• Emerg. Med. Clin. North Am. · May 2020

    Review

    The High-Risk Airway.

    • Jorge L Cabrera, Jonathan S Auerbach, Andrew H Merelman, and Richard M Levitan.
    • University of Miami Miller School of Medicine, 1600 NW 10th Ave, Miami, FL 33136, USA. Electronic address: jcabrera@med.miami.edu.
    • Emerg. Med. Clin. North Am. 2020 May 1; 38 (2): 401-417.

    AbstractThe high-risk airway is a common presentation and a frequent cause of anxiety for emergency physicians. Preparation and planning are essential to ensure that these challenging situations are managed successfully. Difficult airways typically present as either physiologic or anatomic, each type requiring a specialized approach. Primary physiologic considerations are oxygenation, hemodynamics, and acid-base, whereas anatomic difficulty is overcome using proper positioning and skilled laryngoscopy to ensure success. It is essential to be comfortable performing alternative techniques to address varying presentations. Ultimately, competence in airway management hinges on consistent training, deliberate practice, and a dedication to excellence.Copyright © 2020 Elsevier Inc. All rights reserved.

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