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Airway management

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495:. Nasopharyngeal airways are produced in various lengths and diameters to accommodate for gender and anatomical variations. Functionally, the device is gently inserted through a patient's nose after careful lubrication with a viscous lidocaine gel. Successful placement will facilitate spontaneous ventilation, masked ventilation, or machine assisted ventilation with a modified nasopharyngeal airway designed with special attachments at the proximal end. Patients generally tolerate NPAs very well. NPAs are preferred over OPAs when the patient's jaw is clenched or if the patient is semiconscious and cannot tolerate an OPA. NPAs, however, are generally not recommended if there is suspicion of a 612: 785: 205: 424: 213: 279: 821:
laryngoscopy difficult, and therefore in those with suspected thermal burns, intubation is recommended in attempts to quickly secure an airway prior to progression of the swelling. Furthermore, blood and vomitus in the airway may prove visualization of the vocal cords difficult rendering direct and video laryngoscopy, as well as fiberoptic bronchoscopy challenging. Establishment of a surgical airway is challenging in the setting of restricted neck extension (such as in a
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finger sweep. If the person is conscious, they should be able to remove the foreign object themselves, and if they are unconscious, a finger sweep can cause more harm. A finger sweep can push the foreign body further down the airway, making it harder to remove, or cause aspiration by inducing the person to vomit. Additionally, there is the potential for harm to the rescuer if they are unable to clearly see the oral cavity (for example, cutting a finger on jagged teeth).
506: 3476: 544:(LMA). An LMA is a cuffed perilaryngeal sealer that is inserted into the mouth and set over the glottis. Once it is in its seated position, the cuff is inflated. Other variations include devices with oesophageal access ports, so that a separate tube can be inserted from the mouth to the stomach to decompress accumulated gases and drain liquid contents. Other variations of the device can have an endotracheal tube passed through the LMA and into the trachea. 484:(NPA). In general, features of an ideal supraglottic airway include the ability to bypass the upper airway, produce low airway resistance, allow both positive pressure as well as spontaneous ventilation, protect the respiratory tract from gastric and nasal secretions, be easily inserted by even a nonspecialist, produce high first-time insertion rate, remain in place once in seated position, minimize risk of aspiration, and produce minimal side effects. 291: 327: 3486: 631: 553: 502:. In these circumstances, insertion of the NPA can cause neurological damage by entering the cranium during placement. There is no consensus, however, regarding the risk of neurological damage secondary to a basilar skull fracture compared to hypoxia due to insufficient airway management. Other complications of Nasopharyngeal airways use includes laryngospasm, epistaxis, vomiting, and tissue necrosis with prolonged use. 29: 757: 529:, it should only be used in a deeply sedated or unresponsive patient to avoid vomiting and aspiration. Careful attention must be made while inserting an OPA. The user must avoid pushing the tongue further down the patient's throat. This is usually done by inserting the OPA with its curve facing cephalad and rotating it 180 degrees as you enter the posterior pharynx. 246:, recommend several stages, designed to apply increasingly more pressure. Most protocols recommend first encouraging the victims to cough, and allowing them an opportunity to spontaneously clear the foreign body if they are coughing forcefully. If the person's airway continues to be blocked, more forceful maneuvers such as hard back slaps and 346:. The practitioner places their index and middle fingers behind the angle of the mandible to physically push the posterior aspects of the mandible upwards while their thumbs push down on the chin to open the mouth. When the mandible is displaced forward, it pulls the tongue forward and prevents it from occluding the entrance to the trachea. 677:, or massive facial trauma. Cricothyrotomy is much easier and quicker to perform than tracheotomy, does not require manipulation of the cervical spine and is associated with fewer immediate complications. Some complications of cricothyrotomy include bleeding, infection, and injury to surrounding skin and soft tissue structures. 540:
devices arise in morbidly obese patients, lengthy surgical procedures, surgery involving the airways, laparoscopic procedures and others due to its bulkier design and inferior ability to prevent aspiration. In these circumstances, endotracheal intubation is generally preferred. The most commonly used extraglottic device is the
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down position can be used for self-treatment of suffocation and appears to be an option only if other maneuvers do not work. In contrast, in children under 1 it is recommended that the child be placed in a head down position as this appears to help increase the effectiveness of back slaps and abdominal thrusts.
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is suspected. Endotracheal intubation carries with it many risks, particularly when paralytics are used, as maintenance of the airway becomes a challenge if intubation fails. It should therefore be attempted by experienced personnel, only when less invasive methods fail or when it is deemed necessary
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In contrast to supraglottic devices, infraglottic devices create a conduit between the mouth, passing through the glottis, and into the trachea. There are many infraglottic methods available and the chosen technique is reliant on the accessibility of medical equipment, competence of the clinician and
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are used to help hold the head in-line. Most of these airway maneuvers are associated with some movement of the cervical spine. Even though cervical collars can cause problems maintaining an airway and maintaining a blood pressure, it is not recommended to remove the collar without adequate personnel
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is not a concern. This maneuver involves flexion of the neck and extension of the head at Atlanto-occipital joint (also called the sniffing position), which opens up the airway by lifting the tongue away from the back of the throat. Placing a folded towel behind the head accomplishes the same result.
