edgepedia

Airway management and intubation

12 articles

Cricoid pressure

Cricoid pressure, also called the Sellick maneuver, is firm backward pressure on the cricoid cartilage during rapid anesthesia induction, introduced by B.A. Sellick in 1961.

Cricothyroidotomy

Cricothyroidotomy is an emergency surgical airway procedure that cuts through the cricothyroid membrane in the front of the neck to place a tube into the trachea.

Failed or difficult intubation

Failed or difficult intubation: inability to place a tracheal tube, or needing multiple attempts (difficult airway, CICO). Predictors include prior difficult intubation, Mallampati 3-4, short thyromental distance; managed by DAS/ASA algorithms.

HOPE trial (NCT05550584)

HOPE trial (NCT05550584), Italian randomized non-inferiority study at Gemelli IRCCS comparing THRIVE high-flow nasal oxygen (70 L/min) with I-Gel laryngeal mask ventilation during operative hysteroscopy under anesthesia; 180 patients, completed May 2023; distinct from stroke and liver HOPE trials.

Jaw-thrust maneuver

The jaw-thrust maneuver is a manual airway technique that lifts the jaw forward to open an unconscious patient's airway without head tilt, preferred when cervical spine injury is suspected.

Laryngoscopes

Laryngoscopes, also called laryngoscope blades or videolaryngoscopes (GlideScope, C-MAC), are lighted instruments for viewing the larynx, used for diagnosing voice-box disease and guiding endotracheal intubation.

Nasotracheal intubation

Nasotracheal intubation is an airway management procedure in which an endotracheal tube is passed through the nose into the trachea, leaving the mouth free for surgery.

Orotracheal intubation

Orotracheal intubation is the insertion of a cuffed tube through the mouth into the trachea to secure the airway and enable mechanical ventilation, performed in about 1.6 million US patients yearly.

Rapid sequence induction

Rapid sequence induction (RSI), also called rapid sequence intubation, is an anesthetic technique for urgent intubation of aspiration-risk patients, placing the breathing tube before any assisted ventilation.

Reintubation

Reintubation is the reinsertion of a breathing tube into the trachea after extubation, needed when up to 15% of ICU patients fail to breathe on their own.

Tracheostomy decannulation

Tracheostomy decannulation, or decannulation of the tracheostomy tube, is the weaning process ending in permanent tube removal and stoma closure once breathing, swallowing, and cough are adequate without it.

Video laryngoscopy

Video laryngoscopy is an airway management technique in which a camera-equipped laryngoscope blade displays the larynx on a monitor, guiding endotracheal tube placement during intubation.