The consequences of failure to adequately oxygenate a patient and ventilate their lungs during surgery can be catastrophic. Taking a uniquely case-based approach to clinical airway management, this textbook provides a comprehensive and richly illustrated guide to this vital component of anesthetic practice. The clinically diverse cases include practical guidance on the choice of management technique, airway device, its placement, associated medications and mode of ventilation, and cover important advances in equipment and scientific knowledge to keep clinicians up to date on recent developments in the field. As well as upper airway problems, this text also encompasses the management of less commonly discussed lower airway challenges. The written material is supplemented by links to additional online videos. Written by an international collection of leading experts, Clinical Airway Management is a useful and extensive resource that helps anesthesiologists, emergency physicians, intensivists and trainees navigate the challenges faced every day in clinical practice.
List of contributors; Foreword; Preface; Part I. Introduction: 1. Understanding the ASA difficult airway algorithm; 2. Introducing the difficult airway; 3. Airway assessment; 4. International difficult airway algorithms; 5. Pharmacology of airway management: a minimal synopsis; 6. Airway ultrasound imaging; Part II. Basic Airway Management: 7. Airway management for procedural sedation; 8. Airway management for very brief procedures; 9. Outpatient anesthesia using a supraglottic airway; 10. Tracheal intubation using direct laryngoscopy; 11. Videolaryngoscopy: using the GlideScope (R); Part III. The Anticipated Difficult Airway: 12. Awake intubation made easy; 13. Airway management for a supraglottic tumor surgery; 14. Intubation through a bloody airway using a SGA and an Aintree Catheter; 15. Intubation through a supraglottic airway using a video stylet; 16. Double lumen tube in a known difficult airway patient; 17. Airway management for the OSA patient; 18. Management of angiodema and stridor: use of heliox; 19. Airway management for robotic tongue base resection; 20. Ankylosing spondylitis: intubation using a lightwand; 21. Airway Management for laryngeal papillomatosis surgery; 22. Foreign body removal from a child's airway; 23. Airway management in a patient with Pierre-Robin syndrome; Part IV. The Unanticipated Difficult Airway: 24. Unanticipated anterior larynx; 25. Emergency surgical airway; 26. Airway management in a thrombocytopenic parturient for urgent C- section; 27. Airway management of the morbidly obese; 28. Fresh tracheotomy: problems and precautions; Part V. Lower Airway Management: 29. Airway management for advanced diagnostic bronchoscopy; 30. Airway management for subglottic stenosis surgery; 31. Laser, cryosurgery and metallic stent placement for tracheal tumor therapy; 32. Anterior mediastinal mass, silicone stent, and rigid bronchoscopy; 33. Airway management for a large bronchopleural fistula; 34. Airway management in patients with Montgomery T-Tubes; 35. Airway management for tracheoesophageal fistula; 36. Airway management for tracheal resection surgery; Part VI. Special Situations and Airway Emergencies: 37. Airway management of a dyspneic patient with a LeFort fracture; 38. Awake tracheostomy in a stridorous patient; 39. Intubating the combative trauma patient in the emergency department; 40. Airway bleed following partial cordectomy; 41. Airway management in bullous emphysema; 42. Capnogram problems: clinical and technical aspects; 43. Airway management in a patient with an 'uncleared' cervical spine; 44. Adult and pediatric epiglottis; 45. Airway management in aeromedical evacuation; 46. An inhalation induction gone wrong; 47. Intubating the patient with loose teeth; 48. Airway management for Ludwig's Angina; 49. Airway management for an expanding neck hematoma; 50. Tracheal rupture; 51. Double lumen tube for a single lung ventilation; 52. Airway management in lung transplantation; 53. Pulmonary artery rupture; 54. Regional anesthesia in the difficult airway patient; 55. Channel-blade videolaryngoscopy for endotracheal tube exchange in complex clinical situations; 56. Whole lung lavage; Part VII. When the Airway Goes Bad: 57. Unexpected regurgitation and aspiration; 58. Airway fire; 59. Patient with barely visible pneumothorax: problems and precautions; 60. Managing an endotracheal tube cuff leak; 61. Airway management related injuries; 62. Extubation of the difficult airway; 63. Airway management for massive subcutaneous/mucosal emphysema; 64. Fiberoptic-guided airway exchange through supraglottic airway devices; 65. Accidental extubation; Index.