RT Book, Section
A1 O'Connor, Michael F.
A1 Ovassapian, Andranik
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Wood, Lawrence D.H.
SR Print(0)
ID 2287028
T1 Chapter 35. Airway Management
T2 Principles of Critical Care, 3e
YR 2005
FD 2005
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071416405
LK accessanesthesiology.mhmedical.com/content.aspx?aid=2287028
RD 2023/06/07
AB The  choice  between  noninvasive  ventilation  via  mask  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.Awake  tracheal  intubation  with  topical  anesthesia  remains  the  preferred  technique,  although  skilled  operators  can  perform  rapid  sequence  induction  and  intubation  with  a  high  degree  of  success.  General  anesthesia  and  paralysis  are  associated  with  substantial  risks  in  critically  ill,  hemodynamically  unstable  patients.The  appropriate  timing  of  tracheostomy  remains  poorly  defined.  Improved  endotracheal  tubes  allow  for  prolonged  intubation  with  a  low  risk  of  associated  traumatic  injury.Percutaneous  tracheostomy  and  conventional  tracheostomy  are  increasingly  performed  at  the  bedside  to  minimize  the  hazards  associated  with  transporting  a  critically  ill  patient.