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Extubation of the Difficult Airway
Managing the airway in the intensive care unit (ICU) is complicated by a wide array of physiologic factors. Difficult airway may be a consequence of patient’s anatomy or airway edema developed during the ICU stay and mechanical ventilation. The incidence of failed airways and of cardiac arrest related to airway instrumentation in the ICU is much higher
Faris, Khaldoun +2 more
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Safe extubation of a parturient using an airway exchange technique
International Journal of Obstetric Anesthesia, 2014The difficult obstetric airway is a well-recognised anaesthetic challenge but little emphasis is placed on the difficulty of performing a safe tracheal extubation. We report the use of an airway exchange technique to extubate a difficult obstetric airway and discuss the role of these techniques in the obstetric population.
A D, Spong, D J A, Vaughan
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Positive Airway Pressure at Extubation Minimizes Subglottic Secretion Leak In Vitro
Accumulated secretion above the endotracheal tube cuff can be aspirated during extubation after deflation. The possible techniques for minimizing pulmonary aspiration from subglottic secretion during extubation have not been well explored.
Hsin-Hsien Li, Hui-Ling Lin
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The purpose of this study was to compare the incidence of airway complications between extubation under deep anesthesia (deep extubation) and extubation when fully awake (awake extubation) in pediatric patients after general anesthesia.
Chang-Hoon Koo +2 more
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Management of the difficult airway is an important, but as yet poorly-studied, component of intensive care management. Although there has been a strong emphasis on prediction and intubation of the difficult airway, safe extubation of the patient with a ...
David Sturgess +2 more
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Extubation of the potentially difficult airway in the intensive care unit
Current Opinion in Anaesthesiology, 2022Purpose of review Extubation in the intensive care unit (ICU) is associated with a failure rate requiring reintubation in 10–20% patients further associated with significant morbidity and mortality. This review serves to highlight recent advancements and guidance on approaching extubation for patients at risk for difficult or ...
Aaron, Joffe, Christopher R, Barnes
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Extubation of the Difficult Airway
Anesthesiology, 1997Even though tracheal extubation is more likely to be associated with airway complications [1], most literature surrounding management of the difficult airway is focused on intubation. The American Society of Anesthesiologists practice guidelines for management of the difficult airway recommend that the anesthesiologist should have a pre-formulated ...
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Upper Airway Obstruction After Extubation
JAMA: The Journal of the American Medical Association, 1971A 23-year-old woman, apparently in good health, suddenly became unconscious and cyanotic four days postpartum. Improvement followed endotracheal intubation, but immediate respiratory distress and asphyxia occurred after extubation. Autopsy revealed laryngeal edema and a follicular thyroid carcinoma encasing the trachea.
R E, Johnstone, S M, Brooks
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