Book contents
- Core Topics in Airway Management
- Core Topics in Airway Management
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Section 1 Airway Management: Background and Techniques
- Chapter 1 Anatomy
- Chapter 2 Physiology of Apnoea, Hypoxia and Airway Reflexes
- Chapter 3 The Epidemiology of Airway Management Complications
- Chapter 4 Structured Planning of Airway Management
- Chapter 5 Pre-anaesthetic Airway Assessment
- Chapter 6 Pre-anaesthetic Airway Endoscopy, Real and Virtual
- Chapter 7 Ultrasonography for Airway Management
- Chapter 8 Oxygenation: before, during and after Airway Management
- Chapter 9 Awake Tracheal Intubation
- Chapter 10 Drugs for Airway Management
- Chapter 11 How to Avoid Morbidity from Aspiration of Gastric Content to the Lungs
- Chapter 12 Face Mask Ventilation
- Chapter 13 Supraglottic Airways
- Chapter 14 Tracheal Intubation: Direct Laryngoscopy
- Chapter 15 Tracheal Tube Introducers (Bougies), Stylets and Airway Exchange Catheters
- Chapter 16 Tracheal Intubation Using the Flexible Optical Bronchoscope
- Chapter 17 Videolaryngoscopy
- Chapter 18 Expiratory Ventilation Assistance and Ventilation through Narrow Tubes
- Chapter 19 Multimodal Techniques for Airway Management
- Chapter 20 Front of Neck Airway (FONA)
- Chapter 21 Extubation
- Section 2 Airway Management: Clinical Settings and Subspecialties
- Section 3 Airway Management: Organisation
- Index
- References
Chapter 8 - Oxygenation: before, during and after Airway Management
from Section 1 - Airway Management: Background and Techniques
Published online by Cambridge University Press: 03 October 2020
Book contents
- Core Topics in Airway Management
- Core Topics in Airway Management
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Section 1 Airway Management: Background and Techniques
- Chapter 1 Anatomy
- Chapter 2 Physiology of Apnoea, Hypoxia and Airway Reflexes
- Chapter 3 The Epidemiology of Airway Management Complications
- Chapter 4 Structured Planning of Airway Management
- Chapter 5 Pre-anaesthetic Airway Assessment
- Chapter 6 Pre-anaesthetic Airway Endoscopy, Real and Virtual
- Chapter 7 Ultrasonography for Airway Management
- Chapter 8 Oxygenation: before, during and after Airway Management
- Chapter 9 Awake Tracheal Intubation
- Chapter 10 Drugs for Airway Management
- Chapter 11 How to Avoid Morbidity from Aspiration of Gastric Content to the Lungs
- Chapter 12 Face Mask Ventilation
- Chapter 13 Supraglottic Airways
- Chapter 14 Tracheal Intubation: Direct Laryngoscopy
- Chapter 15 Tracheal Tube Introducers (Bougies), Stylets and Airway Exchange Catheters
- Chapter 16 Tracheal Intubation Using the Flexible Optical Bronchoscope
- Chapter 17 Videolaryngoscopy
- Chapter 18 Expiratory Ventilation Assistance and Ventilation through Narrow Tubes
- Chapter 19 Multimodal Techniques for Airway Management
- Chapter 20 Front of Neck Airway (FONA)
- Chapter 21 Extubation
- Section 2 Airway Management: Clinical Settings and Subspecialties
- Section 3 Airway Management: Organisation
- Index
- References
Summary
Oxygenation is the primary aim of all airway management. The shape of the oxyhaemoglobin dissociation curve determines onset of hypoxaemia and means that when it occurs it can progress rapidly and severely. Hypoxaemia causes rapid damage to living tissues, most importantly the brain. Oxygenation strategies are required including delivering oxygen before, during and after airway management. Low flow oxygenation techniques are traditionally employed and apnoeic oxygenation has been rarely used. Newer high flow oxygen delivery systems enable effective pre-oxygenation and apnoeic oxygenation and can be used both during complex airway management or as an alternative to instrumenting the airway during surgery.
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- Core Topics in Airway Management , pp. 72 - 79Publisher: Cambridge University PressPrint publication year: 2020
References
Further Reading
Hermez, LA, Spence, CJ, Payton, MJ, et al. (2019). A physiological study to determine the mechanism of carbon dioxide clearance during apnoea when using transnasal humidified rapid insufflation ventilatory exchange (THRIVE). Anaesthesia, 74, 441–449.CrossRefGoogle ScholarPubMed
Higgs, A, McGrath, BA, Goddard, C, et al.; Difficult Airway Society; Intensive Care Society; Faculty of Intensive Care Medicine; Royal College of Anaesthetists. (2018). Guidelines for the management of tracheal intubation in critically ill adults. British Journal of Anaesthesia, 120, 323–352.CrossRefGoogle ScholarPubMed
Patel, A, Nouraei, SAR. (2015). Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE): a physiological method of increasing apnoea time in patients with difficult airways. Anaesthesia, 70, 323–329.CrossRefGoogle ScholarPubMed
Sakles, JC, Chiu, S, Mosier, J, Walker, C, Stolz, U. (2013). The importance of first pass success when performing orotracheal intubation in the emergency department. Academic Emergency Medicine, 20, 71–78CrossRefGoogle ScholarPubMed
Simon, M, Wachs, C, Braune, S, et al. (2016). High-flow nasal cannula versus bag-valve-mask for preoxygenation before intubation in subjects with hypoxemic respiratory failure. Respiratory Care, 61, 1160–1167.CrossRefGoogle ScholarPubMed
Weingart, SD, Levitan, RM. (2012). Preoxygenation and prevention of desaturation during emergency airway management. Annals of Emergency Medicine, 59, 165–175.CrossRefGoogle ScholarPubMed