DIFFICULT INTUBATIONS

 

The American Society of Anesthesiologists has developed an algorithm for handling difficult airways.  Although each patient must be evaluated on an individual basis, conditions generally associated with difficult intubations include:

  • Oral/pharyngeal tumors, hemangiomas or hematomas
  • Infections such as submandibular or peritonsillar abscesses or epiglottitis
  • Congenital Anomalies such as Pierre Ronin Syndrome, Laryngeal atresia or craniofacial dysostosis
  • Foreign body
  • Facial trauma such as laryngeal, maxillary or mandibular fracture, Cervical spine injury
  • Inhalational burn
  • Obesity
  • Inadequate neck extension due to rheumatoid arthritis, cervical stenosis or ankylosing spondylitis
  • Anatomic Variations such as micrognathia, prognathism, macroglossia, arched palate, short neck, prominent incisors or buck teeth.

Click here to visit the American Society of Anesthesiologist's Difficult Airway Guidelines.

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