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When the victim can not receive pressures on the abdomen (it can happen in case of pregnancy or excessive obesity, for example), chest thrusts are advised instead of abdominal thrusts. The chest thrusts are the same type of compressions but applied on the lower half of the chest bone (not in the very
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Abdominal thrusts can also be performed on oneself with the help of the objects near, for example: by leaning over a chair. Anyway, when the choking victim is oneself, one of the more reliable options is the usage of any specific anti-choking device. In adults, there is limited evidence that the head
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For the management of in-hospital cardiac arrest however, studies currently support the establishment of an advanced airway. It is well documented that quality chest compressions with minimal interruption result in improved survival. This is suggested to be due, in part, to decreased no-flow-time in
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The ingestion and aspiration of foreign objects pose a common and dangerous problem in young children. It remains one of the leading cause of death in children under the age of 5. Common food items (baby carrots, peanuts, etc.) and household objects (coins, metals, etc.) may lodge in various levels
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Performing abdominal thrusts on someone else involves standing behind them, and providing inward and upward forceful compressions in the upper abdomen, concretely in the area located between the chest and the belly button. The rescuer usually gives the compressions using a fist that is grasped with
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Supraglottic techniques use devices that are designed to have the distal tip resting above the level of the glottis when in its final seated position. Supraglottic devices ensure patency of the upper respiratory tract without entry into the trachea by bridging the oral and pharyngeal spaces. There
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as these are all components of the respiratory tract and failure anywhere along this path may impede ventilation. Excessive facial hair, severe burns, and maxillofacial trauma may prevent acquisition of a good mask seal, rendering bag-valve mask ventilation difficult. Edema of the airway can make
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A tracheotomy is a surgical procedure in which a surgeon makes incision in the neck and a breathing tube is inserted directly into the trachea. A common reason for performing a tracheotomy includes requiring to be put on a mechanical ventilator for a longer period. The advantages of a tracheotomy
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Extraglottic devices are used in the majority of operative procedures performed under general anaesthesia. Compared to a cuffed tracheal tube, extraglottic devices provide less protection against aspiration but are more easily inserted and causes less laryngeal trauma. Limitations of extraglottic
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The American Medical Association and Australian Resuscitation Council advocate sweeping the fingers across the back of the throat to attempt to dislodge airway obstructions, once the choking victim becomes unconscious. However, many modern protocols and literature recommend against the use of the
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Management of the airway in trauma can be particularly complicated, and is dependent on the mechanism, location, and severity of injury to the airway and its surrounding tissues. Injuries to the cervical spine, traumatic disruption of the airway itself, edema in the setting of caustic or thermal
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airways) resulted in greater short-term and long-term survival, as well as improved neurological outcomes in comparison to advanced airway interventions (endotracheal intubation, laryngeal mask airway, all types of supraglottic airways (SGA), and trans-tracheal or trans-cricothyroid membrane
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are curved, rigid plastic devices, inserted into the patient's mouth. Oropharyngeal airways are produced in various lengths and diameters to accommodate for gender and anatomical variations. It is especially useful in patients with excessive tongue and other soft tissues. OPAs prevent airway
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The pre-hospital setting provides unique challenges to management of the airway including tight spaces, neck immobilization, poor lighting, and often the added complexity of attempting procedures during transport. When possible, basic airway management should be prioritized including
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head-tilt-chin-lift maneuvers, and bag-valve masking. If ineffective, a supraglottic airway can be utilized to aid in oxygenation and maintenance of a patent airway. An oropharyngeal airway is acceptable, however nasopharyngeal airways should be avoided in trauma, particularly if a
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Sayre, Michael R.; Berg, Robert A.; Cave, Diana M.; Page, Richard L.; Potts, Jerald; White, Roger D. (2008-04-22). "Hands-Only (Compression-Only) Cardiopulmonary Resuscitation: A Call to Action for Bystander Response to Adults Who Experience Out-of-Hospital Sudden Cardiac Arrest".
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is an important prevention technique for an unconscious person that is breathing casually. This position entails having the person lie in a stable position on their side with the head in a dependent position so fluids do not drain down the airway, reducing the risk of aspiration.
254:) can be performed. Some guidelines recommend alternating between abdominal thrusts and back slaps while others recommend the same starting with the back slaps first. Having the person lean forward reduces the chances of the foreign body going back down the airway when coming up. 825:), laryngotracheal disruption, or distortion of the anatomy by a penetrating force or hematoma. Tracheotomy in the operating room by trained professionals is recommended over cricothyroidotomy in the case of complete laryngotracheal disruption or children under the age of 12. 704:
The optimal method of airway management during CPR is not well established at this time given that the majority of studies on the topic are observational in nature. These studies, however, guide recommendations until prospective, randomized controlled trials are conducted.
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airways). Given that these are observational studies, caution must be given to the possibility of confounding by indication. That is, patients requiring an advanced airway may have had a poorer prognosis in relation to those requiring basic interventions to begin with.
201:, quick, and relatively simple to perform. The simplest way to determine if the airway is obstructed is by assessing whether the patient is able to speak. Basic airway management can be divided into treatment and prevention of an obstruction in the airway. 962:
Nolan, JP; Soar, J; Zideman, DA; Biarent, D; Bossaert, LL; Deakin, C; Koster, RW; Wyllie, J; Böttiger, B; ERC Guidelines Writing Group (2010). "European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary".
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Yeung, Joyce; Chilwan, Mehboob; Field, Richard; Davies, Robin; Gao, Fang; Perkins, Gavin D. (2014). "The impact of airway management on quality of cardiopulmonary resuscitation: An observational study in patients during cardiac arrest".
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In the hospital setting, healthcare practitioners will make the diagnosis of foreign body aspiration from the medical history and physical exam findings. In some cases, providers will order chest radiographs, which may show signs of
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Treatment includes different maneuvers that aim to remove the foreign body that is obstructing the airway. This type of obstruction most often occurs when someone is eating or drinking. Most modern protocols, including those of the
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is useful for the latter. If head-tilt/chin-lift and jaw-thrust maneuvers are performed with any objects in the airways it may dislodge them further down the airways and thereby cause more blockage and harder removal.
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are many methods of subcategorizing this family of devices including route of insertion, absence or presence of a cuff, and anatomic location of the device's distal end. The most commonly used devices are
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Fouche, Pieter F.; Simpson, Paul M.; Bendall, Jason; Thomas, Richard E.; Cone, David C.; Doi, Suhail A. R. (2014-04-03). "Airways in Out-of-hospital Cardiac Arrest: Systematic Review and Meta-analysis".
