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Indigenous Devices in Difficult Airway Management

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Airway Management
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Abstract

Management of difficult airway has been always a challenge for the practising anaesthesiologist. Currently many gadgets are available to deal with difficult airway situations. However; these may not be available in remote locations and in all types of hospitals especially in developing nations. This chapter describes some simple valuable modifications of routinely available instruments in medical practice for dealing with difficult airway situations. All these gadgets are reported in the literature and familiarity with these can be helpful in certain difficult airway management situations with limited resources.

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References

  1. Arya VK, Dutta A (2002) Role of fiberoptics in difficult airway. Authors reply Anesth Analg 95:1125

    Google Scholar 

  2. Butler KH, Clyne B (2003) Management of the difficult airway: alternative airway techniques and adjuncts. Emerg Med Clin North Am 21:259–289

    Article  PubMed  Google Scholar 

  3. Gordon G (2004) Remember the simple digital alternative. Anesth Analg 98(4):1194

    Article  PubMed  Google Scholar 

  4. Woody NC, Woody HB (1968) Direct digital intratracheal intubation for neonatal resuscitation. J Pediatr 73:903–905

    Article  CAS  PubMed  Google Scholar 

  5. Mentzelopoulos SD, Tsitsika MV, Karamichali EA (2000) Difficult airway management with Fogarty catheter balloon inflation. Anesth Analg 91:495

    CAS  PubMed  Google Scholar 

  6. Mentzelopoulos SD, Tsitsika MV, Karamichali EA (1999) Difficult airway management with balloon inflation. Anesth Analg 88(6):1425–1426

    CAS  PubMed  Google Scholar 

  7. Mentzelopoulos SD, Romana CN, Corolanoglou DS, Tzoufi MJ, Karamichali EA (2000) Balloon versus conventional laryngoscopy: a comparison of laryngoscopic findings and intubation difficulty. Anesth Analg 91:1513–1519

    Article  CAS  PubMed  Google Scholar 

  8. Mentzelopoulos SD, Rellos KV, Magoufis GL, Gini CS, Tobris S, Michalopoulos AS (2003) Combined McCoy and balloon laryngoscopy for the emergency airway management of a patient with acute postoperative airway obstruction due to extreme engorgement of the tongue. Anesth Analg 96:1531

    Article  PubMed  Google Scholar 

  9. Chauhan S, Sahoo M, Pillai A et al (2002) Another aid for difficult intubation. Indian J Anaesth 46:491–492

    Google Scholar 

  10. Nekhendzy V, Simmonds PK (2004) Rigid bronchoscope-assisted endotracheal intubation: yet another use of the gum elastic bougie. Anesth Analg 98:545–547

    Article  PubMed  Google Scholar 

  11. Patil VU, Buckingham T, Willoughby P et al (1994) Magnetic intubation: a new technique. Anesth Analg 78:749–752

    Article  CAS  PubMed  Google Scholar 

  12. Arya VK, Dutta A, Chari P (2000) Reinforcement of laryngeal mask airway cuff position with endotracheal tube cuff for airway control in a patient with altered upper airway anatomy. Anesth Analg 91:1303–1305

    CAS  PubMed  Google Scholar 

  13. Kumar R, Prashast, Wadhwa A, Akhtar S (2002) The upside-down intubating laryngeal mask airway: a technique for cases of fixed flexed neck deformity. Anesth Analg 95:1454–1458

    Article  PubMed  Google Scholar 

  14. Suhasini T, Murthy NV, Rao SM (1995) Nasogastric tube as a tracheal tube introducer. Anaesthesia 50:270

    Article  CAS  PubMed  Google Scholar 

  15. Gorback MS (1987) Inflation of the endotracheal tube cuff as an aid to blind nasal endotracheal intubation. Anesth Analg 66:916–917

    Article  CAS  PubMed  Google Scholar 

  16. Arya VK, Dutta A, Chari P, Sharma RK (2002) Difficult retrograde endotracheal intubation: the utility of a pharyngeal loop. Anesth Analg 94:470–473

    PubMed  Google Scholar 

  17. Bhattacharya P, Biswas BK, Baniwal S (2004) Retrieval of a retrograde catheter using suction, in patients who cannot open their mouths. Br J Anaesth 92:888–901

    Article  CAS  PubMed  Google Scholar 

  18. Hung OR, Al-Qatari M (1997) Light-guided retrograde intubation. Can J Anaesth 44:877–882

    Article  CAS  PubMed  Google Scholar 

  19. Dhara SS (1992) Retrograde intubation a facilitated approach. Br J Anaesth 69:631–633

    Article  CAS  PubMed  Google Scholar 

  20. Arya VK, Kumar A, Makkar S, Sharma RK (2005) Retrograde submental intubation by pharyngeal loop technique in a patient with faciomaxillary trauma and restricted mouth opening. Anesth Analg 100:534–537

    Article  PubMed  Google Scholar 

  21. Martinez-Lage JL, Eslava JM, Cebrecos AI, Marcos O (1998) Retro-molar intubation. J Oral Maxillofac Surg 56:302–306

    Article  CAS  PubMed  Google Scholar 

  22. Benumof JL (2001) A new technique of fiberoptic intubation through a standard LMA. Anesthesiology 95:1541

    Article  CAS  PubMed  Google Scholar 

  23. Sofferman RA, Johnson DL, Spencer RF (1997) Lost airway during anesthesia induction: alternatives for management. Laryngoscope 107:1476–1482

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Virendra K. Arya .

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© 2014 Springer International Publishing Switzerland

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Arya, V.K. (2014). Indigenous Devices in Difficult Airway Management. In: Khan, Z. (eds) Airway Management. Springer, Cham. https://doi.org/10.1007/978-3-319-08578-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-08578-4_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08577-7

  • Online ISBN: 978-3-319-08578-4

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