Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 19 , ISSUE 9 ( 2015 ) > List of Articles

CASE REPORT

Difficult airway management from Emergency Department till Intensive Care Unit

Prithwis Bhattacharyya, Debasis Pradhan

Keywords : C-MAC video laryngoscope, difficult airway, Emergency Department, Frova Intubating Introducer, ProSeal laryngeal mask airway

Citation Information : Bhattacharyya P, Pradhan D. Difficult airway management from Emergency Department till Intensive Care Unit. Indian J Crit Care Med 2015; 19 (9):557-559.

DOI: 10.4103/0972-5229.164810

License: CC BY-ND 3.0

Published Online: 00-09-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

We report a case of \"can ventilate but can′t intubate\" situation which was successfully managed in the Emergency Department and Intensive Care Unit by the use of ProSeal laryngeal mask airway and Frova Intubating Introducer as bridging rescue devices. Use of appropriate technique while strictly following the difficult airway algorithm is the mainstay of airway management in unanticipated difficult airway situations. Although the multiple airway devices were used but each step took not more than 2 min and \"don′t struggle, skip to the next step principle\" was followed. With the availability of many advanced airway management tools, the intensivists should have a training and experience along with preparedness in order to perform such lifesaving airway managements.


PDF Share
  1. Walz JM, Kaur S, Heard SO. Airway management and endotracheal intubation. In: Irwin RS, Rippe JM, editors. Intensive Care Medicine. 7 th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2012. p. 1.
  2. Cavus E, Kieckhaefer J, Doerges V, Moeller T, Thee C, Wagner K. The C-MAC videolaryngoscope: First experiences with a new device for videolaryngoscopy-guided intubation. Anesth Analg 2010;110:473-7.
  3. Piepho T, Fortmueller K, Heid FM, Schmidtmann I, Werner C, Noppens RR. Performance of the C-MAC video laryngoscope in patients after a limited glottic view using Macintosh laryngoscopy. Anaesthesia 2011;66:1101-5.
  4. Sakles JC, Mosier JM, Patanwala AE, Dicken JM, Kalin L, Javedani PP. The C-MAC ® video laryngoscope is superior to the direct laryngoscope for the rescue of failed first-attempt intubations in the emergency department. J Emerg Med 2015;48:280-6.
  5. Rai MR, Dering A, Verghese C. The GlideScope system: A clinical assessment of performance. Anaesthesia 2005;60:60-4.
  6. Falcó-Molmeneu E, Ramírez-Montero F, Carreguí-Tusón R, Santamaría-Arribas N, Gallén-Jaime T, Vila-Sánchez M. The modified Eschmann guide to facilitate tracheal intubation using the GlideScope. Can J Anaesth 2006;53:633-4.
  7. Heitz JW, Mastrando D. The use of a gum elastic bougie in combination with a videolaryngoscope. J Clin Anesth 2005;17:408-9.
  8. Sharma R. A new maneuver for endotracheal tube insertion during difficult GlideScope® intubation: A suggestion. J Emerg Med 2011;40:443.
  9. Xue FS, Cheng Y, Li RP, Liao X. Comparative performance of direct and indirect laryngoscopes for emergency intubation under cervical stabilization. Resuscitation 2012;83:e169.
  10. Robinson BF. Relation of heart rate and systolic blood pressure to the onset of pain in angina pectoris. Circulation 1967;35:1073-83.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.