![](/images/graphics-bg.png)
Difficult Airway Management Algorithm in Emergency Medicine : Do Not Struggle against the Patient, Just Skip to Next Step
Joint Authors
Amathieu, Roland
Sebbah, Jean-Luc
Dhonneur, Gilles
Guillerm, Anne-Laurette
Birlouez, Caroline
Sudrial, Jérôme
Source
Emergency Medicine International
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-07-27
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We report a case of prehospital “cannot intubate” and “cannot ventilate” scenarios successfully managed by strictly following a difficult airway management algorithm.
Five airway devices were used: the Macintosh laryngoscope, the gum elastic Eschmann bougie, the LMA Fastrach, the Melker cricothyrotomy cannula, and the flexible fiberscope.
Although several airway devices were used, overall airway management duration was relatively short, at 20 min, because for each scenario, failed primary and secondary backup devices were quickly abandoned after 2 failed attempts, each attempt of no more than 2 min in duration, in favor of the tertiary rescue device.
Equally, all three of these rescue devices failed, an uncuffed cricothyroidotomy cannula was inserted to restore optimal arterial oxygenation until a definitive airway was secured in the ICU using a flexible fiberscope.
Our case reinforces the need to strictly follow a difficult airway management algorithm that employs a limited number of effective devices and techniques, and highlights the imperative for early activation of successive preplanned steps of the algorithm.
American Psychological Association (APA)
Sudrial, Jérôme& Birlouez, Caroline& Guillerm, Anne-Laurette& Sebbah, Jean-Luc& Amathieu, Roland& Dhonneur, Gilles. 2010. Difficult Airway Management Algorithm in Emergency Medicine : Do Not Struggle against the Patient, Just Skip to Next Step. Emergency Medicine International،Vol. 2010, no. 2010, pp.1-3.
https://search.emarefa.net/detail/BIM-501200
Modern Language Association (MLA)
Sudrial, Jérôme…[et al.]. Difficult Airway Management Algorithm in Emergency Medicine : Do Not Struggle against the Patient, Just Skip to Next Step. Emergency Medicine International No. 2010 (2010), pp.1-3.
https://search.emarefa.net/detail/BIM-501200
American Medical Association (AMA)
Sudrial, Jérôme& Birlouez, Caroline& Guillerm, Anne-Laurette& Sebbah, Jean-Luc& Amathieu, Roland& Dhonneur, Gilles. Difficult Airway Management Algorithm in Emergency Medicine : Do Not Struggle against the Patient, Just Skip to Next Step. Emergency Medicine International. 2010. Vol. 2010, no. 2010, pp.1-3.
https://search.emarefa.net/detail/BIM-501200
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-501200