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Erschienen in: Lung 3/2011

01.06.2011

Airway Management in Critically Ill Patients

verfasst von: Donald E. G. Griesdale, William R. Henderson, Robert S. Green

Erschienen in: Lung | Ausgabe 3/2011

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Abstract

In critically ill patients, endotracheal intubation is associated with a high risk of complications, including severe hypoxemia and hypotension. The purpose of this review is to discuss the definitions, complications, airway assessment, and patient optimization with respect to these patients. In addition, we present different approaches and techniques to help secure the airway in critically ill patients. We also discuss strategies to help minimize the risk of a difficult or failed airway and to mitigate the severe life-threatening complications associated with this high-risk procedure.
Literatur
1.
Zurück zum Zitat Cheney FW, Posner KL, Lee LA, Caplan RA, Domino KB (2006) Trends in anesthesia-related death and brain damage: a closed claims analysis. Anesthesiology 105:1081–1086PubMedCrossRef Cheney FW, Posner KL, Lee LA, Caplan RA, Domino KB (2006) Trends in anesthesia-related death and brain damage: a closed claims analysis. Anesthesiology 105:1081–1086PubMedCrossRef
2.
Zurück zum Zitat Mort TC (2005) Preoxygenation in critically ill patients requiring emergency tracheal intubation. Crit Care Med 33:2672–2675PubMedCrossRef Mort TC (2005) Preoxygenation in critically ill patients requiring emergency tracheal intubation. Crit Care Med 33:2672–2675PubMedCrossRef
3.
Zurück zum Zitat Griesdale DE, Bosma TL, Kurth T, Isac G, Chittock DR (2008) Complications of endotracheal intubation in the critically ill. Intensive Care Med 34(10):1835–1842PubMedCrossRef Griesdale DE, Bosma TL, Kurth T, Isac G, Chittock DR (2008) Complications of endotracheal intubation in the critically ill. Intensive Care Med 34(10):1835–1842PubMedCrossRef
4.
Zurück zum Zitat Hirsch-Allen AJ, Ayas N, Mountain S, Dodek P, Peets A, Griesdale DE (2010) Influence of residency training on multiple attempts at endotracheal intubation. Can J Anaesth 57:823–829PubMedCrossRef Hirsch-Allen AJ, Ayas N, Mountain S, Dodek P, Peets A, Griesdale DE (2010) Influence of residency training on multiple attempts at endotracheal intubation. Can J Anaesth 57:823–829PubMedCrossRef
5.
Zurück zum Zitat Jaber S, Amraoui J, Lefrant JY, Arich C, Cohendy R, Landreau L, Calvet Y, Capdevila X, Mahamat A, Eledjam JJ (2006) Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med 34:2355–2361PubMedCrossRef Jaber S, Amraoui J, Lefrant JY, Arich C, Cohendy R, Landreau L, Calvet Y, Capdevila X, Mahamat A, Eledjam JJ (2006) Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med 34:2355–2361PubMedCrossRef
6.
Zurück zum Zitat Schwartz DE, Matthay MA, Cohen NH (1995) Death and other complications of emergency airway management in critically ill adults. A prospective investigation of 297 tracheal intubations. Anesthesiology 82:367–376PubMedCrossRef Schwartz DE, Matthay MA, Cohen NH (1995) Death and other complications of emergency airway management in critically ill adults. A prospective investigation of 297 tracheal intubations. Anesthesiology 82:367–376PubMedCrossRef
7.
Zurück zum Zitat Reid C, Chan L, Tweeddale M (2004) The who, where, and what of rapid sequence intubation: prospective observational study of emergency RSI outside the operating theatre. Emerg Med J 21:296–301PubMedCrossRef Reid C, Chan L, Tweeddale M (2004) The who, where, and what of rapid sequence intubation: prospective observational study of emergency RSI outside the operating theatre. Emerg Med J 21:296–301PubMedCrossRef
8.
Zurück zum Zitat American Society of Anesthesiologists Task Force on Management of the Difficult Airway (2003) Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 98:1269–1277CrossRef American Society of Anesthesiologists Task Force on Management of the Difficult Airway (2003) Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 98:1269–1277CrossRef
9.
