RT Book, Section
A1 Nizamuddin, Junaid
A1 Glick, David B.
A1 O’Connor, Michael F.
A2 Schmidt, Gregory A.
A2 Kress, John P.
A2 Douglas, Ivor S.
SR Print(0)
ID 1201802480
T1 Airway Management
T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5<sup>th</sup> Edition
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264264353
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1201802480
RD 2024/10/04
AB KEY  POINTSThe  choice  between  noninvasive  ventilation  versus  ventilation  via  translaryngeal  tracheal  intubation  is  an  increasingly  critical  branch  point  in  the  management  of  patients  with  respiratory  failure.Shock,  a  failed  trial  of  extubation,  inability  to  protect  and  maintain  one’s  own  airway,  need  for  larger  minute  ventilations  or  larger  transpulmonary  pressures,  and  transport  of  an  unstable  patient  all  remain  indications  for  tracheal  intubation.Assessment  and  adequate  preparation  of  the  patient  prior  to  intubation  are  crucial  to  ensuring  successful  and  safe  intubation.For  patients  with  respiratory  failure,  translaryngeal  intubation  can  be  performed  awake  with  topical  anesthesia  or  after  induction  of  anesthesia.  General  anesthesia  and  paralysis  can  be  associated  with  substantial  risks  in  critically  ill,  hemodynamically  unstable  patients.The  appropriate  timing  of  tracheostomy  remains  poorly  defined.  Tracheostomy  insertions  are  often  performed  at  the  bedside  to  minimize  the  hazards  associated  with  transporting  a  critically  ill  patient  to  an  operating  room.