RT Book, Section
A1 Pitts-Kiefer, Alex
A1 De Marchi, Lorenzo
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1102567854
T1 Transcutaneous and Surgical Airways
T2 Anesthesiology Core Review: Part One Basic Exam
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 9780071821377
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1102567854
RD 2024/04/24
AB A  transcutaneous  or  surgical  airway  is  indicated  following  unsuccessful  orotracheal  or  nasotracheal  intubation  attempts  in  the  context  of  an  inability  to  mask  ventilate  and  the  presence  of  an  immediate  need  for  definitive  airway  management.  The  placement  of  a  surgical  or  transcutaneous  airway  is  the  final  endpoint  for  the  “unsuccessful  arm”  of  the  emergency  pathway  for  the  American  Society  of  Anesthesiologists  (ASA)  Difficult  Airway  algorithm.  Once  the  presence  of  a  “can’t  intubate,  can’t  ventilate”  situation  is  clear,  a  surgical  or  transcutaneous  airway  should  be  immediately  considered.  A  delay  can  increase  the  patient’s  risk  of  hypoxic  brain  injury  and  death.  A  surgical  or  transcutaneous  emergent  airway  can  be  achieved  using  different  methods,  including  a  surgical  cricothyrotomy,  needle  cricothyrotomy  with  jet  oxygenation,  and  percutaneous  cricothyrotomy  using  the  Seldinger  technique.