Journal of Emergencies, Trauma, and Shock

POINT OF VIEW
Year
: 2012  |  Volume : 5  |  Issue : 4  |  Page : 279--284

Issues of critical airway management (Which anesthesia; which surgical airway?)


Fabrizio Giuseppe Bonanno 
 Trauma Directorate, Chris Hani Baragwanath Hospital, Johannesburg, South Africa

Correspondence Address:
Fabrizio Giuseppe Bonanno
Trauma Directorate, Chris Hani Baragwanath Hospital, Johannesburg
South Africa

Which anesthesia for patients with critical airway? Safe and effective analgesia and anesthesia in critical airway is a skilled task especially after severe maxillofacial injury combined with head injury and hemorrhagic shock. If on one side sedation is wanted, on the other hand it may worsen the airway and hemodynamic situation to a point where hypoventilation and decrease of blood pressure, common side-effect of many opioids, may prejudice the patient«SQ»s level of consciousness and hemodynamic compensation, compounding an already critical situation. What to do when endotracheal intubation fails and blood is trickling down the airways in an unconscious patient or when a conscious patient has to sit up to breathe? Which surgical airway in critical airway? Comparative studies among the various methods of emergency surgical airway would be unethical; furthermore, operator«SQ»s training and experience is relevant for indications and performance.


How to cite this article:
Bonanno FG. Issues of critical airway management (Which anesthesia; which surgical airway?).J Emerg Trauma Shock 2012;5:279-284


How to cite this URL:
Bonanno FG. Issues of critical airway management (Which anesthesia; which surgical airway?). J Emerg Trauma Shock [serial online] 2012 [cited 2020 Feb 18 ];5:279-284
Available from: http://www.onlinejets.org/article.asp?issn=0974-2700;year=2012;volume=5;issue=4;spage=279;epage=284;aulast=Bonanno;type=0