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In contrast to basic airway management maneuvers such as head-tilt or jaw-thrust, advanced airway management relies on the use of medical equipment. Advanced airway management can be performed
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into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea. Alternatives to standard endotracheal tubes include
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patient, or medical sedation. Airway obstruction can be caused by the tongue, foreign objects, the tissues of the airway itself, and bodily fluids such as blood and gastric contents (
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Management of the airway in the emergency department is optimal given the presence of trained personnel from multiple specialties, as well as access to "difficult airway equipment" (
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Basic techniques are generally non-invasive and do not require specialized medical equipment or advanced training. These include head and neck maneuvers to optimize ventilation,
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Current evidence suggests that for out-of-hospital cardiac arrest, basic airway interventions (head-tilt–chin-lift maneuvers, bag-valve-masking or mouth-to-mouth ventilations,
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The jaw-thrust maneuver is an effective airway technique, particularly in the patient in whom cervical spine injury is a concern. It is easiest when the patient is positioned
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trauma, and the combative patient are examples of scenarios a provider may need to take into account in assessing the urgency of securing an airway and the means of doing so.
392:. Advanced airway management is frequently performed in the critically injured, those with extensive pulmonary disease, or anesthetized patients to facilitate oxygenation and 3416: 2435:"Experience in Prehospital Endotracheal Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis" 1774: 681:
include less risk of infection and damage to the trachea during the immediate post-surgical period. Although rare, some long term complications of tracheotomies include
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in the affected lung. In advanced airway management, the inhaled foreign objects, however, are either removed by using a simple plastic suction device (such as a
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Advanced techniques require specialized medical training and equipment, and are further categorized anatomically into supraglottic devices (such as
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Many methods are used in Advanced airway management. Examples in increasing order of invasiveness include the use of supraglottic devices such as
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Bystanders without medical training who see an individual suddenly collapse should call for help and begin chest compressions immediately. The
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share basic principles. The head is in a dependent position so that fluid can drain from the patient's airway; the chin is well up to keep the
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Manning PB, Wesley JR, Polley TZ, et al. Esophageal and tracheobronchial foreign bodies in infants and children. Pediatr Surg Int 1987;2:346.
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Donaldson WF, Heil BV, Donaldson VP, Silvaggio VJ (1997). "The effect of airway maneuvers on the unstable C1-C2 segment. A cadaver study".
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Struck, Manuel F.; Beilicke, André; Hoffmeister, Albrecht; Gockel, Ines; Gries, André; Wrigge, Hermann; Bernhard, Michael (2016-04-11).
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Surgical methods for airway management rely on making a surgical incision below the glottis in order to achieve direct access to the
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for safe transport of the patient, to reduce risk of failure and the associated increase in morbidity and mortality due to hypoxia.
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Bossers, Sebastiaan M.; Schwarte, Lothar A.; Loer, Stephan A.; Twisk, Jos W. R.; Boer, Christa; Schober, Patrick (2015-01-01).
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or to serve as a conduit through which to administer certain drugs. The most widely used route is orotracheal, in which an
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to establish a patent airway during certain life-threatening situations, such as airway obstruction by a foreign body,
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Mobbs RJ, Stoodley MA, Fuller J (2002). "Effect of cervical hard collar on intracranial pressure after head injury".
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of the airway tract and cause significant obstruction of the airway. Complete obstruction of the airway represents a
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Wik, Lars (2003). "Rediscovering the importance of chest compressions to improve the outcome from cardiac arrest".
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Andriolo, Brenda N. G.; Andriolo, Régis B.; Saconato, Humberto; Atallah, Álvaro N.; Valente, Orsine (2015-01-12).
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which vital organs, including the heart are not adequately perfused. Establishment of an advanced airway (
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are another family of supraglottic devices that are inserted through the mouth to sit on top of the larynx
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Prevention techniques focus on preventing airway obstruction by the tongue and reducing the likelihood of
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Dupanovic, Mirsad; Fox, Heather; Kovac, Anthony (2010-04-01). "Management of the airway in multitrauma".
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Vunda, Aaron; Vandertuin, Lynda (2012). "Nasopharyngeal Foreign Body following a Blind Finger Sweep".
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Thierbach, Andreas R.; Werner, Christian (2005-12-01). "Infraglottic airway devices and techniques".
729:) allows for asynchronous ventilation, reducing the no-flow ratio, as compared to the basic airway ( 3298: 3252: 3118: 3009: 2989: 2728: 682: 55: 1331:
Kolb JC, Summers RL, Galli RL (1999). "Cervical collar-induced changes in intracranial pressure".
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Back slaps and abdominal thrusts are performed to relieve airway obstruction by foreign objects
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A cricothyrotomy is an emergency surgical procedure in which an incision is made through the
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Maconochie, Ian (2015). "European Resuscitation Council Guidelines for Resuscitation 2015".
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Foreign objects can be removed with a Magill forceps under inspection of the airway with a
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Mohan, R; Iyer, R; Thaller, S (2009). "Airway management in patients with facial trauma".
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is a soft rubber or plastic tube that is passed through the nose and into the posterior
197:(in contrast to advanced airway management). It is mainly used in first aid since it is 3706: 3508: 3232: 3088: 2958: 2870: 2855: 2818: 2803: 2796: 2661: 2626: 2602: 2567: 2477: 2434: 2415: 2324: 2289: 2270: 2147: 2100: 2028: 1995: 1938: 1842: 1793: 1750: 1655: 1630: 1606: 1581: 1557: 1532: 1391: 1313: 1264: 793: 574: 239: 157: 85: 2250: 2178: 1686: 1344: 525:
by creating a conduit. Because an oropharyngeal airway can mechanically stimulate the
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Daniel Limmer; Keith J. Karren; Brent Q. Hafen; John Mackay; Michelle Mackay (2006).
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Langeron, O.; Birenbaum, A.; Amour, J. (2009-05-01). "Airway management in trauma".
