Master Techniques in Upper and Lower Airway Management

Description

Overcome the toughest airway challenges with Master Techniques in Upper and Lower Airway Management! Under the preeminent editorial guidance of William Rosenblatt, MD and Wanda Popescu, MD, a multitude of expert anesthesiologists guide you through all the ins and outs of managing difficult airways. This anesthesiology reference’s case-based approach demonstrates the clinical applications of important principles, and a large collection of online videos shows you how to perform key techniques successfully.

“Two master clinician educators, Drs. William Rosenblatt and Wanda Popescu, calling on their expertise in airway management and thoracic anesthesia, respectively, have developed a unique book which explores the pathway of the airway from lips (nares) to the terminal bronchi to develop a highly focused volume with accompanying e-media to highlight clinical management. Although the organization of the book may seem obvious or intuitive, this is the first time a textbook has been developed in this manner. For the reader, these individuals have assembled the ‘go to faculty’ for both pre-operative consultation, as well as, intra-operative airway related events in their specialties.” – from the Foreword by Paul G. Barash MD

Features

• Be prepared to tackle a complete range of upper airway problems with comprehensive coverage of everything from evaluation and basic management of the difficult upper airway patient, through pre-existing conditions • otolaryngology and maxillofacial procedures • nasal intubation, tracheostomy, and foreign bodies • pediatric patients • the at-risk cervical spine • extubation, and more, as well as lower airway issues including interventional pulmonology • lung isolation devices and techniques • airway surgery • surgeries requiring lung isolation • congenital abnormalities of the lower airway • lung transplantation • lower airway emergencies • and more.
• Apply principles in practice by reviewing case histories that show concrete applications in the context of managing real patients. Then challenge your decision making with case-based questions and answers that delve into the details that lead to optimal outcomes.
• Master vital nuances of technique by watching a large collection of online videos derived from more than 700 actual patients.

Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to:

• Complete content with enhanced navigation
• A powerful search that pulls results from content in the book, your notes, and even the web
• Cross-linked pages, references, and more for easy navigation
• Highlighting tool for easier reference of key content throughout the text
• Ability to take and share notes with friends and colleagues
• Quick reference tabbing to save your favorite content for future use

Table of Contents

Part A: Upper Airway

Section 1: Evaluation and Basic Management of the Difficult Airway
1. Airway Approach Algorithm
2. Preoperative Endoscopic Airway Evaluation
3. Difficult Airway Letter
4. Difficult Mask Ventilation
5. Routine Mask Ventilation
6. Direct Laryngoscopy and the POGO Score
7. Unexpected Failed Direct Laryngoscopy
8. Failed Direct Laryngotracheal Intubation Rescue
9. Stylet-like Adjuncts to Laryngoscopy and Intubation
10. Reusable vs. Single-Use Devices in Airway Management
11. Awake Intubation
12. Ultrasound in Airway Evaluation
13. Ultrasound in Confirming Endotracheal Intubation
14. Optimizing Positioning for Direct Laryngoscopy
15. The Voice Professional
16. Asleep-Awake-Asleep Technique for Craniotomy

Section 2: Pre-existing Conditions
17. Positioning of the Morbidly Obese Patient
18. Obstructive Sleep Apnea Surgery
19. Sleep Endoscopy
20. Severe OSA in the Pregnant Patient
21. Preoperative CPAP
22. The Patient with a History of Neck Irradiation
23. Unilateral Vocal Cord Paralysis
24. Bilateral Vocal Cord Paralysis
25. The Patient with a Previous Tracheostomy (Resolved)
26. Airway Management during Cardiopulmonary Resuscitation
27. Preinduction Cannot Ventilate
28. Should Not (or Can Not) Ventilate
29. The Patient with Severe Arthritic Syndrome Disease
30. Oropharyngeal Stenosis

Section 3: Otolaryngology
31. Vocal Cord Augmentation
32. Angioneurotic Edema
33. Ishiki Thyroplasty
34. Esophageal Dilation
35. Recurrent Airway Papillomas
36. Vocal Cord Polyp Surgery
37. Upper Airway Surgery with a Supraglottic Airway
38. Soft Tissue Cancers of the Neck
39. Substernal Thyroid
40. Neuromonitoring Tracheal Tubes
41. Base of Tongue Tumor
42. Subglottic Stenosis - Non-Critical/Supraglottic Jet Ventilation
43. Subglottic Jet Ventilation
44. Elective Transtracheal (Trans-Cricothyroid Membrane) Jet Ventilation
45. Microlaryngoscopy with Laser Surgery
46. Airway Fire
47. Laryngectomy
48. Aintree Catheter Use for LMA to ETT Conversion
49. Hemilaryngectomy
50. Free Tissue Transfer Surgery

Section 4: Maxillofacial
51. Dental Restoration
52. Cleft Palate Surgery
53. LaForte 1 Facial Advancement
54. Mandibular and TMJ Surgery

Section 5: Nasal Intubation
55. Nasal Intubation
56. Nasal to Oral Tube Exchange
57. Intraoperative Oral to Nasal Tracheal Tube Exchange
58. LMA to Tracheal Tube Exchange
59. Combitube to Tracheal Tube Exchange

