Assess for potential difficulty with airway management using history and physical examination |
Sedate or anesthetize adequately during airway management |
Use neuromuscular blockade for intubation unless spontaneous breathing is required |
Use VL with a standard blade for first attempt at intubation* |
Use apneic oxygenation during tracheal intubation in neonates, selectively in infants |
Consider using a supraglottic airway for rescue oxygenation and ventilation |
Limit the number of tracheal intubation attempts |
Use a stylet when using a hyperangulated VL blade |
Verify correct ETT placement with clinical assessment and ETCO2 waveform |
Consider using respiratory support after extubation (eg, high-flow nasal oxygen, CPAP, or nasal intermittent positive pressure ventilation) |
BJA: British Journal of Anaesthesia; CPAP: continuous positive airway pressure; ESAIC: European Society of Anaesthesiology and Intensive Care; ETCO2: end tidal carbon dioxide; ETT: endotracheal tube; NMBA: neuromuscular blocking agents; VL: video laryngoscopy.
* Practice varies among UpToDate contributors. Some use VL routinely for first attempt at intubation, whereas others use VL selectively based on patient factors and clinical circumstances.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