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includes a set of maneuvers and medical procedures performed to prevent and relieve
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The jaw thrust maneuver can also open up the airway with minimal spine manipulation
34: 804:, surgical methods, etc.). Of primary concern is the condition and patency of the 439:. During such crisis, caretakers may attempt back blows, abdominal thrust, or the 423: 3644: 3078: 2953: 2913: 2459: 2395: 2135: 2080: 1926: 1737: 1720: 651: 362: 343: 61: 2713: 1192: 3649: 3634: 3593: 3186: 3181: 3093: 2748: 2518: 2501: 1974: 1957: 1788: 1769: 1512: 765: 730: 659: 590: 358: 173: 138: 2306: 1883: 1427: 866: 3726: 3608: 3308: 3196: 3098: 2923: 2652: 2643: 2593: 2527: 2468: 2403: 2360: 2315: 2258: 2088: 2019: 1891: 1517:. Lippincott Williams & Wilkins. pp. Chapter 2016 (Pediatric Chest). 874: 805: 733:) for which compressions must be paused to adequately ventilate the patient. 582: 496: 2566:
Barak, Michal; Bahouth, Hany; Leiser, Yoav; El-Naaj, Imad Abu (2015-06-16).
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The head-tilt/chin-lift is the primary maneuver used in any patient in whom
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Brimacombe J, Keller C, Künzel KH, Gaber O, Boehler M, Pühringer F (2000).
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Basic airway management involves maneuvers that do not require specialized
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Bingham, Robert M.; Proctor, Lester T. (2008-08-01). "Airway management".
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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8th Edition
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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8th edition
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opened. Arms and legs are locked to stabilize the position of the patient
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to dislodge the inhaled object and reestablish airflow into the lungs.
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extreme, which is a point named xiphoid process and could be broken).
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American Medical Association Handbook of First Aid and Emergency Care
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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for a longer period. Surgical methods for airway management include
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of a morbidly obese elderly person with challenging airway anatomy
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In cricothyrotomy, the incision or puncture is made through the
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Most airway maneuvers are associated with some movement of the
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American Society of Anesthesia Technologists & Technicians
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Laryngeal mask airway (LMA). Example of a supraglottic device.
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Airway management is a primary consideration in the fields of
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Continuing Education in Anaesthesia, Critical Care & Pain
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Continuing Education in Anaesthesia, Critical Care & Pain
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International Journal of Critical Illness and Injury Science
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Tintinalli's Emergency Medicine: A Comprehensive Study Guide
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Airway management is commonly divided into two categories:
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Helsinki Declaration for Patient Safety in Anaesthesiology
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Effects of early-life exposures to anesthesia on the brain
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Association of Anaesthetists of Great Britain and Ireland
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European Society of Anaesthesiology and Intensive Care
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Best Practice & Research. Clinical Anaesthesiology
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A cuffed endotracheal tube used in tracheal intubation
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Davies PR, Tighe SQ, Greenslade GL, Evans GH (1990).
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Australian and New Zealand College of Anaesthetists