Section 6: Tracheostomy
60. Tracheostomy in the Intubated Patient
61. Change Over From New Tracheostomy to a Shiley Catheter
62. Switching from Established Shiley to Tracheal Tube
63. Intubating an Existing Tracheostomy
64. OVL in PT with Tracheostomy - Bronchial Blocker
65. Tracheo-esophageal Puncture (TEP) for Voice Prosthesis
66. Tracheostomy Revision
67. Decannulation of the Patient with the Long Standing Tracheostomy
68. Emergency Care of Tracheostomy Tube Dislodgment
69. The Patient with a Persistent Stoma

Section 7: Foreign Bodies Adult
70. The Adult with a Foreign Body in the Airway (Acute)
71. The Adult with a Long-Standing Foreign Body in the Airway
72. Esophageal Foreign Bodies

Section 8: Pediatrics
73. Pediatric Post-op Bleeding Tonsil
74. An Uncooperative Child with a Difficult Airway
75. Pediatric Airway Foreign Body
76. Childhood Hemangiomas
77. Invasive Airway Access in Small Children
78. Flexible Bronchoscopy in the Small Child

Section 9: C-Spine
79. Emergent Airway Management in the At-Risk C-Spine Patient
80. The Stable Patient with Possible Cervical Spine Injury
81. Unknown C-Spine Patient - Stable Evaluation
82. Cervical Osteophytes and Airway Management

Section 10: Techniques
83. Lingual Tonsil Hyperplasia and Video Laryngoscopy
84. Optical Stylets
85. Use of the Flexible Intubation Scope
86. Pitfalls in the Use of the Flexible Intubation Scope (FOB)
87. Hangup During Intubation with the Flexible Intubation Scope
88. Combined Flexible Intubation Scope and Videolaryngoscopy
89. Blind Intubation via an Intubating SGA
90. Optically Aided Intubation via an Intubating Supraglottic Airway
91. Retrograde Wire Aided Intubation of the Trachea
92. Robotic Surgery in the Airway
93. Oxalator™ Automatic Resuscitator
94. TIVA
95. Intubation Without Muscle Relaxation
96. Inhalation Induction
97. Rapid Sequence Induction - Myth Busters

Section 11: Extubation
98. Deep Extubation
99. The Bailey Maneuver
100. Extubation of the Difficult Airway Patient
101. Extubation in the Non-OR, Non-ICU Environment

Section 12: Out of the OR
102. Out of the OR Difficult Airway
103. Endotracheal Tube Exchange in the ICU
104. Reintubation in the ICU Patient with Unexpected Post-Extubation Stridor
105. Partial Extubation Masquerading as Cuff Leak
106. Extubation of the Difficult Airway Patient in the ICU
107. Disrupted Airway Anatomy
108. RSI in the ED

Section 13: Invasive Airway Rescue
109. Translaryngeal Ventilation and Complications
110. Melker Emergency Cricothyrotomy

Part B: Lower Airway

Section 1: Interventional Pulmonology
111. Bronchoscopy +/- EBUS
112. Bronchial Thermoplasty
113. Endobronchial Tumor
114. Tracheal Stenosis
115. Tracheomalacia
116. Lung Lavage b/l
117. Medical Thoracoscopy for Pleural Biopsy
118. Airway Management for Electromagnetic Navigation

Section 2: Lung Isolation Techniques
119. L DLT
120. R DLT for a Left Pneumonectomy
121. DLT with Glidescope
122. Double Lumen Tube with Incorporated Fiberoptic Bronchoscopy
123. Univent Tubes
124. Fuji Blocker
125. Arndt Blocker
126. Cohen Bronchial Blocker
127. EZ Blocker
128. PT after OLV Requiring Postop Intubation

Section 3: Airway Surgery
129. Tracheoplasty Surgery
130. Tracheal Resection Surgery
131. Tracheo-esophageal Fistula Repair
132. Left Main Stem Bronchus Resection via Right Thoracotomy
133. Mediastinoscopy
134. Pregnant Patient with Severe Tracheal Stenosis for C-Section

Section 4: Surgeries Requiring Lung Isolation
135. RATS +- CO2 Insufflation
136. Tymectomy - Robotic
137. Lung Resection after Previous Lung Surgery
138. Lung Decortication
139. Descending Aortic Aneurysm
140. Minimally Invasive Esophagectomy

Section 5: Pre-existing Conditions
141. OLV in PT with Tracheostomy - DLT
142. Large Anterior Mediastinal Mass Resection
143. OLV in Difficult Airway and Severe GERD
144. S/P Esophagectomy for Dilation

Section 6: Congenital Abnormalities of the Lower Airway
145. Dextrocardia/Congenital Anomaly OLV
146. OLV in a Patient with Bronchus Suis

Section 7: Lung Transplant
147. Bilateral Sequential Lung Transplant
148. Rigid Bronchoscopy and Stent Placement after Bilateral Lung Transplant
149. Airway Management after Lung Transplant

Section 8: Lower Airway Emergencies
150. Massive Airway Bleed
151. Chest Trauma
152. Tracheal Rupture

Authors

William H. Rosenblatt MD
Professor, Departments of Anesthesiology and Surgery, Yale University School of Medicine, New Haven, CT

Wanda M. Popescu MD
Associate Professor, Department of Anesthesiology, Yale University School of Medicine, New Haven, CT