Airway assessment and management

Abstract

This chapter discusses the assessment and management of the airway. It begins with methods of assessing the airway and describes the approach to the unanticipated difficult airway. Topics covered include failed intubation, techniques for managing the anticipated difficult intubation, the cannot-intubate-cannot-ventilate scenario, the management of the obstructed airway, rapid sequence induction, inhalational induction, and awake fibreoptic intubation. It concludes with a discussion of extubating the patient after a difficult intubation.

Truview PCD-video laryngoscope aided nasotracheal intubation in case series of orofacial malignancy with limited mouth opening

“…Truview a video laryngoscope (VL) having an optical lens system, produces better glottic view than Macintosh laryngoscope during oral endotracheal tube (ETT) insertion especially when LMA insertion is impossible if IID <20 mm. [ 1 2 3 ] However, the role of Truview in nasotracheal intubation (NTI) is less reported, and awake flexible bronchoscopy is the gold standard method. [ 4 5 ] Noncooperation of patient, inability to use smaller size tube, precludes the use of bronchoscopy for NTI.…”