Improving Outcomes in Patients with Difficult Airways

Improving Outcomes in Patients with Difficult Airways

Evidence indicates that the airway community has successfully conquered the anatomically difficult airway, as these patients are managed safely with a low incidence of morbidity and mortality. In contrast, the literature... read more

Safe Tracheal Extubation After General Anesthesia

Safe Tracheal Extubation After General Anesthesia

Tracheal extubation generates less interest than tracheal intubation. Research, guidelines and clinical anecdotes tend to focus on airway management at the beginning of anesthesia, and it is rare for the challenges of extubation... read more

Laryngeal Radiation Fibrosis: A Case of Failed Awake Flexible Fibreoptic Intubation

Laryngeal Radiation Fibrosis: A Case of Failed Awake Flexible Fibreoptic Intubation

In patients with severe upper airway narrowing because of radiation fibrosis, an awake fibreoptic intubation may be impossible and a tracheotomy is the only means of securing this airway; however, there may be no evident... read more

The Influence of Airflow Via High-Flow Nasal Cannula on Duration of Laryngeal Vestibule Closure

The Influence of Airflow Via High-Flow Nasal Cannula on Duration of Laryngeal Vestibule Closure

The purpose of this experimental study was to investigate the influence of airflow via high-flow nasal cannula (HFNC) on the duration of laryngeal vestibule closure (dLVC) and Penetration-Aspiration Scale (PAS) scores. 29... read more

Current airway management practices after a failed intubation attempt

Current airway management practices after a failed intubation attempt

The majority of second intubation attempts were undertaken by emergency consultants and registrars. A change from a non-consultant intubator to a consultant intubator of any specialty for the second attempt and intubation... read more

What’s new about pulmonary hyperinflation in mechanically ventilated critical patients

What’s new about pulmonary hyperinflation in mechanically ventilated critical patients

Pulmonary hyperinflation is the increase in the relaxation volume of the respiratory system at the end of a tidal expiration (end-expiratory volume). This can occur due to a number of factors, acting alone or in combination,... read more

Computer Tomographic Assessment of Gastric Volume in Major Trauma Patients

Computer Tomographic Assessment of Gastric Volume in Major Trauma Patients

In major trauma patients, overall stomach volume deriving from food, fluids and air must be expected to be around 400–500 mL. Gastric dilation caused by air is common but not typically associated with pre-hospital airway... read more

The Walls Manual of Emergency Airway Management

The Walls Manual of Emergency Airway Management

The Walls Manual of Emergency Airway Management is the world's most trusted reference on emergency airway management, and is the foundation text in the nationally recognized The Difficult Airway Course: Emergency and The... read more

Techniques for the Difficult Airway

Techniques for the Difficult Airway

A systematic approach to intubation that emphasizes planning and teamwork can reduce intubation complications. Early use of an EGA or cricothyroidotomy may reduce complications when oxygenation is inadequate. Use of a gum... read more

Alternative techniques for tracheal intubation

Alternative techniques for tracheal intubation

Conventional direct laryngoscopy with the curved Macintosh blade is a fundamental skill for all anaesthetists and has been the cornerstone of airway management for many years. This technique relies on the operator aligning... read more