Troubleshooting and Managing the Difficult Airway

ABSTRACT

Difficult airways are an inevitable part of the delivery of emergency and critical care. Failure to achieve or restore a patent airway can lead, in a matter of minutes, to hypoxic neurological injury and death in critically ill patients. As with many conditions, the keys to success in a moment of crisis are forethought and preparation. Clinicians should be able to recognize risk factors for difficult airways and plan accordingly. In the face of failed direct laryngoscopy, a variety of rescue techniques are available. Familiarity with many strategies, and practiced dexterity with one or two, should be part of every intensivist's plan for the management of this life-threatening problem.

Cricothyrotomy - laryngeal mask airway - noninvasive positive pressure ventilation

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