1417: 1365: 569:, is the placement of a flexible plastic or rubber 361:. When there is a possibility of cervical injury, 2688: 455:) or under direct inspection of the airway with a 286:is the most reliable method of opening the airway. 2743: 2381: 2235: 16:Medical procedure ensuring an unobstructed airway 3724: 1912: 1710: 1708: 1706: 1704: 1330: 693: 216:Inward and upward force during abdominal thrusts 2118:Bernhard, Michael; Benger, Jonathan R. (2015). 1955: 1869: 1629:Roberts, K.; Whalley, H.; Bleetman, A. (2005). 1526: 1524: 1178: 2117: 1770:"Supraglottic airway devices: recent advances" 1218:. Cambridge University Press. pp. 22–23. 852: 3516: 2729: 2625:Patel, Sapna A; Meyer, Tanya K (2014-01-01). 2500:Cranshaw, Julius; Nolan, Jerry (2006-06-01). 2499: 1701: 418: 369: 3109:Intraoperative neurophysiological monitoring 1521: 1359: 1324: 1275: 1016:resuscitation-guidelines.articleinmotion.com 919:. London: The Guardian. Retrieved 2014-12-06 2000:The Cochrane Database of Systematic Reviews 1232: 517:obstruction by ensuring that the patient's 3523: 3509: 3412:American Association of Nurse Anesthetists 2736: 2722: 2624: 2540: 1804: 1213: 1080: 933: 547: 466: 229:Choking § Basic treatment (First-Aid) 182: 27: 3457:International Anesthesia Research Society 3064:ASA physical status classification system 2660: 2642: 2601: 2583: 2517: 2476: 2458: 2323: 2305: 2027: 1973: 1949: 1906: 1787: 1767: 1736: 1671: 1654: 1605: 1556: 1531:Roberts K, Whalley H, Bleetman A (2005). 1299: 1057: 984: 957: 955: 509:Oropharyngeal airways in a range of sizes 2809:Combined spinal and epidural anaesthesia 1761: 1491:"National Safety Council Accident Facts" 783: 755: 689:Airway management in specific situations 629: 610: 551: 504: 422: 325: 289: 277: 211: 203: 3681:Wilderness emergency medical technician 3442:Association of Veterinary Anaesthetists 1622: 1573: 3725: 2502:"Airway management after major trauma" 1962:Operative Techniques in Otolaryngology 1039: 952: 3504: 3422:American Society of Anesthesiologists 2717: 2050: 1989: 1987: 1985: 1865: 1863: 1579: 1449: 1447: 1413: 1411: 1409: 1407: 1405: 1042:"Head-down self-treatment of choking" 3427:Anaesthesia Trauma and Critical Care 1422:(4th ed.). New York: Springer. 1006: 1004: 929: 927: 925: 366:to manually hold the head in place. 310:are useful for the former while the 129:), infraglottic techniques (such as 3452:Australian Society of Anaesthetists 3360:Physicians' assistant (anaesthesia) 3263:Postoperative residual curarization 2215:10.1016/j.resuscitation.2014.02.018 2164: 1095:10.1016/j.resuscitation.2015.07.028 1059:10.1016/j.resuscitation.2016.02.015 977:10.1016/j.resuscitation.2010.08.021 600: 13: 3340:Operating department practitioners 2680: 1982: 1860: 1444: 1402: 1109: 855:Pediatric Clinics of North America 411:, infraglottic techniques such as 302:of stomach contents or blood. The 14: 3744: 3350:Certified anesthesia technologist 3258:Postoperative nausea and vomiting 2773:Procedural sedation and analgesia 2384:Current Opinion in Anesthesiology 2251:10.1161/CIRCULATIONAHA.107.189380 1956:Katos, MG; Goldenberg, D (2007). 1001: 922: 798:eschmann tracheal tube introducer 764:Airway represents the "A" in the 634:Photograph of a tracheostomy tube 561:the patient's injury or disease. 3589:Automated external defibrillator 3484: 3475: 3474: 2891:Transverse abdominis plane block 2124:Current Opinion in Critical Care 1380:10.1046/j.1445-2197.2002.02462.x 1301:10.1213/00000539-200011000-00041 1253:10.1097/00007632-199706010-00008 938:. Mc-Graw Hill. pp. Ch 28. 685:and tracheoinnominate fistulas. 585:is passed through the mouth and 476:and supraglottic tubes, such as 3485: 3391:History of neuraxial anesthesia 3345:Certified anesthesia technician 3167:Double-lumen endobronchial tube 3028:Blood–gas partition coefficient 2861:Intravenous regional anesthesia 2618: 2559: 2534: 2493: 2426: 2375: 2340: 2281: 2229: 2193: 2158: 2111: 2059: 2044: 1915:Journal of Craniofacial Surgery 1506: 1497: 1483: 1465: 1420:Principles of airway management 1207: 1172: 1143: 3437:Royal College of Anaesthetists 3396:History of tracheal intubation 3043:Minimum alveolar concentration 2980:Anesthesia provision in the US 2012:10.1002/14651858.CD007271.pub3 1074: 1033: 909: 889: 846: 565:, often simply referred to as 415:and finally surgical methods. 244:European Resuscitation Council 1: 3568:Cardiopulmonary resuscitation 3530: 3386:History of general anesthesia 2898:Total intravenous anaesthesia 2846:Inferior alveolar nerve block 2792:Continuous wound infiltration 2572:BioMed Research International 2545:. McGraw-Hill. p. 1403. 2179:10.1016/s0300-9572(03)00267-3 1685:. 14 May 2010. Archived from 1345:10.1016/S0735-6757(99)90044-X 915:Wright, Pearce (2003-08-13). 840: 700:Cardiopulmonary resuscitation 694:Cardiopulmonary resuscitation 384:or with visualization of the 273: 150:cardiopulmonary resuscitation 3676:Emergency medical technician 2949:Neuromuscular-blocking drugs 2460:10.1371/journal.pone.0141034 2396:10.1097/ACO.0b013e3283360b4f 2136:10.1097/mcc.0000000000000201 2081:10.3109/10903127.2013.831509 2051:REDDY, RISHINDRA M. (2011). 