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Chapter 18 - The Difficult Airway

from Section 1 - Respiratory, Airway, and Ventilator Management

Published online by Cambridge University Press:  03 August 2023

By
Mariam Naeem Ibrahim ,
Jeffrey A. Brown  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 53-year-old male is emergently brought to the operating room for repair of a bleeding gastric ulcer. The patient is sedated from a previous upper endoscopy performed to diagnose the bleeding. The patient weighs 133 kg, has a bull neck, and has a known difficult airway. The patient’s heart rate is 140 and his blood pressure is 90/60 mm Hg. He is breathing spontaneously and has an oxygen saturation of 94% on room air. The surgeon is waiting. What is your plan?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 63 - 68
Publisher: Cambridge University Press
Print publication year: 2023

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References

Apfelbaum, JL, Hagberg, CA, Connis, RT, et al. 2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway.Anesthesiology 2022;136:31–81.CrossRefGoogle ScholarPubMed
Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 791–7.Google Scholar
Fleisher, LA. Evidence-Based Practice of Anesthesiology, 3rd ed. Philadelphia: Saunders Elsevier, 2013.Google Scholar
Hagberg, CA, Artime, CA, Aziz, MF. Hagberg and Benumof’s Airway Management, 4th ed. Philadelphia: Elsevier, 2018, chapters 8 and 10.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1373–409.Google Scholar
Gupta, S, Sharma, R, Jain, D. Airway assessment: predictors of difficult airway. Indian J Anesth 2005;49(4):257–62.Google Scholar

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