Abstract
The fundamental responsibility of the anesthesiologist is to maintain adequate gas exchange and particularly oxygenation, while the elimination of CO2 can be considered a secondary goal, at least for a few minutes.
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References
Marx GF, Mateo CV, Orkin LR (1973) Computer analysis of postanesthetic deaths. Anesthesiology 39:54–58
Caplan RA, Poren KL, Ward RJ, Cheney FW (1990) Adverse respiratory events in anesthesia: a closed claim analysis. Anesthesiology 72:828–833
Williamson JA, Webb RK, Szekely S, Gillies ERN, Dreosti AV (1993) Difficult intubation: an analysis of 2000 incident reports. Anaesth Intensive Care 21:602–607
Department of Health and Social Services. Report on health and social subjects: report on confidential enquiry into maternal deaths in England and Wales 1982–84, London, Her Majesty’s Stationery Office, 1985
A report by the American Society of Anesthesiologists Task Force on management of the difficult airway (1993) Practice guidelines for management of the difficult airway. Anesthesiology 78:97–602
Deller A, Schreiber MN, Gramer J, Ahnefeld RW (1990) Difficult intubation: incidence and predictability. A prospective study of 8284 adult patients. Anesthesiology 73:A1054
Rose DK, Cohen M (1994) The airway: problems and predictions in 18500 patients. Can Anaesth Soc 141:372–383
Bucx MJL, Van Geel RTM, Scheck PAE, Stijnen T, Erdmann W (1992) Rorces apphed during laryngoscopy and their relationship with patient characteristics. Anaesthesia 47:601–603
Lyons G, MacDonald R (1985) Difficult intubation in obstetrics. Anaesthesia 40:1016
Cormack RS, Lehane J (1984) Difficult tracheal intubation in obstetrics. Anaesthesia 39: 1105–1111
White A, Kander PL (1975) Anatomical factors in difficult direct laryngoscopy. Br J Anaest 47:468–474
Janvier G, Bordenaye L, Revel P, Ellison W, Cros AM, Winnock S (1993) Mathematical analysis of the upper respiratory tract from an anthropometric study. Br J Anaest 70: 186–191
Samsoon GLT, Young JRB (1987) Difficult tracheal intubation: a retrospective study. Anaesthesia 42:487–490
Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, Liu PL (1985) A clinical sign to predict difficult tracheal intubation. Can Anaesth Soc J 32(4):429–434
Mathew M, Hanna LS, Aldrete JA (1989) Pre-operative indices to anticipate difficult tracheal intubation. Anesth Analg 68:S187
Rocke DA, Murray WB, Rout CC, Gouws E (1992) Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology 77:67–73
Cohen SM, Laurito, CE, Segil, LJ (1989) Oral exam to predict difficult intubations: a large prospective study. Anesthesiology 71:A936–937
Tham EJ, Gildersleve CD, Sanders LD, Mapleson WW, Vaughan RS (1992) Effects of posture, phonation and observer on Mallampati classification. Br J Anaest 68:32–38
Pottecher T, Velten M, Galani M, Forrler M (1991) Valeur comparée des signes cliniques d’intubation difficile chez la femme. Ann Fr Anesth Reanim 10:430–435
Nichol HC, Zuck D (1983) Difficuh laryngoscopy: the anterior larynx and the atianto-occipital gap. Br J Anaest 55:141–144
Roberts JT, Ah HH, Shorten GD (1990) Using the laryngeal indices caliper to predict difficult intubations. Anesthesiology 73:A1011
Roberts JT, Ali HH, Shorten GD, Gorback MS (1990) Why cervical flexion facilitates laringoscopy with a Macintosh laryngoscope, but hinders it with a flexible fiberscope. Anesthesiology 73:A1012
Wilson ME, Spiegelhalter D, Robertson JA, Lesser P (1988) Predicting difficuh intubation. Br J Anaest 61:211–216
Chou HC, Wu TL (1991) Mandibuloyoid distance in difficuh laryngoscopy. Br J Anaest 71: 335–339
Oates JDL, Oates PD, Pearsall FJ, MacLeod AD, Howie JC, Murray GD (1991) Comparison of two methods for predicting difficult intubation. Br J Anaest 66:305–309
McDonald JS, Grupta B, Cook RI (1992) Proposed methods for predicting difficult intubation: prospective evaluation of 1501 patients. Anesthesiology 77:A1125
