Airway management in trauma
Trauma has assumed epidemic proportion. 10% of global road accident deaths occur in India. Hypoxia and airway mismanagement are known to contribute up to 34% of pre-hospital deaths in these patients. A high degree of suspicion for actual or impending airway obstruction should be assumed in all traum...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=5;spage=463;epage=469;aulast=Khan |
| _version_ | 1818324061196910592 |
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| author | Rashid M Khan Pradeep K Sharma Naresh Kaul |
| author_facet | Rashid M Khan Pradeep K Sharma Naresh Kaul |
| author_sort | Rashid M Khan |
| collection | DOAJ |
| description | Trauma has assumed epidemic proportion. 10% of global road accident deaths occur in India. Hypoxia and airway mismanagement are known to contribute up to 34% of pre-hospital deaths in these patients. A high degree of suspicion for actual or impending airway obstruction should be assumed in all trauma patients. Objective signs of airway compromise include agitation, obtundation, cyanosis, abnormal breath sound and deviated trachea. If time permits, one should carry out a brief airway assessment prior to undertaking definitive airway management in these patients. Simple techniques for establishing and maintaining airway patency include jaw thrust maneuver and/or use of oro- and nas-opharyngeal airways. All attempts must be made to perform definitive airway management whenever airway is compromised that is not amenable to simple strategies. The selection of airway device and route- oral or -nasal, for tracheal intubation should be based on nature of patient injury, experience and skill level. |
| first_indexed | 2024-12-13T11:22:36Z |
| format | Article |
| id | doaj.art-274e5aa010624fce87eec8c5c7d8d84c |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-13T11:22:36Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-274e5aa010624fce87eec8c5c7d8d84c2022-12-21T23:48:23ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492011-01-0155546346910.4103/0019-5049.89870Airway management in traumaRashid M KhanPradeep K SharmaNaresh KaulTrauma has assumed epidemic proportion. 10% of global road accident deaths occur in India. Hypoxia and airway mismanagement are known to contribute up to 34% of pre-hospital deaths in these patients. A high degree of suspicion for actual or impending airway obstruction should be assumed in all trauma patients. Objective signs of airway compromise include agitation, obtundation, cyanosis, abnormal breath sound and deviated trachea. If time permits, one should carry out a brief airway assessment prior to undertaking definitive airway management in these patients. Simple techniques for establishing and maintaining airway patency include jaw thrust maneuver and/or use of oro- and nas-opharyngeal airways. All attempts must be made to perform definitive airway management whenever airway is compromised that is not amenable to simple strategies. The selection of airway device and route- oral or -nasal, for tracheal intubation should be based on nature of patient injury, experience and skill level.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=5;spage=463;epage=469;aulast=KhanAirway algorithmsairway managementairway trauma |
| spellingShingle | Rashid M Khan Pradeep K Sharma Naresh Kaul Airway management in trauma Indian Journal of Anaesthesia Airway algorithms airway management airway trauma |
| title | Airway management in trauma |
| title_full | Airway management in trauma |
| title_fullStr | Airway management in trauma |
| title_full_unstemmed | Airway management in trauma |
| title_short | Airway management in trauma |
| title_sort | airway management in trauma |
| topic | Airway algorithms airway management airway trauma |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=5;spage=463;epage=469;aulast=Khan |
| work_keys_str_mv | AT rashidmkhan airwaymanagementintrauma AT pradeepksharma airwaymanagementintrauma AT nareshkaul airwaymanagementintrauma |