Regional anesthesia in difficult airway: The quest for a solution continues
Identifieur interne : 006736 ( Ncbi/Checkpoint ); précédent : 006735; suivant : 006737Regional anesthesia in difficult airway: The quest for a solution continues
Auteurs : Ranjana Khetarpal [Inde] ; Veena Chatrath [Inde] ; Akshay Dhawan [Inde] ; Joginder Pal Attri [Inde]Source :
- Anesthesia, Essays and Researches [ 0259-1162 ] ; 2016.
Abstract
Difficult airway, a scenario with potentially life threatening outcome, is routinely encountered by an anesthesiologist leaving him with the dilemma of whether to use regional anesthesia (RA) or general anesthesia. Our study aims to look into this problem. The literature search was performed in the Google, PubMed, and Medscape using key words “regional anesthesia, difficult airway, pregnancy, ventilation, intubation, epidural anesthesia, nerve blocks.” More than 38 free full articles and books published from the year 1987 to 2014 were retrieved and studied. At first sight, RA may appear to offer an ideal solution as it helps to avoid the problem of difficult airway. However, the possibility of a total spinal block, failed or incomplete RA, local anesthetic toxicity or unforeseen surgical complication may make it imperative that the airway is secured. The correct decision can only be made by the anesthetist when all the relevant clinical information is taken into account. It is also important to ensure that before considering RA in a patient of difficult airway, an anesthesiologist must have a preformulated strategy for intubation.
Url:
DOI: 10.4103/0259-1162.167829
PubMed: 27212743
PubMed Central: 4864700
Affiliations:
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xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, Government Medical College, Amritsar, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author><author><name sortKey="Dhawan, Akshay" sort="Dhawan, Akshay" uniqKey="Dhawan A" first="Akshay" last="Dhawan">Akshay Dhawan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, Government Medical College, Amritsar, Punjab, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, Government Medical College, Amritsar, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author><author><name sortKey="Attri, Joginder Pal" sort="Attri, Joginder Pal" uniqKey="Attri J" first="Joginder Pal" last="Attri">Joginder Pal Attri</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesia, Government Medical College, Amritsar, Punjab, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesia, Government Medical College, Amritsar, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author></analytic><series><title level="j">Anesthesia, Essays and Researches</title><idno type="ISSN">0259-1162</idno><idno type="eISSN">2229-7685</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Difficult airway, a scenario with potentially life threatening outcome, is routinely encountered by an anesthesiologist leaving him with the dilemma of whether to use regional anesthesia (RA) or general anesthesia. Our study aims to look into this problem. The literature search was performed in the Google, PubMed, and Medscape using key words “regional anesthesia, difficult airway, pregnancy, ventilation, intubation, epidural anesthesia, nerve blocks.” More than 38 free full articles and books published from the year 1987 to 2014 were retrieved and studied. At first sight, RA may appear to offer an ideal solution as it helps to avoid the problem of difficult airway. However, the possibility of a total spinal block, failed or incomplete RA, local anesthetic toxicity or unforeseen surgical complication may make it imperative that the airway is secured. The correct decision can only be made by the anesthetist when all the relevant clinical information is taken into account. It is also important to ensure that before considering RA in a patient of difficult airway, an anesthesiologist must have a preformulated strategy for intubation.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Caplan, Ra" uniqKey="Caplan R">RA Caplan</name></author><author><name sortKey="Benumof, Jl" uniqKey="Benumof J">JL Benumof</name></author><author><name sortKey="Berry, Fa" uniqKey="Berry F">FA Berry</name></author><author><name sortKey="Blitt, Cd" uniqKey="Blitt C">CD Blitt</name></author><author><name sortKey="Bode, Rh" uniqKey="Bode R">RH Bode</name></author><author><name sortKey="Cheney, Fw" uniqKey="Cheney F">FW Cheney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rocke, Da" uniqKey="Rocke D">DA Rocke</name></author><author><name sortKey="Murray, Wb" uniqKey="Murray W">WB Murray</name></author><author><name sortKey="Rout, Cc" uniqKey="Rout C">CC Rout</name></author><author><name 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Talikoti</name></author><author><name sortKey="Dinesh, K" uniqKey="Dinesh K">K Dinesh</name></author><author><name sortKey="Kumar, A" uniqKey="Kumar A">A Kumar</name></author><author><name sortKey="Goolappa" uniqKey="Goolappa">Goolappa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schelew, Bl" uniqKey="Schelew B">BL Schelew</name></author><author><name sortKey="Vaghadia, H" uniqKey="Vaghadia H">H Vaghadia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sivrikaya, Gu" uniqKey="Sivrikaya G">GU Sivrikaya</name></author><author><name sortKey="Hanci, A" uniqKey="Hanci A">A Hanci</name></author><author><name sortKey="Dobrucali, H" uniqKey="Dobrucali H">H Dobrucali</name></author><author><name sortKey="Yalcinkaya, A" uniqKey="Yalcinkaya A">A Yalcinkaya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, M" uniqKey="Singh M">M Singh</name></author><author><name sortKey="Chaudhary, S" uniqKey="Chaudhary S">S Chaudhary</name></author><author><name sortKey="Arya, Ak" uniqKey="Arya A">AK Arya</name></author><author><name sortKey="Kumar, S" uniqKey="Kumar S">S Kumar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bellhouse, Cp" uniqKey="Bellhouse C">CP Bellhouse</name></author><author><name sortKey="Dore, C" uniqKey="Dore C">C Doré</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Khetarpal, Ranjana" sort="Khetarpal, Ranjana" uniqKey="Khetarpal R" first="Ranjana" last="Khetarpal">Ranjana Khetarpal</name></noRegion><name sortKey="Attri, Joginder Pal" sort="Attri, Joginder Pal" uniqKey="Attri J" first="Joginder Pal" last="Attri">Joginder Pal Attri</name><name sortKey="Chatrath, Veena" sort="Chatrath, Veena" uniqKey="Chatrath V" first="Veena" last="Chatrath">Veena Chatrath</name><name sortKey="Dhawan, Akshay" sort="Dhawan, Akshay" uniqKey="Dhawan A" first="Akshay" last="Dhawan">Akshay Dhawan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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