Airway Management in Trauma: An Update

McGill, John W.

doi:10.1016/j.emc.2007.06.007

Cited by 14 publications

(10 citation statements)

References 59 publications

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“…For example, in a landmark study by Haynes et al [ 23 ], a surgical death rate of 1.5% before the introduction of a surgical checklist fell to 0.8% after, with an inpatient complication rate dropping from a baseline of 11% down to 7% after introduction of the checklist. New approaches to clinical airway management such as airway algorithms [ 24 , 25 ], video laryngoscopy [ 26 – 31 ], extubation catheters [ 32 – 34 ] and advanced supraglottic airway devices [ 35 – 38 ] are also protecting patients from injury.…”

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confidence: 99%

Advances in anesthesia technology are improving patient care, but many challenges remain

2018

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Although significant advances in clinical monitoring technology and clinical practice development have taken place in the last several decades, in this editorial we argue that much more still needs to be done. We begin by identifying many of the improvements in perioperative technology that have become available in recent years; these include electroencephalographic depth of anesthesia monitoring, bedside ultrasonography, advanced neuromuscular transmission monitoring systems, and other developments. We then discuss some of the perioperative technical challenges that remain to be satisfactorily addressed, such as products that incorporate poor software design or offer a confusing user interface. Finally we suggest that the journal support initiatives to help remedy this problem by publishing reports on the evaluation of medical equipment as a means to restore the link between clinical research and clinical end-users.

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confidence: 99%

Advances in anesthesia technology are improving patient care, but many challenges remain

2018

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“…Last resort, life-saving, emergency crico thyroidotomy can be performed, allowing to ventilate the patient while a safer airway is obtained; tracheotomy is the most efficient long-term solution to secure the airway. 3,11 Once the airway is secured, the treatment focus switches to hemostasis and etiologic assessment. Most cases associated with bleeding disorders, iatrogenic anti coagulant or thrombolytic therapy can be successfully treated with conservative medical therapy.…”

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confidence: 99%

Lingual Hematoma: A Rare Cause of Upper Airway Obstruction

Costa¹,

Estibeiro²,

Magalhães³

2015

International Journal of Head and Neck Surgery

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“…[14] In addition, videolaryngoscopic techniques also have a great potential for teaching the art of airway management in trauma patients. But these techniques have their share of disadvantages such as blurring of view in presence of blood and secretions besides being expensive.…”

Section: Definitive Airway Strategymentioning

confidence: 99%

“…Video laryngoscopes such as GlideScope ™ (Verathon, Bothell, Washington), TruviewPCD ™ (Truphatek, Israel), McGrath ™ Aircraft Medical Ltd., Edinburgh, UK) and others give the ability to view the images on a monitor, thereby providing immediate feedback to an assistant applying external laryngeal manipulation. [ 14 ] In addition, videolaryngoscopic techniques also have a great potential for teaching the art of airway management in trauma patients. But these techniques have their share of disadvantages such as blurring of view in presence of blood and secretions besides being expensive.…”

Section: Definitive Airway Strategymentioning

confidence: 99%

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Airway management in trauma

2011

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Trauma has assumed epidemic proportion. 10% of global road accident deaths occur in India. Hypoxia and airway mismanagement are known to contribute up to 34% of pre-hospital deaths in these patients. A high degree of suspicion for actual or impending airway obstruction should be assumed in all trauma patients. Objective signs of airway compromise include agitation, obtundation, cyanosis, abnormal breath sound and deviated trachea. If time permits, one should carry out a brief airway assessment prior to undertaking definitive airway management in these patients. Simple techniques for establishing and maintaining airway patency include jaw thrust maneuver and/or use of oro- and nas-opharyngeal airways. All attempts must be made to perform definitive airway management whenever airway is compromised that is not amenable to simple strategies. The selection of airway device and route- oral or -nasal, for tracheal intubation should be based on nature of patient injury, experience and skill level.

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Airway Management in Trauma: An Update

Cited by 14 publications

References 59 publications

Advances in anesthesia technology are improving patient care, but many challenges remain

Advances in anesthesia technology are improving patient care, but many challenges remain

Lingual Hematoma: A Rare Cause of Upper Airway Obstruction

Airway management in trauma

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