1927:10.1097/SCS.0b013e318190327a 1831:10.1016/0140-6736(90)92429-L 1738:10.1213/ANE.0b013e31823b6748 1117:American Medical Association 899:. McGraw Hill. pp. 178–198. 835:Choking, First-Aid treatment 746:mouth-to-mouth resuscitation 222: 7: 3284:Critical emergency medicine 2541:Tintinalli, Judith (2016). 1768:Cook, T; Howes, B. (2010). 1216:Emergency Airway Management 1214:Burtenshaw, Andrew (2015). 1193:10.1016/j.jpeds.2011.08.061 1040:Luczak, Artur (June 2016). 934:Tintinalli, Judith (2016). 895:Tintinalli, Judith (2016). 828: 760:Bag-valve mask ventilation. 37:using the Glidescope video 10: 3749: 3573:Emergency bleeding control 3330:Anesthesiologist assistant 3192:Relative analgesia machine 2069:Prehospital Emergency Care 1975:10.1016/j.otot.2007.05.002 1958:"Emergency cricothyrotomy" 1635:Emergency Medicine Journal 1586:Emergency Medicine Journal 768:for trauma resuscitation. 738:American Heart Association 697: 607:surgical airway management 604: 419:Removal of foreign objects 376:Advanced airway management 373: 370:Advanced airway management 236:American Heart Association 226: 186: 3689: 3671:Certified first responder 3663: 3627: 3581: 3538: 3470: 3404: 3368: 3317: 3271: 3238:Local anesthetic toxicity 3205: 3137: 3056: 3020: 2967: 2906: 2755: 2307:10.1186/s13049-016-0240-5 1884:10.1016/j.bpa.2005.06.001 1428:10.1007/978-0-387-09558-5 1181:The Journal of Pediatrics 986:10067/1302980151162165141 867:10.1016/j.pcl.2008.04.004 751: 68: 54: 26: 21: 3253:Postanesthetic shivering 3119:Neuromuscular monitoring 3010:Rapid sequence induction 2939:Inhalational anesthetics 2644:10.4103/2229-5151.128016 2519:10.1093/bjaceaccp/mkl015 1789:10.1093/bjaceaccp/mkq058 1725:Anesthesia and Analgesia 1719:; Ovassapian, A (2011). 500:to the base of the skull 3304:Oral sedation dentistry 3294:Intensive care medicine 3248:Perioperative mortality 3104:Guedel's classification 2851:Intercostal nerve block 2349:Minerva Anestesiologica 1647:10.1136/emj.2004.021402 1598:10.1136/emj.2006.036541 1549:10.1136/emj.2004.021402 917:"Obituary: Peter Safar" 802:fiberoptic bronchoscopy 644:upper respiratory tract 640:lower respiratory tract 548:Infraglottic techniques 467:Supraglottic techniques 400:or airway obstruction. 189:Basic airway management 183:Basic airway management 162:intensive care medicine 3355:Anaesthetic technician 3243:Malignant hyperthermia 789: 778:basilar skull fracture 761: 635: 627: 557: 521:does not obstruct the 510: 482:nasopharyngeal airways 431: 409:nasopharyngeal airways 394:mechanical ventilation 339: 295: 287: 217: 209: 127:nasopharyngeal airways 3614:Nasopharyngeal airway 3177:Laryngeal mask airway 3021:Scientific principles 2990:Dogliotti's principle 2866:Occipital nerve block 2831:Brachial plexus block 1580:Ellis, D. Y. (2006). 787: 759: 727:laryngeal mask airway 671:cricothyroid membrane 656:mechanical ventilator 633: 617:cricothyroid membrane 614: 555: 542:laryngeal mask airway 514:Oropharyngeal airways 508: 489:nasopharyngeal airway 426: 329: 320:cervical spine injury 293: 281: 215: 207: 3619:Oropharyngeal airway 3223:Drug-induced amnesia 3218:Anesthesia awareness 3152:Anesthetic vaporizer 3129:Thyromental distance 3033:Concentration effect 2907:Pharmacologic agents 2876:Pudendal nerve block 861:(4): 873–886, ix–x. 577:to maintain an open 533:Extraglottic devices 453:Yankauer suction tip 308:jaw-thrust maneuvers 3712:Wilderness medicine 3147:Anaesthetic machine 3005:Tracheal intubation 2995:Intravenous therapy 2934:General anesthetics 2886:Sciatic nerve block 2841:Femoral nerve block 2836:Fascia iliaca block 2814:Epidural anesthesia 2780:Twilight anesthesia 2585:10.1155/2015/724032 2451:2015PLoSO..1041034B 740:currently supports 563:Tracheal intubation 413:tracheal intubation 304:head-tilt/chin-lift 284:head-tilt/chin-lift 131:tracheal intubation 3707:Good Samaritan law 3233:Emergence delirium 3213:Allergic reactions 3089:Entropy monitoring 2871:Paracervical block 2856:Interpleural block 2819:Spinal anaesthesia 2804:Neuraxial blockade 2695:. Brady. pp.  1689:on 24 January 2013 790: 762: 650:are impossible or 636: 628: 558: 511: 432: 340: 296: 288: 240:American Red Cross 218: 210: 158:emergency medicine 118:, and back blows. 86:airway obstruction 3733:Airway management 3720: 3719: 3551:Airway management 3546:Abdominal thrusts 3498: 3497: 3335:Nurse anesthetist 3162:Bronchial blocker 3157:Arterial catheter 3048:Second gas effect 2975:Airway management 2944:Local anesthetics 2881:Retrobulbar block 2706:978-0-13-127824-0 2627:"Surgical Airway" 2245:(16): 2162–2167. 1825:(8721): 977–979. 1136:978-1-4000-0712-7 905:978-0-07-180913-9 794:videolaryngoscopy 723:endotracheal tube 683:tracheal stenosis 625:cricoid cartilage 621:thyroid cartilage 583:endotracheal tube 441:Heimlich maneuver 437:medical emergency 351:recovery position 332:recovery position 330:All forms of the 312:recovery position 252:Heimlich maneuver 248:abdominal thrusts 195:medical equipment 172:. The "A" in the 116:abdominal thrusts 82:Airway management 79: 78: 33:Photograph of an 22:Airway management 3740: 3525: 3518: 3511: 3502: 3501: 3488: 3487: 3478: 3477: 3325:Anesthesiologist 3114:Mallampati score 3074:Bispectral index 2914:Anticholinergics 2738: 2731: 2724: 2715: 2714: 2710: 2694: 2675: 2674: 2664: 2646: 2622: 2616: 2615: 2605: 2587: 2563: 2557: 2556: 2538: 2532: 2531: 2521: 2497: 2491: 2490: 2480: 2462: 2445:(10): e0141034. 