• Brit J Hosp Med · Aug 2019

    Review

    Difficult airway management for the anaesthetist.

    • J Hews, K El-Boghdadly, and I Ahmad.
    • Specialist Registrar, Department of Anaesthesia, Guy's & St Thomas' NHS Foundation Trust, London SE1 9RT.
    • Brit J Hosp Med. 2019 Aug 2; 80 (8): 432-440.

    AbstractThis article reviews the key considerations when managing a patient with a difficult airway. The difficult airway may be anticipated from preassessment allowing time for investigations and preparation. Alternatively, the unanticipated difficult airway can present in an emergency situation, or unexpectedly during a routine anaesthetic. The main airway management techniques are discussed with a description of their advantages and limitations. Current guidelines are included that demonstrate how the techniques are incorporated into an overall strategy with a plan A-D when failure occurs. It is critical to progress through such an algorithm in a timely manner to prevent the onset of hypoxia.

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