A Randomized Prospective Study Comparing C-Mac D-Blade, Airtraq, and Fiberoptic Bronchoscope for Intubating Patients with Anticipated Difficult Airway

Bratishchev

Gavrilov

et al. 2021

The review presents the guidelines of the Federation of Anesthesiologists and Resuscitators, revised in 2021. The recommendations are based on a review of publications and current international guidelines of the Society for Difficult Airways (2018, 2020), the American Society of Anesthesiologists (2013, draft-version 2022), the European Society anesthesiologists (2018). The guidelines provide up-to-date definitions of various “difficult airway” situations; modern data on the use of ultrasound technologies in assessing the upper airways and predicting the risk of aspiration based on preoperative ultrasound scanning of the stomach; current evidence on the effectiveness of modern devices for ventilation and tracheal intubation. Algorithms of actions in various situations with anticipated and unanticipated “difficult airways” in patients with different risks of aspiration are proposed. An algorithm for preparing, predicting possible complications and performing tracheal extubation is also proposed. The recommendations presented in the review are aimed at achieving the goal - increasing patient safety during situations of “difficult airways” through the use of the safest and most effective approaches and methods, as well as reducing the risk of complications associated with these situations (death, severe neurological damage, traumatic injuries of the upper airways and trachea, etc.).

Section: формулирование предварительного плана действий при прогнозир...unclassified

Section: эффективная вентиляция лицевой маской после индукцииunclassified

Airway management in hospital. Methodological recommendations of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists” (third edition)

Bratishchev

Gavrilov

et al. 2021

“…Применение видеоларингоскопов со специальными клинками с высокой кривизной для трудной интубации [52][53][54].…”

Section: уровень убедительности рекомендаций -Iia (уровень достоверноunclassified

Airway management in hospital. Russian Federation of anesthesiologists and reanimatologists guidelines (second edition, 2018)

Dolbneva

Stamov

2019

общей анестезии за счет снижения риска развития критических нарушений газообмена вследствие нарушений проходимости верхних дыхательных путей. Ключевые слова: интубация трахеи, трудные дыхательные пути, трудная масочная вентиляция, трудная ларингоскопия, трудная интубация, надгортанные воздуховоды, крикотиреотомия, неудачная интубация u Для корреспонденции: Андреенко Александр Александрович, канд. мед. наук, доцент, заместитель начальника кафедры анестезиологии и реаниматологии ФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова» МО РФ,

Airway management in hospital. Russian Federation of anesthesiologists and reanimatologists guidelines (second edition, 2018)

Dolbneva

Stamov

et al. 2019

The review presents the clinical guidelines of the Federation of Anaesthesiology and Resuscitation specialists, revised in 2018. The recommendations are based on a review of publications and modern international guidelines of the Difficult Airway Society (DAS, 2015), American Society of Anesthesiologists (ASA, 2013), the European Society of Anesthesiologists (ESA, 2018). “Difficult airways” are encountered relatively infrequently in modern anesthesia practice, but if it is impossible to ensure adequate oxygenation of patients, they lead to post-hypoxic brain damage or circulatory arrest. Current requirements for patient safety during anesthesia determine the need for a thorough assessment of patients before surgery, identification of prognostic signs of difficult ventilation through a face mask or supraglottic airway device, difficult laryngoscopy and tracheal intubation, difficult cricothyrotomy. As a result of the examination, the anesthesiologist is obliged to formulate the main and reserve action plan, prepare the necessary equipment, and involve specialists if necessary. The recommendations provide evidence of the effectiveness of modern devices for ventilation and tracheal intubation. Algorithms for making decisions and actions in various situations with predictable and unpredictable “difficult airways” in patients with different risks of aspiration are proposed. An algorithm for preparing, predicting possible complications and performing extubation of the trachea is also proposed. The recommendations presented in the review are aimed at achieving the goal of increasing patient safety during general anesthesia by reducing the risk of developing critical disorders of gas exchange due to airway management problems.