2430: 2424: 2423: 2379: 2373: 2372: 2344: 2338: 2337: 2327: 2309: 2285: 2279: 2278: 2233: 2227: 2226: 2197: 2191: 2190: 2162: 2156: 2155: 2115: 2109: 2108: 2063: 2057: 2056: 2048: 2042: 2041: 2031: 2006:(12): CD007271. 1991: 1980: 1979: 1977: 1953: 1947: 1946: 1910: 1904: 1903: 1867: 1858: 1857: 1855: 1853: 1808: 1802: 1801: 1791: 1765: 1759: 1758: 1740: 1712: 1699: 1698: 1696: 1694: 1675: 1669: 1668: 1658: 1626: 1620: 1619: 1609: 1577: 1571: 1570: 1560: 1528: 1519: 1518: 1510: 1504: 1501: 1495: 1494: 1493:. February 2000. 1487: 1481: 1480: 1477:www.uptodate.com 1469: 1463: 1462: 1459:www.uptodate.com 1451: 1442: 1441: 1415: 1400: 1399: 1363: 1357: 1356: 1328: 1322: 1321: 1303: 1279: 1273: 1272: 1236: 1230: 1229: 1211: 1205: 1204: 1176: 1170: 1169: 1167: 1166: 1157:. Archived from 1147: 1141: 1140: 1113: 1107: 1106: 1078: 1072: 1071: 1061: 1037: 1031: 1030: 1028: 1027: 1018:. Archived from 1008: 999: 998: 988: 959: 950: 949: 931: 920: 913: 907: 893: 887: 886: 850: 742:"Hands-only" CPR 642:, bypassing the 601:Surgical methods 258:the other hand. 135:surgical methods 72:edit on Wikidata 64: 35:anesthesiologist 31: 19: 18: 3748: 3747: 3743: 3742: 3741: 3739: 3738: 3737: 3723: 3722: 3721: 3716: 3685: 3659: 3623: 3577: 3534: 3529: 3499: 3494: 3466: 3400: 3364: 3313: 3267: 3201: 3133: 3079:Body mass index 3052: 3016: 2963: 2929:Benzodiazepines 2902: 2751: 2742: 2707: 2683: 2681:Further reading 2678: 2623: 2619: 2564: 2560: 2553: 2539: 2535: 2498: 2494: 2431: 2427: 2380: 2376: 2345: 2341: 2286: 2282: 2234: 2230: 2198: 2194: 2163: 2159: 2116: 2112: 2064: 2060: 2049: 2045: 1992: 1983: 1954: 1950: 1911: 1907: 1868: 1861: 1851: 1849: 1809: 1805: 1766: 1762: 1717:Klock, Andranik 1715:Hernandez, MR; 1713: 1702: 1692: 1690: 1679:"Guedel airway" 1677: 1676: 1672: 1627: 1623: 1578: 1574: 1529: 1522: 1511: 1507: 1502: 1498: 1489: 1488: 1484: 1471: 1470: 1466: 1453: 1452: 1445: 1438: 1416: 1403: 1364: 1360: 1329: 1325: 1280: 1276: 1237: 1233: 1226: 1212: 1208: 1177: 1173: 1164: 1162: 1149: 1148: 1144: 1137: 1114: 1110: 1079: 1075: 1038: 1034: 1025: 1023: 1010: 1009: 1002: 971:(10): 1219–76. 960: 953: 946: 932: 923: 914: 910: 894: 890: 851: 847: 843: 831: 754: 702: 696: 691: 652:contraindicated 619:in between the 609: 603: 587:vocal apparatus 550: 474:laryngeal masks 469: 421: 378: 372: 276: 231: 225: 191: 185: 179:is for airway. 75: 60: 50: 17: 12: 11: 5: 3746: 3736: 3735: 3718: 3717: 3715: 3714: 3709: 3704: 3699: 3693: 3691: 3687: 3686: 3684: 3683: 3678: 3673: 3667: 3665: 3664:Certifications 3661: 3660: 3658: 3657: 3652: 3647: 3642: 3637: 3631: 3629: 3625: 3624: 3622: 3621: 3616: 3611: 3606: 3601: 3596: 3594:Bag valve mask 3591: 3585: 3583: 3579: 3578: 3576: 3575: 3570: 3565: 3564: 3563: 3558: 3548: 3542: 3540: 3536: 3535: 3528: 3527: 3520: 3513: 3505: 3496: 3495: 3493: 3492: 3482: 3471: 3468: 3467: 3465: 3464: 3459: 3454: 3449: 3444: 3439: 3434: 3429: 3424: 3419: 3414: 3408: 3406: 3402: 3401: 3399: 3398: 3393: 3388: 3383: 3378: 3372: 3370: 3366: 3365: 3363: 3362: 3357: 3352: 3347: 3342: 3337: 3332: 3327: 3321: 3319: 3315: 3314: 3312: 3311: 3306: 3301: 3296: 3291: 3286: 3281: 3279:Cardiothoracic 3275: 3273: 3272:Subspecialties 3269: 3268: 3266: 3265: 3260: 3255: 3250: 3245: 3240: 3235: 3230: 3225: 3220: 3215: 3209: 3207: 3203: 3202: 3200: 3199: 3194: 3189: 3187:Magill forceps 3184: 3182:Laryngeal tube 3179: 3174: 3169: 3164: 3159: 3154: 3149: 3143: 3141: 3135: 3134: 3132: 3131: 3126: 3121: 3116: 3111: 3106: 3101: 3096: 3094:Fick principle 3091: 3086: 3081: 3076: 3071: 3066: 3060: 3058: 3054: 3053: 3051: 3050: 3045: 3040: 3035: 3030: 3024: 3022: 3018: 3017: 3015: 3014: 3013: 3012: 3002: 2997: 2992: 2987: 2982: 2977: 2971: 2969: 2965: 2964: 2962: 2961: 2956: 2951: 2946: 2941: 2936: 2931: 2926: 2924:Butyrophenones 2921: 2916: 2910: 2908: 2904: 2903: 2901: 2900: 2895: 2894: 2893: 2888: 2883: 2878: 2873: 2868: 2863: 2858: 2853: 2848: 2843: 2838: 2833: 2823: 2822: 2821: 2816: 2811: 2801: 2800: 2799: 2794: 2784: 2783: 2782: 2777: 2776: 2775: 2759: 2757: 2753: 2752: 2749:anesthesiology 2741: 2740: 2733: 2726: 2718: 2712: 2711: 2705: 2682: 2679: 2677: 2676: 2617: 2558: 2552:978-0071794763 2551: 2533: 2512:(3): 124–127. 2492: 2425: 2390:(2): 276–282. 2374: 2355:(5): 307–311. 2339: 2280: 2228: 2209:(7): 898–904. 2192: 2173:(3): 267–269. 2157: 2130:(3): 183–187. 2110: 2075:(2): 244–256. 2058: 2043: 1981: 1948: 1905: 1878:(4): 595–609. 1859: 1803: 1760: 1700: 1670: 1641:(6): 394–396. 1621: 1572: 1520: 1505: 1496: 1482: 1464: 1443: 1436: 1401: 1358: 1333:Am J Emerg Med 1323: 1274: 1247:(11): 1215–8. 1231: 1225:978-1107661257 1224: 1206: 1171: 1151:"Finger Sweep" 1142: 1135: 1119:(2009-05-05). 1108: 1073: 1032: 1000: 951: 945:978-0071794763 944: 921: 908: 888: 844: 842: 839: 838: 837: 830: 827: 753: 750: 731:bag-valve mask 710:nasopharyngeal 698:Main article: 695: 692: 690: 687: 660:cricothyrotomy 605:Main article: 602: 599: 591:laryngeal tube 549: 546: 468: 465: 420: 417: 374:Main article: 371: 368: 359:cervical spine 275: 272: 227:Main article: 224: 221: 187:Main article: 184: 181: 139:cricothyrotomy 77: 76: 69: 66: 65: 58: 52: 51: 32: 24: 23: 15: 9: 6: 4: 3: 2: 3745: 3734: 3731: 3730: 3728: 3713: 3710: 3708: 3705: 3703: 3700: 3698: 3695: 3694: 3692: 3688: 3682: 3679: 3677: 3674: 3672: 3669: 3668: 3666: 3662: 3656: 3653: 3651: 3648: 3646: 3643: 3641: 3638: 3636: 3633: 3632: 3630: 3626: 3620: 3617: 3615: 3612: 3610: 3609:First aid kit 3607: 3605: 3602: 3600: 3597: 3595: 3592: 3590: 3587: 3586: 3584: 3580: 3574: 3571: 3569: 3566: 3562: 3559: 3557: 3554: 3553: 3552: 3549: 3547: 3544: 3543: 3541: 3537: 3533: 3526: 3521: 3519: 3514: 3512: 3507: 3506: 3503: 3491: 3483: 3481: 3473: 3472: 3469: 3463: 3460: 3458: 3455: 3453: 3450: 3448: 3445: 3443: 3440: 3438: 3435: 3433: 3430: 3428: 3425: 3423: 3420: 3418: 3415: 3413: 3410: 3409: 3407: 3405:Organizations 3403: 3397: 3394: 3392: 3389: 3387: 3384: 3382: 3379: 3377: 3374: 3373: 3371: 3367: 3361: 3358: 3356: 3353: 3351: 3348: 3346: 3343: 3341: 3338: 3336: 3333: 3331: 3328: 3326: 3323: 3322: 3320: 3316: 3310: 3309:Pain medicine 3307: 3305: 3302: 3300: 3297: 3295: 3292: 3290: 3287: 3285: 3282: 3280: 3277: 3276: 3274: 3270: 3264: 3261: 3259: 3256: 3254: 3251: 3249: 3246: 3244: 3241: 3239: 3236: 3234: 3231: 3229: 3226: 3224: 3221: 3219: 3216: 3214: 3211: 3210: 3208: 3206:Complications 3204: 3198: 3197:Tracheal tube 3195: 3193: 3190: 3188: 3185: 3183: 3180: 3178: 3175: 3173: 3170: 3168: 3165: 3163: 3160: 3158: 3155: 3153: 3150: 3148: 3145: 3144: 3142: 3140: 3136: 3130: 3127: 3125: 3122: 3120: 3117: 3115: 3112: 3110: 3107: 3105: 3102: 3100: 3099:Goldman index 3097: 3095: 3092: 3090: 3087: 3085: 3082: 3080: 3077: 3075: 3072: 3070: 3067: 3065: 3062: 3061: 3059: 3055: 3049: 3046: 3044: 3041: 3039: 3036: 3034: 3031: 3029: 3026: 3025: 3023: 3019: 3011: 3008: 3007: 3006: 3003: 3001: 2998: 2996: 2993: 2991: 2988: 2986: 2983: 2981: 2978: 2976: 2973: 2972: 2970: 2966: 2960: 2957: 2955: 2952: 2950: 2947: 2945: 2942: 2940: 2937: 2935: 2932: 2930: 2927: 2925: 2922: 2920: 2917: 2915: 2912: 2911: 2909: 2905: 2899: 2896: 2892: 2889: 2887: 2884: 2882: 2879: 2877: 2874: 2872: 2869: 2867: 2864: 2862: 2859: 2857: 2854: 2852: 2849: 2847: 2844: 2842: 2839: 2837: 2834: 2832: 2829: 2828: 2827: 2824: 2820: 2817: 2815: 2812: 2810: 2807: 2806: 2805: 2802: 2798: 2795: 2793: 2790: 2789: 2788: 2785: 2781: 2778: 2774: 2771: 2770: 2769: 2766: 2765: 2764: 2761: 2760: 2758: 2754: 2750: 2746: 2739: 2734: 2732: 2727: 2725: 2720: 2719: 2716: 2708: 2702: 2698: 2693: 2692: 2685: 2684: 2672: 2668: 2663: 2658: 2654: 2650: 2645: 2640: 2636: 2632: 2628: 2621: 2613: 2609: 2604: 2599: 2595: 2591: 2586: 2581: 2577: 2573: 2569: 2562: 2554: 2548: 2544: 2537: 2529: 2525: 2520: 2515: 2511: 2507: 2503: 2496: 2488: 2484: 2479: 2474: 2470: 2466: 2461: 2456: 2452: 2448: 2444: 2440: 2436: 2429: 2421: 2417: 2413: 2409: 2405: 2401: 2397: 2393: 2389: 2385: 2378: 2370: 2366: 2362: 2358: 2354: 2350: 2343: 2335: 2331: 2326: 2321: 2317: 2313: 2308: 2303: 2299: 2295: 2291: 2284: 2276: 2272: 2268: 2264: 2260: 2256: 2252: 2248: 2244: 2240: 2232: 2224: 2220: 2216: 2212: 2208: 2204: 2203:Resuscitation 2196: 2188: 2184: 2180: 2176: 2172: 2168: 2167:Resuscitation 2161: 2153: 2149: 2145: 2141: 2137: 2133: 2129: 2125: 2121: 2114: 2106: 2102: 2098: 2094: 2090: 2086: 2082: 2078: 2074: 2070: 2062: 2054: 2047: 2039: 2035: 2030: 2025: 2021: 2017: 2013: 2009: 2005: 2001: 1997: 1990: 1988: 1986: 1976: 1971: 1967: 1963: 1959: 1952: 1944: 1940: 1936: 1932: 1928: 1924: 1920: 1916: 1909: 1901: 1897: 1893: 1889: 1885: 1881: 1877: 1873: 1866: 1864: 1848: 1844: 1840: 1836: 1832: 1828: 1824: 1820: 1819: 1814: 1807: 1799: 1795: 1790: 1785: 1781: 1777: 1776: 1771: 1764: 1756: 1752: 1748: 1744: 1739: 1734: 1731:(2): 349–68. 1730: 1726: 1722: 1718: 1711: 1709: 1707: 1705: 1688: 1684: 1683:AnaesthesiaUK 1680: 1674: 1666: 1662: 1657: 1652: 1648: 1644: 1640: 1636: 1632: 1625: 1617: 1613: 1608: 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Index


anesthesiologist
laryngoscope
intubate
trachea
MeSH
D058109
edit on Wikidata
airway obstruction
anaphylaxis
obtunded
aspiration
basic
advanced
abdominal thrusts
oropharyngeal
nasopharyngeal airways
tracheal intubation
surgical methods
cricothyrotomy
tracheotomy
cardiopulmonary resuscitation
anaesthesia
emergency medicine
intensive care medicine
neonatology
first aid
ABC treatment
mnemonic
Basic airway management

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