Revue médicale de la Suisse romande
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Rev Med Suisse Romande · Nov 1999
Review[Role of the ORL anesthetist in foreseen or unforseen difficult intubations].
Difficult intubation (DI) is a daily problem in a ENT unit. The place of the ENT anesthesiologist in the management of a DI is both in his own unit and in the hospital as an expert in DI. An anesthesiologist working in a ENT unit should be an expert in techniques allowing to manage intubation and oxygenation in every situations: i.e. fiberscopic intubation, LMA and intubating LMA and transtracheal ventilation. The ENT anesthesiologist may also play a role in the management of a DI in the hospital as an expert, both helping to cope with a difficult airway and teaching airway skills and the value of having a plan before managing any airway.
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Rev Med Suisse Romande · Nov 1999
Review[Algorithms for oxygenation and difficult intubations in obstetrics].
The obstetrical population is prone to difficult or failed intubation. Control of the airway is complicated by several factors specific to obstetric anesthesia; time of apnea is short due to a reduced functional residual capacity, pregnancy-induced hypertension and obesity are relatively frequent; anesthetist's skill can also be mentioned. ⋯ Each anesthetist must keep an algorithm in mind, should a difficult or failed intubation in obstetrical patient. Whichever method is used (ventilation through a facial mask or laryngeal mask, transtracheal oxygenation), the anesthetist must never forget that the first priority is always the safety of the mother.