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VOLUME 2 , ISSUE 1 ( January-April, 2023 ) > List of Articles

REVIEW ARTICLE

Difficult Airway Management in Surgical Intensive Care Unit

Kolli S Chalam

Keywords : Airway, Critically ill patients, Intensive care units

Citation Information : Chalam KS. Difficult Airway Management in Surgical Intensive Care Unit. 2023; 2 (1):15-21.

DOI: 10.5005/jp-journals-10089-0066

License: CC BY-NC 4.0

Published Online: 23-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

A considerable number of patients in the surgical intensive care unit (ICU) require advanced airway management in terms of intubation or laryngeal mask airway (LMA) placements. It is not uncommon to come across difficult airways in ICU. A difficult airway cart with a fiberoptic bronchoscope and trained personnel are fundamental to the practice of surgical critical care. So, clinicians in ICU should be capable of carrying bronchoscopic intubation in sedated as well as awake patients. Anesthetizing techniques for awake fiberoptic bronchoscopic intubation (FOBI) such as airway blocks or topicalization and monitoring during the procedure are of considerable interest. It is equally important to keep the patient comfortable, maintaining spontaneous breathing and hemodynamic stability. Finally, combined techniques such as fiberoptic bronchoscope in combination with LMA or video laryngoscope (VL) do improve success rates of advanced airway management in surgical ICU (SICU).

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