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Airway management

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506:. 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 623: 796: 216: 435: 832:
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).
555:(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. 495:(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. 224: 290: 513:. 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. 517: 3487: 302: 338: 3497: 642: 564: 40: 540:, 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. 257:, 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 357:. 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. 768: 688:, 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. 551:
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.
265:) 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. 836:), 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. 715:
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.
212:, 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. 973:
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.
403:. Advanced airway management is frequently performed in the critically injured, those with extensive pulmonary disease, or anesthetized patients to facilitate oxygenation and 3457: 2446:"Experience in Prehospital Endotracheal Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis" 692:
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
1023:"European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators - Article in Motion" 755:, which advocates chest compressions without rescue breaths for teens or adults. This is to minimize the reluctance to start CPR due to concern for having to provide 462:
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).
927: 795: 3681: 3248: 2954: 1131: 3309: 3263: 3129: 3020: 2739: 693: 66: 3000: 2301:"Acute emergency care and airway management of caustic ingestion in adults: single center observational study" 657:. Surgical airway management is often performed as a last resort in cases where orotracheal and nasotracheal 1732:"Evolution of the Extraglottic Airway: A Review of Its History, Applications, and Practical Tips for Success" 1052: 3566: 3526: 3490: 3314: 3304: 3258: 2949: 2939: 2861: 2824: 654: 650: 199: 172: 115: 3712: 3365: 3253: 788: 732:
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".
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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
208:(in contrast to advanced airway management). It is mainly used in first aid since it is 3660: 3645: 3604: 3197: 3192: 3104: 2759: 2672: 2637: 2613: 2578: 2488: 2445: 2335: 2300: 2039: 2006: 1666: 1641: 1617: 1592: 1568: 1543: 776: 741: 670: 601: 369: 289: 184: 149: 2261: 2189: 1697: 1355: 536:
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
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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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Finucane, Brendan T.; Tsui, Ban Chi-Ho; Santora, Albert H. (2011-01-01).
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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
665:. Surgical airway management is also used when a person will need a 767: 2130: 621: 562: 515: 433: 336: 300: 288: 222: 214: 60:
