Tracheal extubation of the adult intensive care patient with a predicted difficult airway - a narrative review
| Autor: | David Sturgess, S. Senthuran, F. A. Ajvadi, Michael G. Irwin, Keith B. Greenland, A. A. J. van Zundert |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Catheters Critical Care medicine.medical_treatment Airway Extubation law.invention 03 medical and health sciences Patient safety 0302 clinical medicine 030202 anesthesiology law Intensive care medicine Intubation Intratracheal Intubation Humans Intensive care medicine business.industry 030208 emergency & critical care medicine respiratory system Intensive care unit Intensive Care Units Anesthesiology and Pain Medicine Narrative review Airway management business Airway Ventilator Weaning |
| Zdroj: | Anaesthesia. 72(2) |
| ISSN: | 1365-2044 |
| Popis: | Management of the difficult airway is an important, but as yet poorly-studied, component of intensive care management. Although there has been a strong emphasis on prediction and intubation of the difficult airway, safe extubation of the patient with a potentially difficult airway has not received the same attention. Extubation is a particularly vulnerable time for the critically ill patient and, because of the risks involved and the consequences of failure, it warrants specific consideration. The Royal College of Anaesthetists 4th National Audit Project highlighted differences in the incidence and consequences of major complications during airway management between the operating room and the critical care environment. The findings in the section on Intensive Care and Emergency Medicine reinforce the importance of good airway management in the critical care environment and, in particular, the need for appropriate guidelines to improve patient safety. This narrative review focuses on strategies for safe extubation of the trachea for patients with potentially difficult upper airway problems in the intensive care unit. |
| Databáze: | OpenAIRE |
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