Abstract
Endotracheal intubation in critically ill patients can be difficult and associated with significant morbidity and mortality [1–3]. Patients have underlying life-threatening pathology, may be hypoxemic and hypotensive, and may not tolerate induction and neuromuscular blockers well. Intubations in the ICU may differ vastly from intubations in the operating room which are often elective and performed in a controlled setting by trained anesthesiologists. Incidence of difficult intubation in the ICU as reported in literature ranges from 1% to 23% depending on the definition of the difficult intubation and center [4–7].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Baillard C, Fosse JP, Sebbane M, Chanques G, Vincent F, Courouble P, et al. Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients. Am J Respir Crit Care Med. 2006;174(2):171–7.
Jaber S, Amraoui J, Lefrant JY, Arich C, Cohendy R, Landreau L, et al. Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med. 2006;34(9):2355–61.
Jaber S, Jung B, Corne P, Sebbane M, Muller L, Chanques G, et al. An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Intensive Care Med. 2010;36(2):248–55.
Martin LD, Mhyre JM, Shanks AM, Tremper KK, Kheterpal S. 3,423 emergency tracheal intubations at a university hospital: airway outcomes and complications. Anesthesiology. 2011;114(1):42–8.
Heuer JF, Barwing TA, Barwing J, Russo SG, Bleckmann E, Quintel M, et al. Incidence of difficult intubation in intensive care patients: analysis of contributing factors. Anaesth Intensive Care. 2012;40(1):120–7.
Simpson GD, Ross MJ, McKeown DW, Ray DC. Tracheal intubation in the critically ill: a multi-centre national study of practice and complications. Br J Anaesth. 2012;108(5):792–9.
Le Tacon S, Wolter P, Rusterholtz T, Harlay M, Gayol S, Sauder P, et al. Complications of difficult tracheal intubations in a critical care unit. Ann Fr Anesth Reanim. 2000;19(10):719–24.
Langeron O, Masso E, Huraux C, Guggiari M, Bianchi A, Coriat P, et al. Prediction of difficult mask ventilation. Anesthesiology. 2000;92(5):1229–36.
Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118(2):251–70.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Saran, J.S., Dooley, J.W. (2019). Advanced and Difficult Airway Management in the ICU. In: LaRosa, J. (eds) Adult Critical Care Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-94424-1_14
Download citation
DOI: https://doi.org/10.1007/978-3-319-94424-1_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-94423-4
Online ISBN: 978-3-319-94424-1
eBook Packages: MedicineMedicine (R0)