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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Greenfield's Surgery: Scientific Principles and Practice, 5e
2007:"Early versus late tracheostomy for critically ill patients" 1526:
Greenfield's Surgery: Scientific Principles and Practice, 5e
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TONY CAPIZZANI; RONALD B. HIRSCHL; ROBERT E. CILLEY (2011).
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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
2131:"Airway management during cardiopulmonary resuscitation" 3473:
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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Emergency Medical Responder (Second Canadian Version)
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Davies PR, Tighe SQ, Greenslade GL, Evans GH (1990).
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Australian and New Zealand College of Anaesthetists
3415: 3379: 3328: 3282: 3216: 3148: 3067: 3031: 2978: 2917: 2766: 580:, is the placement of a flexible plastic or rubber 372:. When there is a possibility of cervical injury, 65: 32: 2699: 466:) or under direct inspection of the airway with a 297:is the most reliable method of opening the airway. 27:Medical procedure ensuring an unobstructed airway 1721: 1719: 1717: 1715: 227:Inward and upward force during abdominal thrusts 2129:Bernhard, Michael; Benger, Jonathan R. (2015). 1640:Roberts, K.; Whalley, H.; Bleetman, A. (2005). 1537: 1535: 1781:"Supraglottic airway devices: recent advances" 1229:. Cambridge University Press. pp. 22–23. 3527: 2740: 2636:Patel, Sapna A; Meyer, Tanya K (2014-01-01). 2511:Cranshaw, Julius; Nolan, Jerry (2006-06-01). 8: 3120:Intraoperative neurophysiological monitoring 1027:resuscitation-guidelines.articleinmotion.com 930:. London: The Guardian. Retrieved 2014-12-06 2011:The Cochrane Database of Systematic Reviews 528:obstruction by ensuring that the patient's 3534: 3520: 3512: 3423:American Association of Nurse Anesthetists 2747: 2733: 2725: 240:Choking § Basic treatment (First-Aid) 38: 3468:International Anesthesia Research Society 3075:ASA physical status classification system 2671: 2653: 2612: 2594: 2528: 2487: 2469: 2334: 2316: 2038: 1984: 1798: 1747: 1665: 1616: 1567: 1542:Roberts K, Whalley H, Bleetman A (2005). 1310: 1068: 995: 968: 966: 520:Oropharyngeal airways in a range of sizes 2820:Combined spinal and epidural anaesthesia 1502:"National Safety Council Accident Facts" 794: 766: 700:Airway management in specific situations 640: 3692:Wilderness emergency medical technician 3453:Association of Veterinary Anaesthetists 856: 2513:"Airway management after major trauma" 1973:Operative Techniques in Otolaryngology 29: 3433:American Society of Anesthesiologists 2000: 1998: 1996: 1876: 1874: 1460: 1458: 1424: 1422: 1420: 1418: 1416: 1053:"Head-down self-treatment of choking" 7: 3438:Anaesthesia Trauma and Critical Care 1433:(4th ed.). New York: Springer. 1017: 1015: 940: 938: 936: 377:to manually hold the head in place. 