Document Detail


The formulation and introduction of a 'can't intubate, can't ventilate' algorithm into clinical practice.
MedLine Citation:
PMID:  19453312     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Both the American Society of Anesthesiologists and the Difficult Airway Society of the United Kingdom have published guidelines for the management of unanticipated difficult intubation. Both algorithms end with the 'can't intubate, can't ventilate' scenario. This eventuality is rare within elective anaesthetic practice with an estimated incidence of 0.01-2 in 10,000 cases, making the maintenance of skills and knowledge difficult. Over the last four years, the Department of Anaesthetics at the Royal Perth Hospital have developed a didactic airway training programme to ensure staff are appropriately trained to manage difficult and emergency airways. This article discusses our training programme, the evaluation of emergency airway techniques and subsequent development of a 'can't intubate, can't ventilate' algorithm.
Authors:
A M B Heard; R J Green; P Eakins
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  64     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-20     Completed Date:  2009-06-16     Revised Date:  2010-01-25    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  601-8     Citation Subset:  AIM; IM    
Affiliation:
Royal Perth Hospital, Perth, Western Australia, Australia. Andrew.Heard@health.wa.gov.au
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MeSH Terms
Descriptor/Qualifier:
Algorithms*
Anesthesiology / education
Clinical Competence
Cricoid Cartilage / surgery
Education, Medical, Continuing / methods
Educational Measurement / methods
Emergencies
Humans
Intubation, Intratracheal / contraindications*
Manikins
Respiration, Artificial / contraindications*,  methods
Thyroid Cartilage / surgery
Tracheostomy / standards
Comments/Corrections
Comment In:
Anaesthesia. 2009 Dec;64(12):1373; author reply 1374   [PMID:  20092516 ]
Anaesthesia. 2009 Nov;64(11):1269-70   [PMID:  19825080 ]
Anaesthesia. 2009 Dec;64(12):1373-4; author reply 1374   [PMID:  20092515 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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