• Chest · Apr 2020

    Review

    Airway Management in Critical Illness: An Update.

    • J Aaron Scott, Stephen O Heard, Maksim Zayaruzny, and J Matthias Walz.
    • Division of Critical Care Medicine, Department of Anesthesiology and Perioperative Medicine, University of Massachusetts Memorial Medical Center, Worcester, MA. Electronic address: jamesaaron.scott@umassmemorial.org.
    • Chest. 2020 Apr 1; 157 (4): 877-887.

    AbstractExpertise in airway management is a vital skill for any provider caring for critically ill patients. A growing body of literature has identified the stark difference in periprocedural outcomes of elective intubation in the operating room when compared with emergency intubation in the ICU. A number of strategies to reduce the morbidity and mortality associated with airway management in the critically ill have been described. In this review, we provide an updated framework for airway assessment before direct laryngoscopy and video laryngoscopy, and use of newer pharmacologic agents; comment on current concepts in tracheal intubation in the ICU; and address human factors around critical decision-making during ICU airway management.Copyright © 2019 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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