321:are useful for the former while the 140:), infraglottic techniques (such as 3463:Australian Society of Anaesthetists 3371:Physicians' assistant (anaesthesia) 3274:Postoperative residual curarization 2226:10.1016/j.resuscitation.2014.02.018 1106:10.1016/j.resuscitation.2015.07.028 1070:10.1016/j.resuscitation.2016.02.015 988:10.1016/j.resuscitation.2010.08.021 78: 3351:Operating department practitioners 866:Pediatric Clinics of North America 422:, infraglottic techniques such as 313:of stomach contents or blood. The 25: 3361:Certified anesthesia technologist 3269:Postoperative nausea and vomiting 2784:Procedural sedation and analgesia 2395:Current Opinion in Anesthesiology 2262:10.1161/CIRCULATIONAHA.107.189380 1967:Katos, MG; Goldenberg, D (2007). 809:eschmann tracheal tube introducer 775:Airway represents the "A" in the 645:Photograph of a tracheostomy tube 572:the patient's injury or disease. 3600:Automated external defibrillator 3495: 3486: 3485: 2902:Transverse abdominis plane block 2135:Current Opinion in Critical Care 1391:10.1046/j.1445-2197.2002.02462.x 1312:10.1213/00000539-200011000-00041 1264:10.1097/00007632-199706010-00008 949:. Mc-Graw Hill. pp. Ch 28. 696:and tracheoinnominate fistulas. 596:is passed through the mouth and 487:and supraglottic tubes, such as 3496: 3402:History of neuraxial anesthesia 3356:Certified anesthesia technician 3178:Double-lumen endobronchial tube 3039:Blood–gas partition coefficient 2872:Intravenous regional anesthesia 1926:Journal of Craniofacial Surgery 1431:Principles of airway management 3448:Royal College of Anaesthetists 3407:History of tracheal intubation 3054:Minimum alveolar concentration 2991:Anesthesia provision in the US 2023:10.1002/14651858.CD007271.pub3 576:, often simply referred to as 426:and finally surgical methods. 255:European Resuscitation Council 1: 3579:Cardiopulmonary resuscitation 3397:History of general anesthesia 2909:Total intravenous anaesthesia 2857:Inferior alveolar nerve block 2803:Continuous wound infiltration 2583:BioMed Research International 2556:. McGraw-Hill. p. 1403. 2190:10.1016/s0300-9572(03)00267-3 1696:. 14 May 2010. Archived from 1356:10.1016/S0735-6757(99)90044-X 926:Wright, Pearce (2003-08-13). 711:Cardiopulmonary resuscitation 705:Cardiopulmonary resuscitation 395:or with visualization of the 161:cardiopulmonary resuscitation 3687:Emergency medical technician 2960:Neuromuscular-blocking drugs 2471:10.1371/journal.pone.0141034 2407:10.1097/ACO.0b013e3283360b4f 2147:10.1097/mcc.0000000000000201 2092:10.3109/10903127.2013.831509 2062:REDDY, RISHINDRA M. (2011). 1938:10.1097/SCS.0b013e318190327a 1842:10.1016/0140-6736(90)92429-L 1749:10.1213/ANE.0b013e31823b6748 1128:American Medical Association 910:. McGraw Hill. pp. 178–198. 846:Choking, First-Aid treatment 757:mouth-to-mouth resuscitation 3295:Critical emergency medicine 2552:Tintinalli, Judith (2016). 1779:Cook, T; Howes, B. (2010). 1227:Emergency Airway Management 1225:Burtenshaw, Andrew (2015). 1204:10.1016/j.jpeds.2011.08.061 1051:Luczak, Artur (June 2016). 945:Tintinalli, Judith (2016). 906:Tintinalli, Judith (2016). 771:Bag-valve mask ventilation. 48:using the Glidescope video 3760: 3584:Emergency bleeding control 3341:Anesthesiologist assistant 3203:Relative analgesia machine 2080:Prehospital Emergency Care 1986:10.1016/j.otot.2007.05.002 1969:"Emergency cricothyrotomy" 1646:Emergency Medicine Journal 1597:Emergency Medicine Journal 779:for trauma resuscitation. 