Amè J, Descoins P, Bresard D, Aries J, Fusciardi J (1993) A new clinical score to predict difficult intubation. Br J Anaest 70(Suppl 1):1
Horton, WA, Fahy, L, Charters, P (1990) Factor analysis in difficult tracheal intubation: laryngoscopy induced airway obstruction. Br J Anaest 65:801–805
Bellhouse CP, Doré C (1988) Criteria for estimating likelihood of difficulty of endotracheal intubation with the Mcintosh laryngoscope. Anaesth Intensive Care 16:329–337
Fahy L, Horton WA, Charters P (1990) Factor analysis in patients with a history of failed tracheal intubation during pregnancy. Br J Anaest 65:813–815
Horton WA, Fahy L, Charters P (1990) Towards a single index for quantifying osseus factors in difficult laryngoscopy. Br J Anaest 65:583–584P
Drummond GB (1989) Site of airway obstruction in anaesthetized patients. Br J Anaest 63:625P
Hotchiss RS, Hall JR, Braun IF, Schisler JQ (1988) An abnormal epiglottis as a cause of difficult intubation-airway assessment using magnetic resonance imaging. Anesthesiology 68: 140–142
Bannister FB, MacBeth RG (1944) Direct laryngoscopy and tracheal intubation. Lancet 2: 651–654
Horton WA, Fahy L, Charters P (1989) Defining a standard intubating posifion using angle finder. Br J Anaest 62:6–12
Van der Linde JC, Roelofse JA, Steenkamp EC (1983) Anatomical factors relating to difficult intubafion. African Medical Journal 63:976–977
Cass NM, James NR, Lines V (1956) Difficult direct laringoscopy comphcafing intubafion for anaesthesia. Br Med J 1:488–489
Sivarajan M, Fink R (1990) The posifion and state of the larynx during general anesthesia and muscle paralysis. Anesthesiology 72:439–442
Nandi PR, Charlesworth CH, Taylor SJ, Nunn JF, Dorè CJ (1991) Effect of general anaesthesia on the pharynx. Br J Anaest 66:157–162
Benumof JL, Scheller MS (1989) The importance of transtracheal jet venfilafion in the management of the difficult airway. Anesthesiology 71:769–778
Baraka A (1986) Transtracheal jet venfilafion during fiberopfic intubafion under general anesthesia. Anesth Analg 65:1091–1092
Meschino MD (1992) The safety of awake tracheal intubafion in cervical spine injury. Can Anaesth Soc J39(2):1114–1118
Mclntyre JWR (1989) Laryngoscope design and the difficult adult tracheal intubafion. Can Anaesth Soc J 36(l):94–98
Bellhouse CP (1988) An angulated laryngoscope for ronfine and difficult tracheal intubafion. Anesthesiology 69:126–129
Tweedie I, Singh PJ, Williams DR, Charters R (1990) Is there an “opfimum” intubating position? Br J Anaest 64:383P
Ovassapian A, Yelich SJ, Dykes MHM, Brunner EE (1982) Fiberoptic nasotracheal intubation-incidence and causes of failure. Anesth Analg 62:692–695
Katsnelson T, Frost EAM, Farcon E, Goldiner PL (1992) When the endotracheal tube will not pass over the flexible fiberoptic bronchoscope. Anesthesiology 76:151–152
Brain AU (1983) The laryngeal mask. A new concept in airway management. Br J Anaesth 55:801–805
Brain AU (1985) Three cases of difficult intubafion overcome by the laryngeal mask airway. Anaesthesia 40:353–355
Spoerel WE, Narayanan PS, Singh, NP (1971) Transtracheal ventilation. Br J Anaesth 43: 932–939
Patel R (1983) Systems for transtracheal ventilation. Anesthesiology 59:165
Hodges UM, O’Flaherty D, Adams AP (1993) Tracheal intubafion in a mannikin: comparison of the Bellscope with the Macintosh laryngoscope. Br J Anaest 71:905–907
Cobley M, Vaughan RS (1992) Recognifion and management of difficult airway problems. Br J Anaest 68:90–97
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© 1996 Springer-Verlag Italia, Milano
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Martinelli, G., Melloni, C., Petrini, F., Volpini, M. (1996). Difficult Tracheal Intubation and Airway Management. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2203-4_67
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DOI: https://doi.org/10.1007/978-88-470-2203-4_67
Publisher Name: Springer, Milano
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