Master Techniques in Upper and Lower Airway Management

Airway management is one of primary responsibilities of anesthesiologists and nurse anesthetists in the OR. The care of patients with airway disease is an especially significant challenge. These patients often represent the highest risk population in anesthetic practice because of the potential for catastrophic and possibly fatal airway loss. This book will provide a video-illustrated, practical guide to the management of routine and complex patients and procedures. Each case will begin with a general discussion of the important topics encountered in the case. Then the case will be presented along with a series of questions. Images and video will present the patient's anatomy as well as use of intubation and other management equipment. Video and images will present relevant portions of the operative procedure. Each question will then be fully answered. Key Features

• Each case will have accompanying video
• Full color throughout
• Questions incorporated into cases
• Unique format makes this product both a quick-read clinical reference and a case repository

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