Zurück zum Zitat Reed MJ, Dunn MJ, McKeown DW (2005) Can an airway assessment score predict difficulty at intubation in the emergency department? Emerg Med J 22:99–102PubMedCrossRef Reed MJ, Dunn MJ, McKeown DW (2005) Can an airway assessment score predict difficulty at intubation in the emergency department? Emerg Med J 22:99–102PubMedCrossRef
10.
Zurück zum Zitat Shiga T, Wajima Z, Inoue T, Sakamoto A (2005) Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology 103:429–437PubMedCrossRef Shiga T, Wajima Z, Inoue T, Sakamoto A (2005) Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology 103:429–437PubMedCrossRef
11.
Zurück zum Zitat Cormack RS, Lehane J (1984) Difficult tracheal intubation in obstetrics. Anaesthesia 39:1105–1111PubMedCrossRef Cormack RS, Lehane J (1984) Difficult tracheal intubation in obstetrics. Anaesthesia 39:1105–1111PubMedCrossRef
12.
Zurück zum Zitat Benumof JL (1991) Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology 75:1087–1110PubMedCrossRef Benumof JL (1991) Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology 75:1087–1110PubMedCrossRef
13.
Zurück zum Zitat Baillard C, Fosse JP, Sebbane M, Chanques G, Vincent F, Courouble P, Cohen Y, Eledjam JJ, Adnet F, Jaber S (2006) Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients. Am J Respir Crit Care Med 174:171–177PubMedCrossRef Baillard C, Fosse JP, Sebbane M, Chanques G, Vincent F, Courouble P, Cohen Y, Eledjam JJ, Adnet F, Jaber S (2006) Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients. Am J Respir Crit Care Med 174:171–177PubMedCrossRef
14.
Zurück zum Zitat Heffner AC, Huang DT, Al-Khafaji A (2007) Post-intubation hypotension during emergency airway management. Chest 132:664c–665cCrossRef Heffner AC, Huang DT, Al-Khafaji A (2007) Post-intubation hypotension during emergency airway management. Chest 132:664c–665cCrossRef
15.
Zurück zum Zitat Green R, Hutton B, McIntyre L, Fergusson D (2009) Incidence of post-intubation hemodynamic instability associated with emergent endotracheal intubations: a systematic review. Crit Care 13:P14 Green R, Hutton B, McIntyre L, Fergusson D (2009) Incidence of post-intubation hemodynamic instability associated with emergent endotracheal intubations: a systematic review. Crit Care 13:P14
16.
Zurück zum Zitat Walz JM, Zayaruzny M, Heard SO (2007) Airway management in critical illness. Chest 131:608–620PubMedCrossRef Walz JM, Zayaruzny M, Heard SO (2007) Airway management in critical illness. Chest 131:608–620PubMedCrossRef
17.
Zurück zum Zitat Walls RM (2008) The emergency airway algorithms. In: Walls RM, Murphy MF (eds) Manual of Emergency airway management. Lippincott Williams & Wilkins, Philadelphia, p 9 Walls RM (2008) The emergency airway algorithms. In: Walls RM, Murphy MF (eds) Manual of Emergency airway management. Lippincott Williams & Wilkins, Philadelphia, p 9
18.
Zurück zum Zitat Woodruff C, Wieczorek PM, Schricker T, Vinet B, Backman SB (2010) Atomised lidocaine for airway topical anaesthesia in the morbidly obese: 1% compared with 2%. Anaesthesia 65:12–17PubMedCrossRef Woodruff C, Wieczorek PM, Schricker T, Vinet B, Backman SB (2010) Atomised lidocaine for airway topical anaesthesia in the morbidly obese: 1% compared with 2%. Anaesthesia 65:12–17PubMedCrossRef
19.
Zurück zum Zitat Jaber S, Jung B, Chanques G (2009) Endotracheal intubation in the ICU. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine, vol 2009. Springer, Berlin, pp 313–321CrossRef Jaber S, Jung B, Chanques G (2009) Endotracheal intubation in the ICU. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine, vol 2009. Springer, Berlin, pp 313–321CrossRef
20.
