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Emergency operative airway techniques

  • Tom Shokri
    Affiliations
    Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
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  • David Goldenberg
    Correspondence
    Address reprint requests and correspondence: David Goldenberg, MD, FACS, Division of Otolaryngology—Head and Neck Surgery, The Pennsylvania State University, The Milton S. Hershey Medical Center, 500 University Dr, P.O. Box 850 H091, Hershey, PA 17033.
    Affiliations
    Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
    Search for articles by this author
Published:August 23, 2017DOI:https://doi.org/10.1016/j.otot.2017.08.010
      The otolaryngologist—head and neck surgeon must be adept at providing assistance and intervening surgically in airway management when adequate ventilation becomes challenging. A step-wise and logical approach to airway emergencies can prevent poor outcomes. It is therefore important to have both a strong understanding of airway anatomy as well as an armamentarium of strategies or techniques in securing the airway if ones initial approach is problematic. The present article discusses several surgical approaches to the patient with a difficult airway.

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      References

        • Frost E.A.
        Tracing the tracheotomy.
        Ann Otol Rhinol Laryngol. 1976; 85: 618-624
        • Szmuk P.
        • Ezri T.
        • Evron S.
        • et al.
        A brief history of tracheotomy and tracheal intubation, from the bronze age to the space age.
        Intensive Care Med. 2008; 34: 222-228
        • Ciaglia P.
        • Firsching R.
        • Syniec C.
        Elective percutaneous dilatational tracheotomy. A new simple bedside procedure; preliminary report.
        Chest. 1985; 87: 715-719
        • Jackson C.
        Tracheotomy.
        Laryngoscope. 1909; 18: 285
        • Brantigan C.O.
        • Grow J.B.
        Cricothyroidotomy: Elective use in respiratory problems requiring tracheotomy.
        J Thorac Cardiovasc Surg. 1976; 71: 72-81
        • Rehm C.G.
        • Wanek S.M.
        • Gagnon E.B.
        • et al.
        Cricothyroidotomy for elective airway management in critically ill trauma patients with technically challenging neck anatomy.
        Crit Care. 2002; 6: 531-535
        • Apfelbaum J.L.
        • Hagberg C.A.
        • Caplan R.A.
        • et al.
        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. 2013; 118: 251-270
        • Mace S.E.
        Cricothyrotomy.
        J Emerg Med. 1988; 6: 309-319
        • Leibovici D.
        • Fredman B.
        • Gofrit O.N.
        • et al.
        Prehospital cricothyroidotomy by physicians.
        Am J Emerg Med. 1997; 15: 91-93
        • Goldenberg D.
        • Ari E.G.
        • Golz A.
        Tracheotomy complications: A retrospective study of 1130 cases.
        Otolaryngol Head Neck Surg. 2000; 123: 495-500
        • DiGiacomo C.
        • Neshat K.K.
        • Angus L.D.
        • et al.
        Emergency cricothyrotomy.
        Mil Med. 2003; 168: 541-544
        • Holmes J.F.
        • Panacek E.A.
        • Sakles J.C.
        • et al.
        Comparison of 2 cricothyrotomy techniques: Standard method versus rapid 4-step technique.
        Ann Emerg Med. 1998; 32: 442-446
        • Gillespie M.B.
        • Eisele D.W.
        Outcomes of emergency surgical airway procedures in a hospital-wide setting.
        Laryngoscope. 1999; 109: 1766-1769
        • Milner S.M.
        • Bennett J.D.C.
        Emergency cricothyrotomy.
        J Laryngol Otol. 1991; 105: 883-885
        • Bainton C.R.
        Cricothyrotomy.
        Int Anesthesiol Clin. 1994; 32: 95-108
        • Gibbs M.A.
        • Walls R.
        Surgical airway.
        in: Hagberg C.A. Benumof’s Airway Management. ed 2. Elsevier, Philadelphia2009: 678-696
        • Goldstein B.J.
        • Goldenberg D.
        The difficult airway: Implications for the otolaryngologist–head and neck surgeon.
        Operat Tech Otolaryngol Head Neck Surg. 2007; 18: 72-76
        • Scurry W.C.
        • McGinn J.D.
        Operative tracheotomy.
        Operat Tech Otolaryngol Head Neck Surg. 2007; 18: 85-89
        • McWhorter A.J.
        Tracheotomy: Timing and techniques.
        Curr Opin Otolaryngol Head Neck Surg. 2003; 11: 473-479
        • Erlandson M.J.
        • Clinton J.E.
        • Ruiz E.
        • et al.
        Cricothyroidotomy in the emergency department revisited.
        J Emerg Med. 1989; 7: 115-118
        • Salvino C.K.
        • Dries D.
        • Garnelli R.
        • et al.
        Emergency cricothyroidotomy in trauma victims.
        J Trauma. 1993; 34: 503-505
        • DeLaurier G.
        • Hawkins M.L.
        • Treat R.C.
        • et al.
        Acute airway management: Role of cricothyroidotomy.
        Am Surg. 1990; 56: 12-15
        • Fortune J.B.
        • Judkins D.G.
        • Scanzaroli D.
        • et al.
        Efficacy of prehospital surgical cricothyrotomy in trauma patients.
        J Trauma. 1997; 42: 832-836