Recent trends in tracheal intubation: Emphasis on the difficult airway

Tiberiu Ezri, Peter Szmuk

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Purpose of review: Difficult airways can lead to critical incidents during anaesthesia, and death. Although many cases can be anticipated, some still go undiscovered before induction, thereby exposing the patient to unexpected risks and the anaesthesiologist to unexpected challenges. In addition to improving prediction of difficult airways, education for skill acquisition and management planning, and a quest for superior management techniques and airway tools are of the utmost importance in preventing airway catastrophes. Recent findings: We review recent advances in predicting difficult airways in special population groups that are known to have a higher incidence of difficult airway. Education, exercising airway skills, management planning with both predicted and unpredicted difficult airways, and the need for adherence to algorithms for management of difficult airway are emphasized as key to successful management. Finally, recent developments in airway management techniques and new airway devices are summarized. Summary: Improving reproducibility and reliability in predicting a difficult airway may limit the number of unpredicted difficult intubations. A safer approach to management of the difficult airway can be achieved by improving airway management skills and adhering to universally accepted and proven airway algorithms, including developing approaches to management of predicted and unpredicted difficult airways. Improving on existing airway techniques and tools (of which there are many), rather than creating new devices, is a desirable trend that may contribute to safer airway management in the future.

Original languageEnglish (US)
Pages (from-to)487-490
Number of pages4
JournalCurrent Opinion in Anaesthesiology
Volume17
Issue number6
DOIs
StatePublished - Dec 1 2004

Keywords

  • Airway devices
  • Difficult airway
  • Implications
  • Management techniques
  • Prediction
  • Teaching

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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