Airway management in critical illness: practice implications of new Difficult Airway Society guidelines

Anaesthesia

Volumn 73, Issue 5, 2018, Pages 544-548

  Pandit, J J ^a   Irwin, M G ^b  

^a OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

difficult airway; hypoxia; intensive care; intubation

Indexed keywords

ANESTHESIA INDUCTION; ANESTHESIST; CLINICAL PRACTICE; CRITICAL ILLNESS; CRITICALLY ILL PATIENT; EDITORIAL; ENDOTRACHEAL INTUBATION; EXTUBATION; HEALTH CARE ORGANIZATION; HUMAN; INTENSIVE CARE UNIT; LARYNGOSCOPY; MEDICAL STAFF; MODIFIED RAPID SEQUENCE INDUCTION; PATIENT SELECTION; PRACTICE GUIDELINE; PREDICTION; RAPID SEQUENCE INDUCTION; RESPIRATION CONTROL; SCORING SYSTEM; TEAMWORK; TREATMENT PLANNING; UNITED KINGDOM; VIDEOLARYNGOSCOPY; INTENSIVE CARE; PATIENT CARE; STANDARDS;

AIRWAY EXTUBATION; AIRWAY MANAGEMENT; CRITICAL CARE; CRITICAL ILLNESS; GUIDELINES AS TOPIC; HUMANS; LARYNGOSCOPY; PATIENT CARE TEAM;

EID: 85044443349     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/anae.14270     Document Type: Editorial

References (21)

1. Higgs A, McGrath BA, Goddard C, et al. Guidelines for the management of tracheal intubation in critically ill adults. British Journal of Anaesthesia 2018; 120: 323–52.
2. Marshall SD, Pandit JJ. Radical evolution: the 2015 Difficult Airway Society guidelines for managing unanticipated difficult or failed tracheal intubation. Anaesthesia 2016; 71: 131–7.
3. Yentis S. Predicting difficult intubation – worthwhile exercise or pointless ritual? Anaesthesia 2002; 57: 105–9.
4. Pandit JJ, Heidegger T. Putting the ‘point’ back into the ritual: a binary approach to difficult airway prediction. Anaesthesia 2017; 72: 283–8.
5. de Jong A, Molinari N, Terzi N, et al. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score in a multicenter cohort study. American Journal of Respiratory and Critical Care Medicine 2013; 187: 832–9.
6. Valdinger SA, Norris A, Pandit JJ, Heidegger T. Is Plan A OK in the ‘plausibly difficult’ airway? Anaesthesia 2017; 72: 784–6.
7. Pandit JJ, Popat MT, Cook TM, et al. The Difficult Airway Society ‘ADEPT’ guidance on selecting airway devices: the basis of a strategy for equipment evaluation. Anaesthesia 2011; 66: 726–37.
8. Mir F, Patel A, Iqbal R, Cecconi M, Nouraei SA. A randomised controlled trial comparing transnasal humidified rapid insufflation ventilatory exchange (THRIVE) pre-oxygenation with facemask pre-oxygenation in patients undergoing rapid sequence induction of anaesthesia. Anaesthesia 2017; 72: 439–43.
9. Cook TM, Kelly FE. A national survey of videolaryngoscopy in the United Kingdom. British Journal of Anaesthesia 2017; 118: 593–600.
10. Marfin AG, Pandit JJ, Hames KC, Popat MT, Yentis SM. Use of the bougie in simulated difficult intubation. 2. Comparison of single-use bougie with multiple-use bougie. Anaesthesia 2003; 58: 852–5.
11. Pandit JJ, Tavare AN, Millard P. Why are there local shortfalls in anaesthesia consultant staffing? A case study of operational workforce planning. Journal of Health Organisation and Management 2010; 24: 4–21.
12. McClelland L, Holland J, Lomas JP, Redfern N, Plunkett E. A national survey of the effects of fatigue on trainees in anaesthesia in the UK. Anaesthesia 2017; 72: 1069–77.
13. Green A, Tatham KC, Yentis SM, Wilson J, Cox M. An analysis of the delivery of anaesthetic training sessions in the United Kingdom. Anaesthesia 2017; 72: 1327–33.
14. Sury MR, Palmer JH, Cook TM, Pandit JJ. The state of UK anaesthesia: a survey of National Health Service activity in 2013. British Journal of Anaesthesia 2014; 113: 575–84.
15. Pandit JJ, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors. Anaesthesia 2014; 69: 1089–101.
16. Turnbull J, Patel A, Athanassoglou V, Pandit JJ. Cricoid pressure: apply – but be ready to release. Anaesthesia 2016; 71: 999–1003.
17. van Zundert AAJ, Gatt SP, Kumar CM, van Zundert TCRV, Pandit JJ. ‘Failed supraglottic airway’: an algorithm for suboptimally placed supraglottic airway devices based on videolaryngoscopy. British Journal of Anaesthesia 2017; 118: 645–9.
18. Goodwin MW, Pandit JJ, Hames K, Popat M, Yentis SM. The effect of neuromuscular blockade on the efficiency of mask ventilation of the lungs. Anaesthesia 2003; 58: 60–3.
19. Soltész S, Alm P, Mathes A, Hellmich M, Hinkelbein J. The effect of neuromuscular blockade on the efficiency of facemask ventilation in patients difficult to facemask ventilate: a prospective trial. Anaesthesia 2017; 72: 1484–90.
20. Sturgess DJ, Greenland KB, Senthuran S, Ajvadi FA, van Zundert A, Irwin MG. Tracheal extubation of the adult intensive care patient with a predicted difficult airway – a narrative review. Anaesthesia 2017; 72: 248–61.
21. Mandell MS, Hang Y. Pro: early extubation after liver transplantation. Journal of Cardiothoracic and Vascular Anesthesia 2007; 21: 752–5.