Zurück zum Zitat Stept WJ, Safar P (1970) Rapid induction-intubation for prevention of gastric-content aspiration. Anesth Analg 49:633–636PubMedCrossRef Stept WJ, Safar P (1970) Rapid induction-intubation for prevention of gastric-content aspiration. Anesth Analg 49:633–636PubMedCrossRef
21.
Zurück zum Zitat El-Orbany M, Connolly LA (2010) Rapid sequence induction and intubation: current controversy. Anesth Analg 110:1318–1325PubMedCrossRef El-Orbany M, Connolly LA (2010) Rapid sequence induction and intubation: current controversy. Anesth Analg 110:1318–1325PubMedCrossRef
22.
Zurück zum Zitat Hohl CM, Kelly-Smith CH, Yeung TC, Sweet DD, Doyle-Waters MM, Schulzer M (2010) The effect of a bolus dose of etomidate on cortisol levels, mortality, and health services utilization: a systematic review. Ann Emerg Med 56:105.e5–113.e5 Hohl CM, Kelly-Smith CH, Yeung TC, Sweet DD, Doyle-Waters MM, Schulzer M (2010) The effect of a bolus dose of etomidate on cortisol levels, mortality, and health services utilization: a systematic review. Ann Emerg Med 56:105.e5–113.e5
23.
Zurück zum Zitat Cuthbertson BH, Sprung CL, Annane D, Chevret S, Garfield M, Goodman S, Laterre PF, Vincent JL, Freivogel K, Reinhart K, Singer M, Payen D, Weiss YG (2009) The effects of etomidate on adrenal responsiveness and mortality in patients with septic shock. Intensive Care Med 35:1868–1876PubMedCrossRef Cuthbertson BH, Sprung CL, Annane D, Chevret S, Garfield M, Goodman S, Laterre PF, Vincent JL, Freivogel K, Reinhart K, Singer M, Payen D, Weiss YG (2009) The effects of etomidate on adrenal responsiveness and mortality in patients with septic shock. Intensive Care Med 35:1868–1876PubMedCrossRef
24.
Zurück zum Zitat Jabre P, Combes X, Lapostolle F, Dhaouadi M, Ricard-Hibon A, Vivien B, Bertrand L, Beltramini A, Gamand P, Albizzati S, Perdrizet D, Lebail G, Chollet-Xemard C, Maxime V, Brun-Buisson C, Lefrant JY, Bollaert PE, Megarbane B, Ricard JD, Anguel N, Vicaut E, Adnet F, KETASED Collaborative Study Group (2009) Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet 374:293–300PubMedCrossRef Jabre P, Combes X, Lapostolle F, Dhaouadi M, Ricard-Hibon A, Vivien B, Bertrand L, Beltramini A, Gamand P, Albizzati S, Perdrizet D, Lebail G, Chollet-Xemard C, Maxime V, Brun-Buisson C, Lefrant JY, Bollaert PE, Megarbane B, Ricard JD, Anguel N, Vicaut E, Adnet F, KETASED Collaborative Study Group (2009) Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet 374:293–300PubMedCrossRef
25.
Zurück zum Zitat Shaprio HM, Wyte SR, Harris AB (1972) Ketamine anaesthesia in patients with intracranial pathology. Br J Anaesth 44:1200–1204PubMedCrossRef Shaprio HM, Wyte SR, Harris AB (1972) Ketamine anaesthesia in patients with intracranial pathology. Br J Anaesth 44:1200–1204PubMedCrossRef
26.
Zurück zum Zitat Filanovsky Y, Miller P, Kao J (2010) Myth: ketamine should not be used as an induction agent for intubation in patients with head injury. CJEM 12:154–157PubMed Filanovsky Y, Miller P, Kao J (2010) Myth: ketamine should not be used as an induction agent for intubation in patients with head injury. CJEM 12:154–157PubMed
27.
Zurück zum Zitat Baird CR, Hay AW, McKeown DW, Ray DC (2009) Rapid sequence induction in the emergency department: induction drug and outcome of patients admitted to the intensive care unit. Emerg Med J 26:576–579PubMedCrossRef Baird CR, Hay AW, McKeown DW, Ray DC (2009) Rapid sequence induction in the emergency department: induction drug and outcome of patients admitted to the intensive care unit. Emerg Med J 26:576–579PubMedCrossRef
28.
Zurück zum Zitat Naguid M, Lien CA (2010) Pharmacology of muscle relaxants and their antagonists. Churchill Livingstone, London Naguid M, Lien CA (2010) Pharmacology of muscle relaxants and their antagonists. Churchill Livingstone, London
29.
Zurück zum Zitat Sluga M, Ummenhofer W, Studer W, Siegemund M, Marsch SC (2005) Rocuronium versus succinylcholine for rapid sequence induction of anesthesia and endotracheal intubation: a prospective, randomized trial in emergent cases. Anesth Analg 101:1356–1361PubMedCrossRef Sluga M, Ummenhofer W, Studer W, Siegemund M, Marsch SC (2005) Rocuronium versus succinylcholine for rapid sequence induction of anesthesia and endotracheal intubation: a prospective, randomized trial in emergent cases. Anesth Analg 101:1356–1361PubMedCrossRef
30.
Zurück zum Zitat Perry JJ, Lee JS, Sillberg VA, Wells GA (2008) Rocuronium versus succinylcholine for rapid sequence induction intubation. Cochrane Database Syst Rev (2):CD002788 Perry JJ, Lee JS, Sillberg VA, Wells GA (2008) Rocuronium versus succinylcholine for rapid sequence induction intubation. Cochrane Database Syst Rev (2):CD002788
31.
Zurück zum Zitat Mallon WK, Keim SM, Shoenberger JM, Walls RM (2009) Rocuronium vs. succinylcholine in the emergency department: a critical appraisal. J Emerg Med 37:183–188PubMedCrossRef Mallon WK, Keim SM, Shoenberger JM, Walls RM (2009) Rocuronium vs. succinylcholine in the emergency department: a critical appraisal. J Emerg Med 37:183–188PubMedCrossRef
32.
Zurück zum Zitat McCourt KC, Salmela L, Mirakhur RK, Carroll M, Makinen MT, Kansanaho M, Kerr C, Roest GJ, Olkkola KT (1998) Comparison of rocuronium and suxamethonium for use during rapid sequence induction of anaesthesia. Anaesthesia 53:867–871PubMedCrossRef McCourt KC, Salmela L, Mirakhur RK, Carroll M, Makinen MT, Kansanaho M, Kerr C, Roest GJ, Olkkola KT (1998) Comparison of rocuronium and suxamethonium for use during rapid sequence induction of anaesthesia. Anaesthesia 53:867–871PubMedCrossRef
33.
Zurück zum Zitat Caro DA, Bush S (2008) Pretreatment agents. In: Walls RM, Murphy MF (eds) Manual of Emergency airway management. Lippincott Williams & Wilkins, Philadelphia, p 223 Caro DA, Bush S (2008) Pretreatment agents. In: Walls RM, Murphy MF (eds) Manual of Emergency airway management. Lippincott Williams & Wilkins, Philadelphia, p 223
34.
Zurück zum Zitat Vaillancourt C, Kapur AK (2007) Opposition to the use of lidocaine in rapid sequence intubation. Ann Emerg Med 49:86–87PubMedCrossRef Vaillancourt C, Kapur AK (2007) Opposition to the use of lidocaine in rapid sequence intubation. Ann Emerg Med 49:86–87PubMedCrossRef
35.
Zurück zum Zitat Narayan RK, Kishore PR, Becker DP, Ward JD, Enas GG, Greenberg RP, Domingues Da Silva A, Lipper MH, Choi SC, Mayhall CG, Lutz HA 3rd, Young HF (1982) Intracranial pressure: to monitor or not to monitor? A review of our experience with severe head injury. J Neurosurg 56:650–659PubMedCrossRef Narayan RK, Kishore PR, Becker DP, Ward JD, Enas GG, Greenberg RP, Domingues Da Silva A, Lipper MH, Choi SC, Mayhall CG, Lutz HA 3rd, Young HF (1982) Intracranial pressure: to monitor or not to monitor? A review of our experience with severe head injury. J Neurosurg 56:650–659PubMedCrossRef
36.
Zurück zum Zitat Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care, AANS/CNS, Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, Manley GT, Nemecek A, Newell DW, Rosenthal G, Schouten J, Shutter L, Timmons SD, Ullman JS, Videtta W, Wilberger JE, Wright DW (2007) Guidelines for the management of severe traumatic brain injury. I. Blood pressure and oxygenation. J Neurotrauma 24(Suppl 1):S7–S13 Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care, AANS/CNS, Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, Manley GT, Nemecek A, Newell DW, Rosenthal G, Schouten J, Shutter L, Timmons SD, Ullman JS, Videtta W, Wilberger JE, Wright DW (2007) Guidelines for the management of severe traumatic brain injury. I. Blood pressure and oxygenation. J Neurotrauma 24(Suppl 1):S7–S13
37.
Zurück zum Zitat Nouruzi-Sedeh P, Schumann M, Groeben H (2009) Laryngoscopy via Macintosh blade versus GlideScope: success rate and time for endotracheal intubation in untrained medical personnel. Anesthesiology 110:32–37PubMedCrossRef Nouruzi-Sedeh P, Schumann M, Groeben H (2009) Laryngoscopy via Macintosh blade versus GlideScope: success rate and time for endotracheal intubation in untrained medical personnel. Anesthesiology 110:32–37PubMedCrossRef
38.
Zurück zum Zitat Sun DA, Warriner CB, Parsons DG, Klein R, Umedaly HS, Moult M (2005) The GlideScope Video Laryngoscope: randomized clinical trial in 200 patients. Br J Anaesth 94:381–384PubMedCrossRef Sun DA, Warriner CB, Parsons DG, Klein R, Umedaly HS, Moult M (2005) The GlideScope Video Laryngoscope: randomized clinical trial in 200 patients. Br J Anaesth 94:381–384PubMedCrossRef
39.
Zurück zum Zitat Serocki G, Bein B, Scholz J, Dorges V (2010) Management of the predicted difficult airway: a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope. Eur J Anaesthesiol 27:24–30PubMedCrossRef Serocki G, Bein B, Scholz J, Dorges V (2010) Management of the predicted difficult airway: a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope. Eur J Anaesthesiol 27:24–30PubMedCrossRef
40.
Zurück zum Zitat Davies PR, Tighe SQ, Greenslade GL, Evans GH (1990) Laryngeal mask airway and tracheal tube insertion by unskilled personnel. Lancet 336:977–979PubMedCrossRef Davies PR, Tighe SQ, Greenslade GL, Evans GH (1990) Laryngeal mask airway and tracheal tube insertion by unskilled personnel. Lancet 336:977–979PubMedCrossRef
41.
Zurück zum Zitat Brimacombe J, Berry A, Verghese C (1995) The laryngeal mask airway in critical care medicine. Intensive Care Med 21:361–364PubMedCrossRef Brimacombe J, Berry A, Verghese C (1995) The laryngeal mask airway in critical care medicine. Intensive Care Med 21:361–364PubMedCrossRef
42.
Zurück zum Zitat Blair EJ, Mihai R, Cook TM (2007) Tracheal intubation via the Classic and Proseal laryngeal mask airways: a manikin study using the Aintree Intubating Catheter. Anaesthesia 62:385–387PubMedCrossRef Blair EJ, Mihai R, Cook TM (2007) Tracheal intubation via the Classic and Proseal laryngeal mask airways: a manikin study using the Aintree Intubating Catheter. Anaesthesia 62:385–387PubMedCrossRef
43.
44.
Zurück zum Zitat Georgiou AP, Gouldson S, Amphlett AM (2010) The use of capnography and the availability of airway equipment on Intensive Care Units in the UK and the Republic of Ireland. Anaesthesia 65:462–467PubMedCrossRef Georgiou AP, Gouldson S, Amphlett AM (2010) The use of capnography and the availability of airway equipment on Intensive Care Units in the UK and the Republic of Ireland. Anaesthesia 65:462–467PubMedCrossRef
45.
Zurück zum Zitat Grmec S (2002) Comparison of three different methods to confirm tracheal tube placement in emergency intubation. Intensive Care Med 28:701–704PubMedCrossRef Grmec S (2002) Comparison of three different methods to confirm tracheal tube placement in emergency intubation. Intensive Care Med 28:701–704PubMedCrossRef
46.
Zurück zum Zitat Jaber S, Chanques G, Matecki S, Ramonatxo M, Vergne C, Souche B, Perrigault PF, Eledjam JJ (2003) Post-extubation stridor in intensive care unit patients. Risk factors evaluation and importance of the cuff-leak test. Intensive Care Med 29:69–74PubMed Jaber S, Chanques G, Matecki S, Ramonatxo M, Vergne C, Souche B, Perrigault PF, Eledjam JJ (2003) Post-extubation stridor in intensive care unit patients. Risk factors evaluation and importance of the cuff-leak test. Intensive Care Med 29:69–74PubMed
47.
Zurück zum Zitat Constantin JM, Futier E, Cherprenet AL, Chanques G, Guerin R, Cayot-Constantin S, Jabaudon M, Perbet S, Chartier C, Jung B, Guelon D, Jaber S, Bazin JE (2010) A recruitment maneuver increases oxygenation after intubation of hypoxemic intensive care unit patients: a randomized controlled study. Crit Care 14:R76PubMedCrossRef Constantin JM, Futier E, Cherprenet AL, Chanques G, Guerin R, Cayot-Constantin S, Jabaudon M, Perbet S, Chartier C, Jung B, Guelon D, Jaber S, Bazin JE (2010) A recruitment maneuver increases oxygenation after intubation of hypoxemic intensive care unit patients: a randomized controlled study. Crit Care 14:R76PubMedCrossRef
48.
Zurück zum Zitat Jaber S, Jung B, Corne P, Sebbane M, Muller L, Chanques G, Verzilli D, Jonquet O, Eledjam JJ, Lefrant JY (2010) An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Intensive Care Med 36:248–255PubMedCrossRef Jaber S, Jung B, Corne P, Sebbane M, Muller L, Chanques G, Verzilli D, Jonquet O, Eledjam JJ, Lefrant JY (2010) An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Intensive Care Med 36:248–255PubMedCrossRef
49.
Zurück zum Zitat The Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301–1308CrossRef The Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301–1308CrossRef
50.
Zurück zum Zitat Kory PD, Eisen LA, Adachi M, Ribaudo VA, Rosenthal ME, Mayo PH (2007) Initial airway management skills of senior residents: simulation training compared with traditional training. Chest 132:1927–1931PubMedCrossRef Kory PD, Eisen LA, Adachi M, Ribaudo VA, Rosenthal ME, Mayo PH (2007) Initial airway management skills of senior residents: simulation training compared with traditional training. Chest 132:1927–1931PubMedCrossRef
51.
Zurück zum Zitat Mayo PH, Hackney JE, Mueck JT, Ribaudo V, Schneider RF (2004) Achieving house staff competence in emergency airway management: results of a teaching program using a computerized patient simulator. Crit Care Med 32:2422–2427PubMedCrossRef Mayo PH, Hackney JE, Mueck JT, Ribaudo V, Schneider RF (2004) Achieving house staff competence in emergency airway management: results of a teaching program using a computerized patient simulator. Crit Care Med 32:2422–2427PubMedCrossRef
52.
Zurück zum Zitat Rosenthal ME, Adachi M, Ribaudo V, Mueck JT, Schneider RF, Mayo PH (2006) Achieving housestaff competence in emergency airway management using scenario based simulation training: comparison of attending vs housestaff trainers. Chest 129:1453–1458PubMedCrossRef Rosenthal ME, Adachi M, Ribaudo V, Mueck JT, Schneider RF, Mayo PH (2006) Achieving housestaff competence in emergency airway management using scenario based simulation training: comparison of attending vs housestaff trainers. Chest 129:1453–1458PubMedCrossRef
53.
