Skip to main content
SpringerLink
Log in

The Role of Surgical Airway Access

  • Chapter
  • First Online:
The Difficult Airway

  • 2937 Accesses

Abstract

Anesthesiologists and head and neck surgeons traditionally have embodied the phenomenon of collegial interactions, and few professional interactions are more rewarding than those that result in successful management of a patient with a difficult airway. In these situations, the difficult airway becomes a shared challenge that demands mutual trust and cooperation between otolaryngologist and anesthesiologist [1]. Pre-intubation communication is mandatory, with arrangements of intubation details and contingency plans outlined. This chapter will focus on how the head and neck surgeon can aid the anesthesiologist during the perioperative care of a patient with a challenging airway.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sofferman R, Johnson D, Spencer R. Lost airway during anesthesia induction: alternatives for management. Laryngoscope. 1997;107:1476–82.

    Article  PubMed  CAS  Google Scholar 

  2. Davies R, Balachandran S. Anterior commissure laryngoscope. Anaesthesia. 2003;58:721–2.

    Article  PubMed  CAS  Google Scholar 

  3. Zeitels S. Chevalier Jackson’s contributions to direct laryngoscopy. J Voice. 1998;12:1–6.

    Article  PubMed  CAS  Google Scholar 

  4. Riazi S, Karkouti K, Heggie J. Case report: management of life-threatening oropharyngeal bleeding with recombinant factor VIIa. Can J Anaesth. 2006;53:881–4.

    Article  PubMed  Google Scholar 

  5. Holinger P. An hour-glass anterior commissure laryngoscope. Laryngoscope. 1960;70:1570–1.

    PubMed  CAS  Google Scholar 

  6. Conacher I, Curran E. Local anaesthesia and sedation for rigid bronchoscopy for emergency relief of central airway obstruction. Anaesthesia. 2004;59:290–2.

    Article  PubMed  CAS  Google Scholar 

  7. Wain J. Rigid bronchoscopy: the value of a venerable procedure. Chest Surg Clin N Am. 2001;11:691–9.

    PubMed  CAS  Google Scholar 

  8. Linscott M, Horton W. Management of upper airway obstruction. Otolaryngol Clin North Am. 1979;12:351–73.

    PubMed  CAS  Google Scholar 

  9. Rodricks MB, Deutschman CS. Emergent airway management. Crit Care Clin. 2000;16:389–409.

    Article  PubMed  CAS  Google Scholar 

  10. Weymuller E. Acute airway management. In: Cummings CW, editor. Otolaryngology-head and neck surgery. 2nd ed. St. Louis, MO: CV Mosby Publishing Co; 1986. p. 2382–95.

    Google Scholar 

  11. Burkey B, Esclamado R, Morganroth M. The role of cricothyroidotomy in airway management. Clin Chest Med. 1991;12:561–71.

    PubMed  CAS  Google Scholar 

  12. DeLaurier G, Hawkins M, Treat R, et al. Acute airway management. Role of cricothyroidotomy. Am Surg. 1990;56:12–5.

    PubMed  CAS  Google Scholar 

  13. Gillespie M, Eisele D. Outcomes of emergency surgical airway procedures in a hospital-wide setting. Laryngoscope. 1999;109:1766–9.

    Article  PubMed  CAS  Google Scholar 

  14. Isaacs J, Pedersen A. Emergency cricothyroidotomy. Am Surg. 1997;63:346–9.

    PubMed  Google Scholar 

  15. DiGiacomo J, Angus L, Simpkins C, et al. Safety and efficacy of the rapid four-step technique for cricothyroidotomy using a Bair claw [letter]. J Emerg Med. 2001;20:303–4.

    Article  Google Scholar 

  16. Davis D, Bramwell K, Hamilton R, et al. Safety and efficacy of the rapid four-step technique for cricothyroidotomy using a Bair Claw. J Emerg Med. 2000;19:125–9.

    Article  PubMed  CAS  Google Scholar 

  17. Hatton K, Price S, Craig L, et al. Educating anesthesiology resident to perform percutaneous cricothyroidotomy, retrograde intubation, and fiberoptic bronchoscopy using preserved cadavers. Anesth Analg. 2006;103:1205–8.

    Article  PubMed  Google Scholar 

  18. Wenig B, Applebaum E. Indications for and techniques of tracheotomy. Clin Chest Med. 1991;12:545–53.

    PubMed  CAS  Google Scholar 

  19. Moorthy S, Gupta S, Laurent B, et al. Management of airway in patients with laryngeal tumors. J Clin Anesth. 2005;17:604–9.

    Article  PubMed  Google Scholar 

  20. Altman K, Waltonen J, Kern R. Urgent surgical airway intervention: a 3 year county hospital experience. Laryngoscope. 2005;115:2101–4.

    Article  PubMed  Google Scholar 

  21. Burtner D, Goodman M. Anesthetic and operative management of potential upper airway obstruction. Arch Otolaryngol. 1978;104:657–61.

    Article  PubMed  CAS  Google Scholar 

  22. Goldenberg D, Gov Ari E, Golz A, et al. Tracheotomy complication: a retrospective study of 10020 cases. Otolaryngol Head Neck Surg. 2000;123:495–500.

    Article  PubMed  CAS  Google Scholar 

  23. Myers E, Carrau M. Early complications of tracheotomy. Clin Chest Med. 1991;12:589–95.

    PubMed  CAS  Google Scholar 

  24. Saini S, Taxak S, Singh M. Tracheostomy tube obstruction caused by an overinflated cuff. Otolaryngol Head Neck Surg. 2000;122:768–9.

    Article  PubMed  CAS  Google Scholar 

  25. McGuire G, El-Beheiry H, Brown D. Loss of the airway during tracheostomy: rescue oxygenation and re-establishment of the airway. Can J Anaesth. 2001;48:697–700.

    Article  PubMed  CAS  Google Scholar 

  26. Patel K, Zdanski C. Cricothyroidotomy vs. sternal tracheotomy for challenging airway anatomy. Laryngoscope. 2008;118:1827–9.

    Article  PubMed  Google Scholar 

  27. Gross N, Cohen J, Anderson P, et al. “Defatting” tracheotomy in morbidly obese patients. Laryngoscope. 2002;112:1940–4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Professor of Surgery, Department of Surgery/Section of Otolaryngology—Head and Neck Surgery, The University of Chicago, Chicago, IL, 60637, USA

    Kerstin M. Stenson

Authors
  1. Kerstin M. Stenson
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kerstin M. Stenson .

Editor information

Editors and Affiliations

  1. Department of Anesthesia & Critical Care, University of Chicago, Chicago, 60637, Illinois, USA

    David B. Glick

  2. University of Toronto, Department of Anesthesia and Pain Manage, Department of Anesthesia, Toronto General Hospital, Toronto, M5G 2C4, Ontario, Canada

    Richard M Cooper

  3. Department of Anesthesia & Critical Care, University of Chicago, Chicago, 60637, Illinois, USA

    Andranik Ovassapian

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Stenson, K.M. (2013). The Role of Surgical Airway Access. In: Glick, D., Cooper, R., Ovassapian, A. (eds) The Difficult Airway. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92849-4_14

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-92849-4_14

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-92848-7

  • Online ISBN: 978-0-387-92849-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation