Edited by two of the field's luminaries, Management of the Difficult and Failed Airway brings together international experts who offer essential, never-before-published insights into the identification and management of difficult and failed airways.

No other text has ever presented the fundamental principles of airway assessment and management, along with a consistent, case-based approach to the difficult and failed airway in all clinical settings: in the field, the emergency department, on the wards and ICU's, and in perioperative settings. Multidisciplinary in scope, Management of the Difficult and Failed Airway encompasses the key areas of anesthesia, hospitalists, intensivists, emergency medicine, and paramedicine.

Features:

• Skill-building insights that cover all devices and skills required to handle most difficult and failed airways
• Mnemonics and easy-to-follow algorithms in nearly every chapter
• Engaging chapter-ending questions and answers
• Logical four-section organization: devices, techniques, difficult populations, and “practical considerations”
• Illustrated with color photographs throughout
• Conversational writing style, with headings phrased as questions commonly raised by physicians and practitioners-in-training
• The ideal accompaniment to “The Difficult Airway Course, ” conducted by the editors
• Companion DVD with videos of airway techniques and devices

Edited by two of the field's luminaries, Management of the Difficult and Failed Airway brings together international experts who offer essential, never-before-published insights into the identification and management of difficult and failed airways.

No other text has ever presented the fundamental principles of airway assessment and management, along with a consistent, case-based approach to the difficult and failed airway in all clinical settings: in the field, the emergency department, on the wards and ICU's, and in perioperative settings. Multidisciplinary in scope, Management of the Difficult and Failed Airway encompasses the key areas of anesthesia, hospitalists, intensivists, emergency medicine, and paramedicine.

Features:

• Skill-building insights that cover all devices and skills required to handle most difficult and failed airways
• Mnemonics and easy-to-follow algorithms in nearly every chapter
• Engaging chapter-ending questions and answers
• Logical four-section organization: devices, techniques, difficult populations, and “practical considerations”
• Illustrated with color photographs throughout
• Conversational writing style, with headings phrased as questions commonly raised by physicians and practitioners-in-training
• The ideal accompaniment to “The Difficult Airway Course,” conducted by the editors
• Companion DVD with videos of airway techniques and devices

Professor, Departments of Anesthesia, Surgery, and Pharmacology

Director of Research, Department of Anesthesia,

Dalhousie University

Queen Elizabeth II Health Sciences Centre

Halifax, Nova Scotia, Canada

Michael F. Murphy, MD, FRCP(C)

Professor and Chair of Anesthesiology

Professor, Emergency Medicine

Dalhousie University

District Chief Anesthesiology

Capital District Health Authority

Queen Elizabeth II Health Sciences Centre

Halifax, Nava Scotia, Canada

1. Airway Evaluation

Michael F. Murphy MD, FRCPC and D. John Doyle MD, PhD FRCPC

2. The Algorithms

Michael F. Murphy, MD FRCPC and Edward T. Crosby, MD FRCPC

3. Preparation for Awake Intubation

Ian R. Morris, BEng, MD, FRCPC, DABA, FACEP

4. The Pharmacology of Intubation

Ronald B. George, MD, Orlando Hung, MD FRCP(C) and Robert E. Schneider, MD

5. Aspiration: Risks and Prevention

Saul Pytka, MD FRCPC, Idena Carroll, CRNA MS, and Edward Crosby, MD FRCPC

Section 2: Devices and Techniques for the Difficult and Failed Airway Management

6. Airway Devices and Techniques

Michael F. Murphy, MD FRCPC and Orlando Hung, MD FRCPC

7. Direct Laryngoscopy and Oral Intubation of the Trachea

John J. Henderson

8. Flexible Fiberoptic Intubation

Ian R. Morris, BEng, MD, FRCPC, DABA, FACEP

9. Rigid and Semirigid Fiberoptic and Video Laryngoscopy and Intubation

Richard M. Cooper BSc, MSc MD FRCPC and J. Adam Law BSc, MD FRCPC

10. Blind Intubation Techniques

Chris C. Christodoulou MBChB, FRCPC and Orlando R. Hung MD, FRCPC

11. Extraglottic Devices for Ventilation and Oxygenation

Felice E. Agrò, MD, D. John Doyle, MD PhD FRCPC, Orlando R. Hung, MD FRCPC, Thomas J. Coonan, MD FRCPC, Rita Cataldo, MD, Benedetta Gallì, MD, and Serena Antonelli, MD

12. Surgical Airway

Gordon O. Launcelott MD, FRCPC and Liane B. Johnson MDCM, FRCSC

Section 3. Case Studies in Difficult and Failed Airway Management

A. Airways Cases in Prehospital Care

13. What is Unique About Airway Management in the Prehospital Setting?

David Petrie MD, FRCPC, John Tallon MD, FRCPC, and Michael F. Murphy MD, FRCPC

14. Airway Management of a Patient with Traumatic Brain Injury (TBI)

J. Adam Law, MD FRCPC, Edward T. Crosby, MD FRCPC, Andy Jagoda, MD FACEP

15. Airway Management of an Unconscious Patient who Remains Trapped Inside the Vehicle Following a Motor Vehicle Accident

Tom C. Phu, MD, Orlando R. Hung, MD, FRCPC, and Ronald D. Stewart, MD

16. Airway Management of a Motorcyclist with a Full Face Helmet Following an Accident

Mark P. Vu, MD, FRCPC and Orlando R. Hung, MD, FRCPC

17. Airway Management of a Morbidly Obese Patient Suffering from a Cardiac Arrest

Saul Pytka, MD FRCPC, Idena Carroll, CRNA MS

18. Airway Management with Blunt Anterior Neck Trauma

David A. Caro, MD, Steven A. Godwin, MD

B: Airway Cases in the Emergency Department

19. Airway Management in the Emergency Department

Michael F. Murphy, MD FRCPC, Ron M. Walls, MD

20. Patient with Deadly Asthma Requires Intubation

Kerry B. Broderick, MD, Richard D. Zane, MD

21. Patient in Cardiogenic Shock

Kerry B. Broderick, MD

22. Airway Management of a Patient with Cardiogenic Pulmonary Edema

Kirk J. MacQuarrie, MD FRCPC

23. Airway Management of a Patient with a Stab Wound to the Neck

Michael F. Murphy, MD FRCPC

24. Airway Management in the Patient with Burns to the Head, Neck, Upper Torso and the Airway

Robert J. Vissers, MD FRCPC FACEP

25. Airway Management in a Patient with Angioedema

Michael F. Murphy, MD FRCPC, Neilson J. McLean, MD

26. Airway Management for Blunt Facial Trauma

David A. Caro, MD, Aaron E. Bair, MD

27. Airway Management in a Patient with Retropharyngeal Abscess

C: Airway Cases in the Critical Care Unit

Kirk J. MacQuarrie MD, FRCPC, David Kirkpatrick MD, FRCSC

28. Airway Management in the Intensive Care Unit (ICU)

Stephen Beed MD, FRCPC DipABA Cert CCM

29. Management of Extubation of a Patient Following a Prolonged Period of Mechanical Ventilation

Richard M. Cooper BSc, MSc, MD FRCPC

30. Management of an Accidental Extubation in a Patient in a Halo Jacket

Michael Frass, MD, Michael F. Murphy, MD FRCPC

31. Management of a SARS Patient Admitted to the ICU with Impending Respiratory Failure and a Clinical Suspicion of Difficult Airway

David T. Wong, MD

32. Performing an Elective Percutaneous Dilational Tracheotomy in a Patient on Mechanical Ventilation

Angelina Guzzo, MDCM, PhD, Liane B. Johnson MDCM, FRCSC, Orlando R. Hung, MD, FRCPC