749:American Heart Association 708: 618:surgical airway management 615: 430:Removal of foreign objects 387:Advanced airway management 384: 381:Advanced airway management 247:American Heart Association 237: 197: 3682:Certified first responder 3481: 3249:Local anesthetic toxicity 2318:10.1186/s13049-016-0240-5 1895:10.1016/j.bpa.2005.06.001 1439:10.1007/978-0-387-09558-5 1192:The Journal of Pediatrics 997:10067/1302980151162165141 878:10.1016/j.pcl.2008.04.004 79: 37: 3264:Postanesthetic shivering 3130:Neuromuscular monitoring 3021:Rapid sequence induction 2950:Inhalational anesthetics 2655:10.4103/2229-5151.128016 2530:10.1093/bjaceaccp/mkl015 1800:10.1093/bjaceaccp/mkq058 1736:Anesthesia and Analgesia 1730:; Ovassapian, A (2011). 511:to the base of the skull 3315:Oral sedation dentistry 3305:Intensive care medicine 3259:Perioperative mortality 3115:Guedel's classification 2862:Intercostal nerve block 2360:Minerva Anestesiologica 1658:10.1136/emj.2004.021402 1609:10.1136/emj.2006.036541 1560:10.1136/emj.2004.021402 928:"Obituary: Peter Safar" 813:fiberoptic bronchoscopy 655:upper respiratory tract 651:lower respiratory tract 559:Infraglottic techniques 478:Supraglottic techniques 411:or airway obstruction. 200:Basic airway management 194:Basic airway management 173:intensive care medicine 3366:Anaesthetic technician 3254:Malignant hyperthermia 800: 789:basilar skull fracture 772: 646: 638: 568: 532:does not obstruct the 521: 493:nasopharyngeal airways 442: 420:nasopharyngeal airways 405:mechanical ventilation 350: 306: 298: 228: 220: 138:nasopharyngeal airways 3625:Nasopharyngeal airway 3188:Laryngeal mask airway 3032:Scientific principles 3001:Dogliotti's principle 2877:Occipital nerve block 2842:Brachial plexus block 1591:Ellis, D. Y. (2006). 798: 770: 738:laryngeal mask airway 682:cricothyroid membrane 667:mechanical ventilator 644: 628:cricothyroid membrane 625: 566: 553:laryngeal mask airway 525:Oropharyngeal airways 519: 500:nasopharyngeal airway 437: 340: 331:cervical spine injury 304: 292: 226: 218: 3630:Oropharyngeal airway 3234:Drug-induced amnesia 3229:Anesthesia awareness 3163:Anesthetic vaporizer 3140:Thyromental distance 3044:Concentration effect 2918:Pharmacologic agents 2887:Pudendal nerve block 872:(4): 873–886, ix–x. 588:to maintain an open 544:Extraglottic devices 464:Yankauer suction tip 319:jaw-thrust maneuvers 3723:Wilderness medicine 3158:Anaesthetic machine 3016:Tracheal intubation 3006:Intravenous therapy 2945:General anesthetics 2897:Sciatic nerve block 2852:Femoral nerve block 2847:Fascia iliaca block 2825:Epidural anesthesia 2791:Twilight anesthesia 2596:10.1155/2015/724032 2462:2015PLoSO..1041034B 751:currently supports 574:Tracheal intubation 424:tracheal intubation 315:head-tilt/chin-lift 295:head-tilt/chin-lift 142:tracheal intubation 18:Supraglottic airway 3718:Good Samaritan law 3244:Emergence delirium 3224:Allergic reactions 3100:Entropy monitoring 2882:Paracervical block 2867:Interpleural block 2830:Spinal anaesthesia 2815:Neuraxial blockade 2706:. Brady. pp.  1700:on 24 January 2013 801: 773: 661:are impossible or 647: 639: 569: 522: 443: 351: 307: 299: 251:American Red Cross 229: 221: 169:emergency medicine 129:, and back blows. 97:airway obstruction 3744:Airway management 3731: 3730: 3562:Airway management 3557:Abdominal thrusts 3509: 3508: 3346:Nurse anesthetist 3173:Bronchial blocker 3168:Arterial catheter 3059:Second gas effect 2986:Airway management 2955:Local anesthetics 2892:Retrobulbar block 2717:978-0-13-127824-0 2638:"Surgical Airway" 2256:(16): 2162–2167. 