Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-24T00:00:16.656Z Has data issue: false hasContentIssue false

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

By
Søren Steemann Rudolph  and
Anil Patel
Edited by
Tim Cook  and
Michael Seltz Kristensen
Tim Cook
Affiliation:
Royal United Hospital, Bath, UK
Michael Seltz Kristensen
Affiliation:
Rigshospitalet, Copenhagen University Hospital, Denmark
Get access

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.

Keywords

Airwayapnoeic oxygenationhigh flowhypoxaemiahypoxialow flowoxygenoxygenationpre-oxygenation
Type
Chapter
Information
Core Topics in Airway Management , pp. 72 - 79
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×