Evaluation of the airway
Identifieur interne : 000832 ( Istex/Curation ); précédent : 000831; suivant : 000833Evaluation of the airway
Auteurs : A. C. Pearce [Royaume-Uni]Source :
- Current Anaesthesia & Critical Care [ 0953-7112 ] ; 1998.
English descriptors
- KwdEn :
- Airway, Airway disease, Airway disease process, Airway evaluation, Airway maintenance, Airway management, Alternative technique, Anaesth, Anaesthesia, Awake fibreoptic intubation, Awake intubation, Basic evaluation, Cervical, Cervical spine disease, Clear airway, Cormack grade, Cricoid pressure, Cricothyroid membrane, Critical care table, Current anaesthesia, Difficult airway, Difficult airway management, Difficult facemask, Difficult intubation, Difficult intubations, Difficult laryngoscopy, Difficult tracheal intubation, Direct laryngoscopy, Faucial pillars, Fibreoptic, Fibreoptic intubation, Full gape, Full stomach, General anaesthesia, Interincisor distance, Intubation, Large breasts, Laryngeal, Laryngoscopy, Larynx, Mallampati, Mallampati grade, Mask inflation, Mask ventilation, Maximal extension, Mouth opening, Neck movement, Normal larynx, Normal patients, Palate, Particular patient, Practice guidelines, Predictive tests, Protrusion, Retrograde techniques, Rheumatoid arthritis, Short neck, Soft palate, Sternomental distance, Thick neck, Thyromental distance, Tracheal, Tracheal intubation, Translaryngeal injection.
- Teeft :
- Airway, Airway disease, Airway disease process, Airway evaluation, Airway maintenance, Airway management, Alternative technique, Anaesth, Anaesthesia, Awake fibreoptic intubation, Awake intubation, Basic evaluation, Cervical, Cervical spine disease, Clear airway, Cormack grade, Cricoid pressure, Cricothyroid membrane, Critical care table, Current anaesthesia, Difficult airway, Difficult airway management, Difficult facemask, Difficult intubation, Difficult intubations, Difficult laryngoscopy, Difficult tracheal intubation, Direct laryngoscopy, Faucial pillars, Fibreoptic, Fibreoptic intubation, Full gape, Full stomach, General anaesthesia, Interincisor distance, Intubation, Large breasts, Laryngeal, Laryngoscopy, Larynx, Mallampati, Mallampati grade, Mask inflation, Mask ventilation, Maximal extension, Mouth opening, Neck movement, Normal larynx, Normal patients, Palate, Particular patient, Practice guidelines, Predictive tests, Protrusion, Retrograde techniques, Rheumatoid arthritis, Short neck, Soft palate, Sternomental distance, Thick neck, Thyromental distance, Tracheal, Tracheal intubation, Translaryngeal injection.
Abstract
Evaluation of the airway is the first step in airway management and seeks to identify preoperatively the required degree of airway maintenance and protection and, more importantly, the nature and extent of any problems with airway management. All patients should have a basic evaluation consisting of history, general examination and a few specific tests. It is not a precise science and some of the benefit of airway evaluation is due to the clinical interaction with a patient and focus on a core duty of the anaesthetist. In general surgical patients, evaluation will pick up only 15–50% of patients who are true clinical difficult intubations and will also label a number of normal patients as being difficult. Some subspecialties, such as ENT, maxillofacial, orthopaedic and neuroanaesthesia, have a much higher prevalence of difficult airways, which may derive from an airway disease process, and a more thorough evaluation is required to ascertain the best primary and secondary plans for airway management.
