesth Analg 2005; 100:1439-1446. (Pubitemid 40577402)
19. Borges BCR, Boet S, Siu LW, Bruppacher HR, Naik VN, Riem N et al. Incomplete adherence to the ASA difficult airway algorithm is unchanged after a high-fidelity simulation session. Can J Anaesth 2010; 57:644-649.
20. Rai MR, Popat MT. Evaluation of airway equipment: man or manikin? Anaesthesia 2011; 66:1-3.
21. Fioratou E, Flin R, Glavin R. No simple fix for fixation errors: cognitive processes and their clinical applications. Anaesthesia 2010; 65:61-69.
22. Reason J. Human Error. Cambridge University Press, New York 1990.
23. Klein G. Sources of Power. How People Make Decisions. MIT Press, Cambridge 1998.
24. Merry AF, McCall Smith A. Errors, Medicine and the Law. University Press, Cambridge 2001.
25. Baker PA, Flanagan BT, Greenland KB, Morris R, Owen H, Riley RH et al. Equipment to manage a difficult airway during anaesthesia. Anaesth Intensive Care 2011; 39:16-34.
26. Royal College of Anaesthetists. CCT in Anaesthetics [2010 Curriculum]. From http://www.rcoa.ac.uk/index.asp?PageID=1479 Accessed October 2010.
27. Weller J, Morris R, Watterson L, Garden A, Flanagan B, Robinson B et al. Effective management of anaesthetic crises: development and evaluation of a college-accredited simulation- based course for anaesthesia education in Australia and New Zealand. Simul Healthc 2006; 1:209-214.