Algorithm for difficult tracheal intubation


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Abstract

The description of intubation problem, its causes, possibilities and predictions is given. The estimation scale can be also seen in the article. As well as the actions of the doctor in case of the intubation and different technical processes for prevention of the fatal case.

About the authors

Igor V. Molchanov

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the FMBA of Russia; GBOU DPO RMAPO

Author for correspondence.
Email: igormol46@mail.ru

head Department of Anesthesiology and Intensive Care GBOU DPO RMAPO, Ch. anesthesiologist-resuscitator of the Ministry of Healthcare of the Russian Federation, Doctor of Medical Sciences, Professor

Russian Federation, Moscow; Moscow

Nikolay E. Burov

GBOU DPO RMAPO

Email: igormol46@mail.ru

Professor of the Department of Anesthesiology and Reanimatology, Doctor of Medical Sciences

Russian Federation, Moscow

Natalia N. Pulina

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the FMBA of Russia

Email: igormol46@mail.ru

head Department of Anesthesiology, Candidate of Medical Sciences

Russian Federation, Moscow

Oleg N. Cherkavsky

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the FMBA of Russia

Email: igormol46@mail.ru

head Department of Anesthesiology, Candidate of Medical Sciences

Moscow

References

  1. Буров Н.Е., Волков О.И. Тактика и техника врача-анестезиолога при трудной интубации.// Клин анестезиол и реаниматол. 2004, т.1, №2, С. 68-74.
  2. Буров Н.Е. Протокол обеспечения проходимости дыхательных путей. (Обзор литературы и материалов совещания Главн. анестезиологов МЗСР РФ.2005)//Клин анетезиол и реаниматол. 2005, т.2., №3., С. 2-12.
  3. Молчанов И.В., Заболотских И.Б., Магомедов М.А. Трудный дыхательный путь с позиции анестезиолога-реаниматолога// Пособие для врачей П. Интел Тек. 2006.
  4. Cormack RS, Lehane J, Difficult intubation in obstetrics. Anaesthesia 1984; 39: 1105-1111.
  5. Mallampati S.R. Clinical signs to predict difficult tracheal intubation (hypothesis).//Can Anaesth Soc J 1983.30.316-317.
  6. Patil V.U., Stehling L.C., Zaunder H.L. Fiberoptic Endoscopy in Anesthesia. Chicago: Year Book Medical Publishers, 1983.
  7. Samsoon GLT., Young JRB. Difficult tracheal intubation: a retrospective study. Anaesthesia 1987; 42: 487-490.
  8. Sawa D. Prediction of difficult trachea intubation. Brit Journal of Anaesth 1994; 73:149-153.
  9. Shanther T.R. Retrograde intubation using the subcricoid region. Brit Journal of Anaesth 1992; 68: 109-112.
  10. Wilson M.E., Spiegelhaller D., Robertson J.A., Lesser P. Predicting difficult intubation. Brit Journal of Anaesth 1988;61:211-216.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Mallampati Diagnostic Test.

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3. Fig.2a. Measurement of tyromental distance; b - sterno-mental distance.

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4. Fig. 3. Laryngoscopic assessment (Cormack-Lehane diagnostic test)

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5. Fig. 4. Fiberscope Bonfids.

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6. Rice. 5. "Needle on the catheter"

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7. Fig. 6. Cricothyroidism technique

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Copyright (c) 2021 Molchanov I.V., Burov N.E., Pulina N.N., Cherkavsky O.N.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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