1836:(8721): 977–979. 1147:978-1-4000-0712-7 916:978-0-07-180913-9 805:videolaryngoscopy 734:endotracheal tube 694:tracheal stenosis 636:cricoid cartilage 632:thyroid cartilage 594:endotracheal tube 452:Heimlich maneuver 448:medical emergency 362:recovery position 343:recovery position 341:All forms of the 323:recovery position 263:Heimlich maneuver 259:abdominal thrusts 206:medical equipment 183:. The "A" in the 127:abdominal thrusts 93:Airway management 90: 89: 44:Photograph of an 33:Airway management 16:(Redirected from 3751: 3536: 3529: 3522: 3513: 3499: 3498: 3489: 3488: 3336:Anesthesiologist 3125:Mallampati score 3085:Bispectral index 2925:Anticholinergics 2749: 2742: 2735: 2726: 2721: 2705: 2686: 2685: 2675: 2657: 2633: 2627: 2626: 2616: 2598: 2574: 2568: 2567: 2549: 2543: 2542: 2532: 2508: 2502: 2501: 2491: 2473: 2456:(10): e0141034. 2441: 2435: 2434: 2390: 2384: 2383: 2355: 2349: 2348: 2338: 2320: 2296: 2290: 2289: 2244: 2238: 2237: 2208: 2202: 2201: 2173: 2167: 2166: 2126: 2120: 2119: 2074: 2068: 2067: 2059: 2053: 2052: 2042: 2017:(12): CD007271. 2002: 1991: 1990: 1988: 1964: 1958: 1957: 1921: 1915: 1914: 1878: 1869: 1868: 1866: 1864: 1819: 1813: 1812: 1802: 1776: 1770: 1769: 1751: 1723: 1710: 1709: 1707: 1705: 1686: 1680: 1679: 1669: 1637: 1631: 1630: 1620: 1588: 1582: 1581: 1571: 1539: 1530: 1529: 1521: 1515: 1512: 1506: 1505: 1504:. February 2000. 1498: 1492: 1491: 1488:www.uptodate.com 1480: 1474: 1473: 1470:www.uptodate.com 1462: 1453: 1452: 1426: 1411: 1410: 1374: 1368: 1367: 1339: 1333: 1332: 1314: 1290: 1284: 1283: 1247: 1241: 1240: 1222: 1216: 1215: 1187: 1181: 1180: 1178: 1177: 1168:. Archived from 1158: 1152: 1151: 1124: 1118: 1117: 1089: 1083: 1082: 1072: 1048: 1042: 1041: 1039: 1038: 1029:. Archived from 1019: 1010: 1009: 999: 970: 961: 960: 942: 931: 924: 918: 904: 898: 897: 861: 753:"Hands-only" CPR 653:, bypassing the 612:Surgical methods 269:the other hand. 146:surgical methods 83:edit on Wikidata 75: 46:anesthesiologist 42: 30: 21: 3759: 3758: 3754: 3753: 3752: 3750: 3749: 3748: 3734: 3733: 3732: 3727: 3696: 3670: 3634: 3588: 3545: 3540: 3510: 3505: 3477: 3411: 3375: 3324: 3278: 3212: 3144: 3090:Body mass index 3063: 3027: 2974: 2940:Benzodiazepines 2913: 2762: 2753: 2718: 2697: 2694: 2692:Further reading 2689: 2635: 2634: 2630: 2576: 2575: 2571: 2564: 2551: 2550: 2546: 2510: 2509: 2505: 2443: 2442: 2438: 2392: 2391: 2387: 2357: 2356: 2352: 2298: 2297: 2293: 2246: 2245: 2241: 2210: 2209: 2205: 2175: 2174: 2170: 2128: 2127: 2123: 2076: 2075: 2071: 2061: 2060: 2056: 2004: 2003: 1994: 1966: 1965: 1961: 1923: 1922: 1918: 1880: 1879: 1872: 1862: 1860: 1821: 1820: 1816: 1778: 1777: 1773: 1728:Klock, Andranik 1726:Hernandez, MR; 1725: 1724: 1713: 1703: 1701: 1690:"Guedel airway" 1688: 1687: 1683: 1639: 1638: 1634: 1590: 1589: 1585: 1541: 1540: 1533: 1523: 1522: 1518: 1513: 1509: 1500: 1499: 1495: 1482: 1481: 1477: 1464: 1463: 1456: 1449: 1428: 1427: 1414: 1376: 1375: 1371: 1341: 1340: 1336: 1292: 1291: 1287: 1249: 1248: 1244: 1237: 1224: 1223: 1219: 1189: 1188: 1184: 1175: 1173: 1160: 1159: 1155: 1148: 1126: 1125: 1121: 1091: 1090: 1086: 1050: 1049: 1045: 1036: 1034: 1021: 1020: 1013: 982:(10): 1219–76. 