Atlas of airway management : techniques and tools

Successful airway management demands strict attention to anatomic detail and the ability to tailor management strategies to each patient’s illness and presentation. With the Atlas of Airway Management, readers will discover a clinically focused, abundantly illustrated guide to relevant anatomy, as well as the latest tools and proven techniques in the field. The Second Edition of this respected resource presents an improved and enlarged text—along with new sections on pediatric applications, bronchoscopy, special airway considerations in the emergency room and the ICU, and post-intubation care issues. Coverage of new and emerging techniques includes material on noninvasive ventilation and high-frequency jet ventilation. A wealth of helpful features... • Clinical orientation of the text emphasizes practical approaches over theory. • Concise presentation and abundant lists make key facts easy to find and retain. • Lavishly illustrated design includes high-quality color photographs and drawings to help readers better identify key anatomic features. • Step-by-step "how-to" approach delivers practical procedural guidance. • Coverage of the latest tools and techniques embraces the fields of anesthesiology, critical care, pediatric critical care, and emergency medicine. NEW in the Second Edition... • Improved and enlarged illustration program facilitates visual learning • Co-editor, Paul Bigeleisen, brings his expertise in anesthesiology to the text. • New chapters address airway management solutions for patients with obstructive sleep apnea and morbid obesity, as well as airway issues for gynecologic patients. • A new section addresses surgical situations requiring specialized airway management. • Updated information on the latest tools addresses devices such as the Glidescope and other video-type laryngoscopes. • Companion website includes the complete and fully searchable text. Contributors List......Page 5 Preface to the Second Edition......Page 9 Preface to the First Edition......Page 10 Acknowledgments......Page 11 Table of Contents......Page 12 Anatomy of Direct Laryngoscopy......Page 16 Mask Ventilation......Page 28 Noninvasive Ventilation......Page 36 Retraction Blades for Direct Laryngoscopy......Page 44 Direct Laryngoscopy......Page 50 Confirmation of Endotracheal Tube Placement......Page 60 Pharmacology for Airway Management......Page 65 Regional Anesthesia Blocks for Awake Intubation......Page 70 Definition, Incidence, and Predictors of the Difficult Airway......Page 76 Computerized Analysis to Associate Facial Features with Difficult Intubation......Page 85 New Methods of Bedside Airway Assessment: Cone Beam Computed Tomography, Ultrasound, and Craniofacial Phenotyping......Page 91 Decision Making in Difficult Airway Management......Page 102 Training in Airway Management: Difficult Airway Simulation......Page 111 Training in Airway Management......Page 118 Examples and Illustrations of Conditions Predisposing to Difficult Airway Management......Page 124 Mirror Blades and Prism Blades......Page 142 Bougies and Airway Stylets......Page 148 Blind Nasotracheal Intubation......Page 154 Blind Orotracheal Intubation......Page 160 Lightwands......Page 166 Optical Stylets......Page 176 Retrograde Intubation......Page 182 Flexible Fiberoptic Bronchoscope Intubation......Page 192 Rigid Fiberoptic Scopes and Video Laryngoscopes......Page 206 Esophageal-Tracheal Combitube......Page 214 Laryngeal Mask Airway......Page 219 Intubating Laryngeal Mask Airway......Page 229 Other Supraglottic Airway Devices......Page 240 Transtracheal Jet Ventilation......Page 246 Intubation through Laryngeal Mask Airway or Intubation Laryngeal Mask Airway with a Bougie, Lighted Stylet, or Optical Stylet......Page 254 Retrograde Intubation and Flexible Fiberoptic Bronchoscope Intubation......Page 258 Flexible Fiberoptic Bronchoscope Intubation through the Laryngeal Mask Airway......Page 262 Flexible Fiberoptic Bronchosope Intubation through the Intubating Laryngeal Mask Airway......Page 267 Flexible Fiberoptic Bronchoscope Intubation and the Esophago-Tracheal Combitube......Page 272 Transtracheal Jet Ventilation and Flexible Fiberoptic Bronchoscope Intubation......Page 275 Cricothyrotomy......Page 280 Wire-Guided Cricothyrotomy......Page 288 Tracheostomy......Page 292 Percutaneous Tracheostomy......Page 298 Pediatric Airway Anatomy and Approach......Page 306 Direct Laryngoscopy in Pediatrics......Page 313 Adjuncts to Direct Laryngoscopy in Pediatrics......Page 318 Rigid Bronchoscopy......Page 324 Diagnostic and Therapeutic Fiberoptic Bronchoscopy......Page 330 Double-Lumen Endotracheal Tubes......Page 336 Bronchial Blockers in Thoracic Surgery......Page 343 Laser Airway Surgery......Page 348 High-Frequency Jet Ventilation......Page 355 Airway Management in Critical Care Medicine......Page 366 Airway Management in Emergency Medicine......Page 372 Obstructive Sleep Apnea and Airway Management......Page 376 Morbid Obesity and Bariatric Surgery......Page 385 Obstetrics......Page 390 Positive Pressure Ventilation......Page 394 Complications of Intubation: Acute and Chronic......Page 409 Care of the Patient with a Surgical Airway: An Approach to Emergency Interventions......Page 418 Index......Page 423 Clinical applications in airway management are dependent on both the anatomy of the individual, and the individual's co-morbidities, with different tools available for different patient presentations. The first edition of this atlas presented the most commonly used tools via clinical photos, and demonstrated proper and improper positioning with photos utilizing cross-sectional cadaver anatomy so the relevant anatomy in relation to the equipment could be clearly seen. The second edition presents an improved and enlarged text. New sections have been created on pediatric applications, bronchoscopy, special airway considerations in the emergency room and the ICU, and post-intubation care issues. There are also new chapters on airway management for patients with obstructive sleep apnea and morbid obesity, as well as a new chapter on airway issues for gynecologic patients. A new section exists for surgical situations requiring specialized airway management. The second edition comes with a website that includes instructional videos and the fully searchable contents of the book "Atlas of Airway Management: Techniques and Tools is designed to assist those learning to manage the airway. This text explores everything from understanding the basics and mask ventilation, to comprehending alternative techniques for situations in which direct laryngoscopy is difficult, or cannot be utilized." "This is an atlas, and therefore text is kept to a minimum, while illustrations are utilized extensively to provide visual understanding of concepts. A large variety of illustrations are presented, including mockups in cadaver specimens, photos of airway management in the clinical setting, simulated airway management scenarios, and photographs of the airway utilizing video laryngoscopes and fiberoptic bronchoscopes."--Jacket Routine Airway Medicine -- Difficult Airway Management: Recognition, Training And Management -- Adjuncts To Direct Laryngoscopy -- Blind Intubation -- Lightwands And Optical Stylets -- Retrograde Techniques -- Fiberoptic Techniques -- Emergency Ventilation -- Combination Techniques -- Emergency Surgical Airways -- Pediatrics -- Bronchoscopy -- Special Situations Requiring Specialized Airway Management -- Unique Facets Of Airway Management By Discipline -- Common Patient Conditions Requiring Specialized Approach To The Airway -- Care After Intubation. Steven L. Orebaugh, Paul E. Bigeleisen. Includes Bibliographical References And Index. A clinically focused, abundantly illustrated guide to relevant anatomy that covers the tools and proven techniques in the field. It offers coverage of new and emerging techniques and includes material on noninvasive ventilation and high-frequency jet ventilation.