Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Management of difficult airways. | Available online http content 10 6 243 Review Clinical review Management of difficult airways Olivier Langeron Julien Amour Benoit Vivien and Frédéric Aubrun Department of Anesthesiology and Critical Care Centre Hospitalier Universitaire Pitié-Salpêtrière Assistance Publique-Hôpitaux de Paris Université Pierre et Marie Curie Paris 6 Paris France Corresponding author Olivier Langeron Published 14 December 2006 This article is online at http content 10 6 243 2006 BioMed Central Ltd Critical Care 2006 10 243 doi cc5112 Abstract Difficulties or failure in airway management are still important factors in morbidity and mortality related to anesthesia and intensive care. A patent and secure airway is essential to manage anesthetized or critically ill patients. Oxygenation maintenance during tracheal intubation is the cornerstone of difficult airway management and is always emphasized in guidelines. The occurrence of respiratory adverse events has decreased in claims for injuries due to inadequate airway management mainly at induction of anesthesia. Nevertheless claim reports emphasize that airway emergencies tracheal extubation and or recovery of anesthesia phases are still associated with death or brain damage indicating that additional educational support and management strategies to improve patient safety are required. The present brief review analyses specific problems of airway management related to difficult tracheal intubation and to difficult mask ventilation prediction. The review will focus on basic airway management including preoxygenation and on some oxygenation and tracheal intubation techniques that may be performed to solve a difficult airway. Introduction Difficulties or failure in airway management are still important factors in morbidity and mortality related to anesthesia 1-4 . The occurrence of respiratory adverse events has decreased in claims for injuries due to inadequate ventilation and
