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Advanced airway management is the subset of airway management that involves advanced training, skill, and invasiveness. It encompasses various techniques performed to create an open or patent airway – a clear path between a patient's lungs and the outside world.
In anaesthesia and advanced airway management, rapid sequence induction (RSI) – also referred to as rapid sequence intubation or as rapid sequence induction and intubation (RSII) or as crash induction [1] – is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration.
Airway obstruction can be caused by the tongue, foreign objects, the tissues of the airway itself, and bodily fluids such as blood and gastric contents . [citation needed] Airway management is commonly divided into two categories: basic and advanced.
A cricothyrotomy (also called cricothyroidotomy or laryngotomy) is an incision made through the skin and cricothyroid membrane to establish a patient airway during certain life-threatening situations, such as airway obstruction by a foreign body, angioedema, or massive facial trauma.
Tracheal intubation in the emergency setting can be difficult with the fiberoptic bronchoscope due to blood, vomit, or secretions in the airway and poor patient cooperation. Because of this, patients with massive facial injury, complete upper airway obstruction, severely diminished ventilation, or profuse upper airway bleeding are poor ...
The Simplified Airway Risk Index (SARI), or El-Ganzouri Risk Index (EGRI), is a multivariate risk score thought to estimate the risk of difficult tracheal intubation. The SARI score ranges from 0 to 12 points, where a higher number of points indicates a more difficult airway. A SARI score of 4 or above is thought to indicate a difficult ...
A systematic review of 42 studies, with 34,513 participants, found that the modified Mallampati score is a good predictor of difficult direct laryngoscopy and intubation, but poor at predicting difficult bag mask ventilation.
Ensuring an open airway and adequate ventilation may be difficult in people with TBI. [3] Intubation, one method to secure the airway, may be used to bypass a disruption in the airway in order to send air to the lungs. [3] If necessary, a tube can be placed into the uninjured bronchus, and a single lung can be ventilated. [3]