D: Airway Cases: Surgical Patients in the Operating Room

33. Uncooperative Down Syndrome Patient

Michael F. Murphy MD, FRCPC

34. Airway Management in the Operating Room of a Patient with a History of Oral and Cervical Radiation Therapy

Ian R. Morris, BEng, MD, FRCPC, FACEP

35. Intra-Operative Accidental Dislodgement of the Endotracheal Tube in a Patient in Prone Position

Dennis Drapeau, BSc MD FRCPC, Orlando Hung, MD FRCPC

36. Airway Management of Patients with a History of Difficult Intubation for a Peripheral Procedure

Lorraine J. Foley, MD

37. Airway Management of a Patient with an Unanticipated Difficult Laryngoscopy

John J. Henderson MB, ChB, FRCA

38. Airway Management of a Patient with Superior Vena Cava Obstruction Syndrome

Gordon O. Launcelott, MD FRCPC

39. Airway Management of a Patient with History of Difficult Airway who Refuses to have Awake Tracheal Intubation

Steven Abramson, MD, Kyle Friedman, MD, Carin Hagberg, MD

40. Airway Management in the Operating Room of a Morbidly Obese Patient in a "Cant intubate, Cant Ventilate" Situation

David T. Wong, MD FRCPC

E: Pediatric Airway Cases

41. Unique Airway Issues in the Pediatric Population

Robert C. Luten, MD, Niranjan "Tex" Kissoon, MD FRCPC FAAP FCCM FACPE, Stephen A. Godwin MD, Michael F. Murphy, MD FRCPC

42. Airway Management of a Child with Epiglottitis

Christian M. Soder, MD FRCPC

43. Management of 12 year-old Child with a Foreign Body in the Bronchus

Liane B. Johnson, MDCM FRCSC

44. Airway Management of a Newborn with a Tracheoesophageal Fistula (TEF)

Babu V. Koka, MD, Sabeena K. Chacko, MD

45. Airway Management in a One Year-Old with Pierre Robin Syndrome for Myringotomy and Tubes

Christian M. Soder, MD FRCPC

46. Airway Management of a Six Year Old with a History of Difficult Airway for Bilateral Inguinal Hernia Repair

David C. Abramson, MBChB FFA (SA)

47. Pediatric Patient with a Closed Head Injury

Robert C. Luten, MD, Niranjan "Tex" Kissoon, MD FRCPC FAAP FCCM FACPE, Michael F. Murphy, MD FRCPC

F: Obstetrical Airway Cases

48. What is Unique about the Obstetrical Airway?

Brian K. Ross PhD, MD

49. Airway Management of the Obstetrical Patient with an Anticipated Difficult Airway

Brian K. Ross, PhD, MD

50. Unanticipated Difficult Airway in an Obstetrical Patient Requiring an Emergency Cesarean Section

Adeyemi J. Olufolabi, MB BS DCH FRCA, Holly A. Muir, MD FRCPC

51. Airway Management in the Pregnant Trauma Victim

Adeyemi J. Olufolabi, MB BS DCH FRCA, Holly A. Muir, MD FRCPC

G: Airway Cases in Other Hospital Settings

52. Unique Challenges of Ectopic Airway Management

Michael F. Murphy, MD FRCPC

53. Management of the Patient with a Neck Hematoma

J. Adam Law, MD FRCPC

54. Respiratory Arrest in the Magnetic Resonance Imaging (MRI) Suite

D. John Doyle, MD, PhD, FRCPC

55. Postobstructive Pulmonary Edema (POPE)

Matthew G. Simms, MSc MD, J. Adam Law, MD FRCPC

Section 4: Practical Considerations in Difficult and Failed Airway Management

56. Difficult Airway Carts

Saul Pytka, MD FRCPC, Michael F. Murphy, MD FRCPC

57. Documentation of Difficult Airway

Lorraine J. Foley, MD

Answers

Index