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Since the publication of the first edition, a plethora of airway devices have been introduced. Many of these devices have the potential of improving our ability to manage the patient's airway and improving the view of the larynx. They may even increase the success rate of tracheal intubation. While the clinical utility of these devices and techniques in managing patients with a difficult and failed airway remains to be determined, we firmly believe that the airway technique of choice depends not only on the patient's anatomy but on the situational context. This second edition emphasizes that airway management is "context-sensitive" and that selection of an airway technique must be determined by the clinical situation and environment. For instance, compared to an operating room setting, the airway management strategy would be quite different for a patient with a difficult airway in the prehospital setting, in the emergency department, or in the cardiac catheterization unit, where skill sets and limited resources play decisive roles. Furthermore, the airway approach might also be different if an urgent airway intervention is needed for a pregnant patient or for a small child who is uncooperative. Using the guiding principles of context-sensitivity, this second edition is designed to assist practitioners with the appropriate selection of airway devices and techniques for a wide range of clinical environments.

As in the first edition, this book is divided into four sections: the first section presents the foundational information in airway management; the second section reviews airway devices and techniques; the third section discusses airway management in different clinical situations, including prehospital care, in the emergency department, intensive care units, the operating room, the post-anesthetic care unit, as well as other parts of the hospital; and the last section highlights practical issues in airway management. To broaden the scope of discussion, a number of new chapters and clinical cases have been added to this new edition. For example, chapters discussing the basic principles of bag-mask-ventilation, single lung ventilation using double lumen tubes, airway management in austere environments, as well as airway education and simulation have been included.

It is our hope that the second edition, like the first edition, is embraced by clinicians as contributing a solid foundation of knowledge to the field of difficult and failed airway management.


We would like to thank all the contributing authors for making this book possible. In particular, we would like to thank all the associate editors for their tireless efforts to ensure that the information in this book is clear and accurate. We wish to thank Sara Whynot for her editorial assistance and Christopher Hung and David Hung for the production of all the images and videos. We thank the continuing support of all the editorial staff at McGraw-Hill.

Orlando Hung, MD, FRCPC
Michael F. Murphy, MD, FRCPC

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