972: 971: 964: 957: 944: 943: 934: 925: 921: 905: 901: 863: 862: 858: 854: 842: 765: 713: 707: 702: 663:contraindicated 630:in between the 620: 614: 598:vocal apparatus 561: 485:laryngeal masks 480: 432: 389: 383: 287: 242: 236: 202: 196: 190:is for airway. 86: 71: 61: 28: 23: 22: 15: 12: 11: 5: 3757: 3755: 3747: 3746: 3736: 3735: 3729: 3728: 3726: 3725: 3720: 3715: 3710: 3704: 3702: 3698: 3697: 3695: 3694: 3689: 3684: 3678: 3676: 3675:Certifications 3672: 3671: 3669: 3668: 3663: 3658: 3653: 3648: 3642: 3640: 3636: 3635: 3633: 3632: 3627: 3622: 3617: 3612: 3607: 3605:Bag valve mask 3602: 3596: 3594: 3590: 3589: 3587: 3586: 3581: 3576: 3575: 3574: 3569: 3559: 3553: 3551: 3547: 3546: 3541: 3539: 3538: 3531: 3524: 3516: 3507: 3506: 3504: 3503: 3493: 3482: 3479: 3478: 3476: 3475: 3470: 3465: 3460: 3455: 3450: 3445: 3440: 3435: 3430: 3425: 3419: 3417: 3413: 3412: 3410: 3409: 3404: 3399: 3394: 3389: 3383: 3381: 3377: 3376: 3374: 3373: 3368: 3363: 3358: 3353: 3348: 3343: 3338: 3332: 3330: 3326: 3325: 3323: 3322: 3317: 3312: 3307: 3302: 3297: 3292: 3290:Cardiothoracic 3286: 3284: 3283:Subspecialties 3280: 3279: 3277: 3276: 3271: 3266: 3261: 3256: 3251: 3246: 3241: 3236: 3231: 3226: 3220: 3218: 3214: 3213: 3211: 3210: 3205: 3200: 3198:Magill forceps 3195: 3193:Laryngeal tube 3190: 3185: 3180: 3175: 3170: 3165: 3160: 3154: 3152: 3146: 3145: 3143: 3142: 3137: 3132: 3127: 3122: 3117: 3112: 3107: 3105:Fick principle 3102: 3097: 3092: 3087: 3082: 3077: 3071: 3069: 3065: 3064: 3062: 3061: 3056: 3051: 3046: 3041: 3035: 3033: 3029: 3028: 3026: 3025: 3024: 3023: 3013: 3008: 3003: 2998: 2993: 2988: 2982: 2980: 2976: 2975: 2973: 2972: 2967: 2962: 2957: 2952: 2947: 2942: 2937: 2935:Butyrophenones 2932: 2927: 2921: 2919: 2915: 2914: 2912: 2911: 2906: 2905: 2904: 2899: 2894: 2889: 2884: 2879: 2874: 2869: 2864: 2859: 2854: 2849: 2844: 2834: 2833: 2832: 2827: 2822: 2812: 2811: 2810: 2805: 2795: 2794: 2793: 2788: 2787: 2786: 2770: 2768: 2764: 2763: 2760:anesthesiology 2754: 2752: 2751: 2744: 2737: 2729: 2723: 2722: 2716: 2693: 2690: 2688: 2687: 2628: 2569: 2563:978-0071794763 2562: 2544: 2523:(3): 124–127. 2503: 2436: 2401:(2): 276–282. 2385: 2366:(5): 307–311. 2350: 2291: 2239: 2220:(7): 898–904. 2203: 2184:(3): 267–269. 2168: 2141:(3): 183–187. 2121: 2086:(2): 244–256. 2069: 2054: 1992: 1959: 1916: 1889:(4): 595–609. 1870: 1814: 1771: 1711: 1681: 1652:(6): 394–396. 1632: 1583: 1531: 1516: 1507: 1493: 1475: 1454: 1447: 1412: 1369: 1344:Am J Emerg Med 1334: 1285: 1258:(11): 1215–8. 1242: 1236:978-1107661257 1235: 1217: 1182: 1162:"Finger Sweep" 1153: 1146: 1130:(2009-05-05). 1119: 1084: 1043: 1011: 962: 956:978-0071794763 955: 932: 919: 899: 855: 853: 850: 849: 848: 841: 838: 764: 761: 742:bag-valve mask 721:nasopharyngeal 709:Main article: 706: 703: 701: 698: 671:cricothyrotomy 616:Main article: 613: 610: 602:laryngeal tube 560: 557: 479: 476: 431: 428: 385:Main article: 382: 379: 370:cervical spine 286: 283: 238:Main article: 235: 232: 198:Main article: 195: 192: 150:cricothyrotomy 88: 87: 80: 77: 76: 69: 63: 62: 43: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3756: 3745: 3742: 3741: 3739: 3724: 3721: 3719: 3716: 3714: 3711: 3709: 3706: 3705: 3703: 3699: 3693: 3690: 3688: 3685: 3683: 3680: 3679: 3677: 3673: 3667: 3664: 3662: 3659: 3657: 3654: 3652: 3649: 3647: 3644: 3643: 3641: 3637: 3631: 3628: 3626: 3623: 3621: 3620:First aid kit 3618: 3616: 3613: 3611: 