Slovene Society algorithm for difficult airway management

  • Tatjana Stopar Pintarič Klinični oddelek za anesteziologijo in intenzivno terapijo kirurških strok Zaloška 7 1000 Ljubljana
  • Goran Jeglič Klinični oddelek za anesteziologijo in intenzivno terapijo kirurških strok Zaloška 7 1000 Ljubljana
  • Tomaž Lužar Klinični oddelek za anesteziologijo in intenzivno terapijo kirurških strok Zaloška 7 1000 Ljubljana
  • Janez Benedik Klinični oddelek za anesteziologijo in intenzivno terapijo kirurških strok Zaloška 7 1000 Ljubljana
Keywords: difficult airway, difficult airway algorithm, Slovene society algorithm for difficult airway management

Abstract

Complications arising from airway management represent an important cause of anaesthesia-associated morbidity and mortality. Anaesthetic practice itself can lead to preventable harm, a particular example being persistent attempts at direct laryngoscopy that results in delay in employing alternative strategies. Slovene Society of Anaesthesiology and Intensive Care Medicine has developed national guidelines for predicted and unpredicted difficult airways management. The purpose of this article is to present these guidelines in order to unify the choice of technigues, equipment and knowledge about difficult airway management among Slovenian anaesthesiologists.

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References

Caplan RA, Posner KL, Ward RJ, Cheney FW. Adverse respiratory events in anestesia: a closed claims analysis. Anesthesiology. 1990; 782: 828–33.

Utting JE. Pitfalls in anaesthetic practice. Anaesthesia. 1987; 59: 877–90.

Gannon K. Mortality associated with anaesthesia. A case review study. Anaesthesia 1999; 91: 1703–11.

American Society of Anesthesiologists task force on management of the difficult airway. Practice guidelines for management of the difficult airway. An updated report. Anesthesiology. 2003; 95: 1269–77.

Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005; 103: 33–9.

American Society of Anesthesiologists task force on management of the difficult airway. Practice guidelines for management of the difficult airway. Anesthesiology. 1993; 78: 597–78.

Benumof JL. The ASA management of the difficult airway algorithm and explanation – analysis of the algorithm. In: Benumof JL ed. Airway Management Principles and Practice. St Louis: Mosby-Year Book; 1996.

Frova G, Sorbello M. Algorithms for difficult airway management: a review. Minerva Anesthesiol. 2009; 75: 201–9.

Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004; 59: 675–94.

Boisson-Berttrand D, Bourgain JL, Camboulives J. Intubation difficile. Société française d’anesthésie et de réanimation. Expertise collective. Annales Francaises D’Anesthésie et de Réanimation. 1996; 15: 207–14.

Crosby ET, Cooper RM, Douglas MJ, Doyle DJ, Hung OR, Labrecque P, Muir H, et al. The unanticipated difficult airway with recommendation for management. Can J Anaesth. 1998; 45: 757–76.

Petrini F, Accorsi A, Adrario E, Agro F, Amicuccio G, Antonelli M, Azzeri F, et al: Gruppo di studio SIAARTI » VARNePI, Task Force. Recommendations for airway control and difficult airway management. Minerva Anesthesiol. 2005; 71: 617–57.

Stopar T. Fleksibilna fiberoptična trahealna intubacija in algoritem težke intubacije za odrasle. In: Novak-Jankovič V, Terčelj-Zorman M, eds. Zbornik predavanj podiplomskega seminarja Učna delavnica o težki intubaciji, Ljubljana, 12. in 13. marec 2010. Ljubljana: Slovensko zdravniško društvo, Slovensko združenje za anesteziologijo in intenzivno medicino; 2010, p. 1–3.

http://www.szaim.org/datoteke/zapisnik 20111208.pdf and 20120322.pdf.

Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology. 2005; 103: 429–37.

Stopar T, Jankovic VN, Casati A. Four different airway-management strategies in patient with Launois-Bensaude syndrome or Madelung’s disease undergoing surgical excision of neck lipomatosis with a complicated postoperative course. J Clin Anesth. 2005; 17: 300–3.

Henderson JJ. Intubation techniques for unanticipated difficult intubation: Stylets and introducers. In: Paschen H, Dorges V, eds. Der Schwerige Atemweg. Heidelberg: Springer-Verlag; 2003.

Crosby ET. An evidence-based approach to airway management: is there a role for clinical practice guidelines? Anaesthesia. 2011; 66: 112.

An algorithm for difficult airway management, modified for modern optical devices (Airtraq laryngoscope; LMA CTrach™). Amathieu R, Combes X, Abdi W, Housseini LE, Rezzoug A, Dinca A, Slavov V, et al. Anesthesiology. 2011; 114: 25–33.

Cricothyrotomy in emergency context: Assessment of cannot intubate cannot ventilate scenario. Ann Fr Anesth Reanim. 2011; 30: 113–6.

Gerstein NS, Braude DA, Hung O, Saunders JC, Murphy MF. The Fastrach™ Intubationg laryngeal mask airway®: an overview and update. Can J Anesth. 2010; 57: 588–601.

Rosemblatt WH. The airway approach algorhitm: A decision tree for organizing preoperative airway information. J Clin Anesth. 2004; 16: 312–6.

Takenaka I, Kadoya T, Aoyama K. Is awake intubation necessary when the laryngeal mask is feasible? Anesth Analg. 2000; 91: 246–7.

Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer? – lessions from national audit. Anesthesia 2011; 66: 27–33.

More TC. Emergency tracheal intubation: complications associated with repeted laryngoscopic attempts. Anesth Analg. 2004; 99: 607–13.

Healy DW, Maties O, Hovord D, Kheterpal S. A systematic review of the role of videolaryngoscopy in successful orotracheal intubation. BMC Anesthesiol. 2012; 12(32).

How to Cite
1.
Stopar Pintarič T, Jeglič G, Lužar T, Benedik J. Slovene Society algorithm for difficult airway management. TEST ZdravVestn [Internet]. 1 [cited 16May2024];82(12). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1025
Issue
Vol 82 No 12 (2013): December
Section
Quality and safety


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