Zurück zum Zitat Kheterpal S, Han R, Tremper KK, Shanks A, Tait AR, O’Reilly M, Ludwig TA (2006) Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 105:885–891PubMedCrossRef Kheterpal S, Han R, Tremper KK, Shanks A, Tait AR, O’Reilly M, Ludwig TA (2006) Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 105:885–891PubMedCrossRef
54.
Zurück zum Zitat Han R, Tremper KK, Kheterpal S, O’Reilly M (2004) Grading scale for mask ventilation. Anesthesiology 101:267PubMedCrossRef Han R, Tremper KK, Kheterpal S, O’Reilly M (2004) Grading scale for mask ventilation. Anesthesiology 101:267PubMedCrossRef
55.
Zurück zum Zitat Karkouti K, Rose DK, Wigglesworth D, Cohen MM (2000) Predicting difficult intubation: a multivariable analysis. Can J Anesth 47:730–739PubMedCrossRef Karkouti K, Rose DK, Wigglesworth D, Cohen MM (2000) Predicting difficult intubation: a multivariable analysis. Can J Anesth 47:730–739PubMedCrossRef
56.
Zurück zum Zitat Crosby ET, Cooper RM, Douglas MJ, Doyle DJ, Hung OR, Labrecque P, Muir H, Murphy MF, Preston RP, Rose DK, Roy L (1998) The unanticipated difficult airway with recommendations for management. Can J Anaesth 45:757–776PubMedCrossRef Crosby ET, Cooper RM, Douglas MJ, Doyle DJ, Hung OR, Labrecque P, Muir H, Murphy MF, Preston RP, Rose DK, Roy L (1998) The unanticipated difficult airway with recommendations for management. Can J Anaesth 45:757–776PubMedCrossRef
57.
Zurück zum Zitat Benedetto WJ, Hess DR, Gettings E, Bigatello LM, Toon H, Hurford WE, Schmidt U (2007) Urgent tracheal intubation in general hospital units: an observational study. J Clin Anesth 19:20–24PubMedCrossRef Benedetto WJ, Hess DR, Gettings E, Bigatello LM, Toon H, Hurford WE, Schmidt U (2007) Urgent tracheal intubation in general hospital units: an observational study. J Clin Anesth 19:20–24PubMedCrossRef
58.
Zurück zum Zitat Ezri T, Weisenberg M, Khazin V, Zabeeda D, Sasson L, Shachner A, Medalion B (2003) Difficult laryngoscopy: incidence and predictors in patients undergoing coronary artery bypass surgery versus general surgery patients. J Cardiothorac Vasc Anesth 17:321–324PubMedCrossRef Ezri T, Weisenberg M, Khazin V, Zabeeda D, Sasson L, Shachner A, Medalion B (2003) Difficult laryngoscopy: incidence and predictors in patients undergoing coronary artery bypass surgery versus general surgery patients. J Cardiothorac Vasc Anesth 17:321–324PubMedCrossRef
59.
Zurück zum Zitat el-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, Ivankovich AD (1996) Preoperative airway assessment: predictive value of a multivariate risk index. Anesth Analg 82:1197–1204PubMed el-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, Ivankovich AD (1996) Preoperative airway assessment: predictive value of a multivariate risk index. Anesth Analg 82:1197–1204PubMed
60.
Zurück zum Zitat Rose DK, Cohen MM (1996) The incidence of airway problems depends on the definition used. Can J Anaesth 43:30–34PubMedCrossRef Rose DK, Cohen MM (1996) The incidence of airway problems depends on the definition used. Can J Anaesth 43:30–34PubMedCrossRef
61.
Metadaten
Titel
Airway Management in Critically Ill Patients
verfasst von
Donald E. G. Griesdale
William R. Henderson
Robert S. Green
Publikationsdatum
01.06.2011
Verlag
Springer-Verlag
Erschienen in
Lung / Ausgabe 3/2011
Print ISSN: 0341-2040
Elektronische ISSN: 1432-1750
DOI
https://doi.org/10.1007/s00408-011-9278-3

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Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

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