3608: 3606: 3603: 3601: 3598: 3597: 3595: 3591: 3585: 3582: 3580: 3577: 3573: 3570: 3568: 3565: 3564: 3563: 3560: 3558: 3555: 3554: 3552: 3548: 3544: 3537: 3532: 3530: 3525: 3523: 3518: 3517: 3514: 3502: 3494: 3492: 3484: 3483: 3480: 3474: 3471: 3469: 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3420: 3418: 3416:Organizations 3414: 3408: 3405: 3403: 3400: 3398: 3395: 3393: 3390: 3388: 3385: 3384: 3382: 3378: 3372: 3369: 3367: 3364: 3362: 3359: 3357: 3354: 3352: 3349: 3347: 3344: 3342: 3339: 3337: 3334: 3333: 3331: 3327: 3321: 3320:Pain medicine 3318: 3316: 3313: 3311: 3308: 3306: 3303: 3301: 3298: 3296: 3293: 3291: 3288: 3287: 3285: 3281: 3275: 3272: 3270: 3267: 3265: 3262: 3260: 3257: 3255: 3252: 3250: 3247: 3245: 3242: 3240: 3237: 3235: 3232: 3230: 3227: 3225: 3222: 3221: 3219: 3217:Complications 3215: 3209: 3208:Tracheal tube 3206: 3204: 3201: 3199: 3196: 3194: 3191: 3189: 3186: 3184: 3181: 3179: 3176: 3174: 3171: 3169: 3166: 3164: 3161: 3159: 3156: 3155: 3153: 3151: 3147: 3141: 3138: 3136: 3133: 3131: 3128: 3126: 3123: 3121: 3118: 3116: 3113: 3111: 3110:Goldman index 3108: 3106: 3103: 3101: 3098: 3096: 3093: 3091: 3088: 3086: 3083: 3081: 3078: 3076: 3073: 3072: 3070: 3066: 3060: 3057: 3055: 3052: 3050: 3047: 3045: 3042: 3040: 3037: 3036: 3034: 3030: 3022: 3019: 3018: 3017: 3014: 3012: 3009: 3007: 3004: 3002: 2999: 2997: 2994: 2992: 2989: 2987: 2984: 2983: 2981: 2977: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2951: 2948: 2946: 2943: 2941: 2938: 2936: 2933: 2931: 2928: 2926: 2923: 2922: 2920: 2916: 2910: 2907: 2903: 2900: 2898: 2895: 2893: 2890: 2888: 2885: 2883: 2880: 2878: 2875: 2873: 2870: 2868: 2865: 2863: 2860: 2858: 2855: 2853: 2850: 2848: 2845: 2843: 2840: 2839: 2838: 2835: 2831: 2828: 2826: 2823: 2821: 2818: 2817: 2816: 2813: 2809: 2806: 2804: 2801: 2800: 2799: 2796: 2792: 2789: 2785: 2782: 2781: 2780: 2777: 2776: 2775: 2772: 2771: 2769: 2765: 2761: 2757: 2750: 2745: 2743: 2738: 2736: 2731: 2730: 2727: 2719: 2713: 2709: 2704: 2703: 2696: 2695: 2691: 2683: 2679: 2674: 2669: 2665: 2661: 2656: 2651: 2647: 2643: 2639: 2632: 2629: 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1917: 1912: 1908: 1904: 1900: 1896: 1892: 1888: 1884: 1877: 1875: 1871: 1859: 1855: 1851: 1847: 1843: 1839: 1835: 1831: 1830: 1825: 1818: 1815: 1810: 1806: 1801: 1796: 1792: 1788: 1787: 1782: 1775: 1772: 1767: 1763: 1759: 1755: 1750: 1745: 1742:(2): 349–68. 1741: 1737: 1733: 1729: 1722: 1720: 1718: 1716: 1712: 1699: 1695: 1694:AnaesthesiaUK 1691: 1685: 1682: 1677: 1673: 1668: 1663: 1659: 1655: 1651: 1647: 1643: 1636: 1633: 1628: 1624: 1619: 1614: 1610: 1606: 1602: 1598: 1594: 1587: 1584: 1579: 1575: 1570: 1565: 1561: 1557: 1553: 1549: 1545: 1538: 1536: 1532: 1527: 1520: 1517: 1511: 1508: 1503: 1497: 1494: 1489: 1485: 1479: 1476: 1471: 1467: 1461: 1459: 1455: 1450: 1448:9780387095585 1444: 1440: 1436: 1432: 1425: 1423: 1421: 1419: 1417: 1413: 1408: 1404: 1400: 1396: 1392: 1388: 1385:(6): 389–91. 1384: 1380: 1373: 1370: 1365: 1361: 1357: 1353: 1349: 1345: 1338: 1335: 1330: 1326: 1322: 1318: 1313: 1308: 1305:(5): 1274–8. 1304: 1300: 1296: 1289: 1286: 1281: 1277: 1273: 1269: 1265: 1261: 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Index

Supraglottic airway

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

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