Url:
DOI: 10.1016/S0953-7112(98)80067-7
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<term>Airway evaluation</term>
<term>Airway maintenance</term>
<term>Airway management</term>
<term>Alternative technique</term>
<term>Anaesth</term>
<term>Anaesthesia</term>
<term>Awake fibreoptic intubation</term>
<term>Awake intubation</term>
<term>Basic evaluation</term>
<term>Cervical</term>
<term>Cervical spine disease</term>
<term>Clear airway</term>
<term>Cormack grade</term>
<term>Cricoid pressure</term>
<term>Cricothyroid membrane</term>
<term>Critical care table</term>
<term>Current anaesthesia</term>
<term>Difficult airway</term>
<term>Difficult airway management</term>
<term>Difficult facemask</term>
<term>Difficult intubation</term>
<term>Difficult intubations</term>
<term>Difficult laryngoscopy</term>
<term>Difficult tracheal intubation</term>
<term>Direct laryngoscopy</term>
<term>Faucial pillars</term>
<term>Fibreoptic</term>
<term>Fibreoptic intubation</term>
<term>Full gape</term>
<term>Full stomach</term>
<term>General anaesthesia</term>
<term>Interincisor distance</term>
<term>Intubation</term>
<term>Large breasts</term>
<term>Laryngeal</term>
<term>Laryngoscopy</term>
<term>Larynx</term>
<term>Mallampati</term>
<term>Mallampati grade</term>
<term>Mask inflation</term>
<term>Mask ventilation</term>
<term>Maximal extension</term>
<term>Mouth opening</term>
<term>Neck movement</term>
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<term>Normal patients</term>
<term>Palate</term>
<term>Particular patient</term>
<term>Practice guidelines</term>
<term>Predictive tests</term>
<term>Protrusion</term>
<term>Retrograde techniques</term>
<term>Rheumatoid arthritis</term>
<term>Short neck</term>
<term>Soft palate</term>
<term>Sternomental distance</term>
<term>Thick neck</term>
<term>Thyromental distance</term>
<term>Tracheal</term>
<term>Tracheal intubation</term>
<term>Translaryngeal injection</term>
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<term>Airway disease</term>
<term>Airway disease process</term>
<term>Airway evaluation</term>
<term>Airway maintenance</term>
<term>Airway management</term>
<term>Alternative technique</term>
<term>Anaesth</term>
<term>Anaesthesia</term>
<term>Awake fibreoptic intubation</term>
<term>Awake intubation</term>
<term>Basic evaluation</term>
<term>Cervical</term>
<term>Cervical spine disease</term>
<term>Clear airway</term>
<term>Cormack grade</term>
<term>Cricoid pressure</term>
<term>Cricothyroid membrane</term>
<term>Critical care table</term>
<term>Current anaesthesia</term>
<term>Difficult airway</term>
<term>Difficult airway management</term>
<term>Difficult facemask</term>
<term>Difficult intubation</term>
<term>Difficult intubations</term>
<term>Difficult laryngoscopy</term>
<term>Difficult tracheal intubation</term>
<term>Direct laryngoscopy</term>
<term>Faucial pillars</term>
<term>Fibreoptic</term>
<term>Fibreoptic intubation</term>
<term>Full gape</term>
<term>Full stomach</term>
<term>General anaesthesia</term>
<term>Interincisor distance</term>
<term>Intubation</term>
<term>Large breasts</term>
<term>Laryngeal</term>
<term>Laryngoscopy</term>
<term>Larynx</term>
<term>Mallampati</term>
<term>Mallampati grade</term>
<term>Mask inflation</term>
<term>Mask ventilation</term>
<term>Maximal extension</term>
<term>Mouth opening</term>
<term>Neck movement</term>
<term>Normal larynx</term>
<term>Normal patients</term>
<term>Palate</term>
<term>Particular patient</term>
<term>Practice guidelines</term>
<term>Predictive tests</term>
<term>Protrusion</term>
<term>Retrograde techniques</term>
<term>Rheumatoid arthritis</term>
<term>Short neck</term>
<term>Soft palate</term>
<term>Sternomental distance</term>
<term>Thick neck</term>
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<front><div type="abstract" xml:lang="en">Evaluation of the airway is the first step in airway management and seeks to identify preoperatively the required degree of airway maintenance and protection and, more importantly, the nature and extent of any problems with airway management. All patients should have a basic evaluation consisting of history, general examination and a few specific tests. It is not a precise science and some of the benefit of airway evaluation is due to the clinical interaction with a patient and focus on a core duty of the anaesthetist. In general surgical patients, evaluation will pick up only 15–50% of patients who are true clinical difficult intubations and will also label a number of normal patients as being difficult. Some subspecialties, such as ENT, maxillofacial, orthopaedic and neuroanaesthesia, have a much higher prevalence of difficult airways, which may derive from an airway disease process, and a more thorough evaluation is required to ascertain the best primary and secondary plans for airway management.</div>
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