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- Title
Empfehlungen zur neuen S1-Leitlinie Atemwegsmanagement.
- Authors
Piepho, Tim; Kriege, Marc; Byhahn, Christian; Cavus, Erol; Dörges, Volker; Ilper, Hendrik; Kehl, Franz; Loop, Torsten; Raymondos, Konstantinos; Sujatta, Susanne; Timmermann, Arnd; Zwißler, Bernhard; Noppens, Ruediger
- Abstract
The German guidelines for airway management aim to optimize the care of patients undergoing anesthesia or intensive care. The preanesthesia evaluation is an important component for detection of anatomical and physiological indications for difficult mask ventilation and intubation. If predictors for a difficult or impossible mask ventilation and/or endotracheal intubation are present the airway should be secured while maintaining spontaneous breathing. In an unexpectedly difficult intubation, attempts to secure the airway should be limited to two with each method used. A video laryngoscope is recommended after an unsuccessful direct laryngoscopy. Therefore, a video laryngoscope should be available at every anesthesiology workspace throughout the hospital. Securing the airway should primarily be performed with a video laryngoscope in critically ill patients and patients at risk of pulmonary aspiration. Experienced personnel should perform or supervise airway management in the intensive care unit.
- Subjects
GERMANY; MEDICAL protocols; THERAPEUTICS; CRITICALLY ill; PATIENTS; PREOPERATIVE care; TRACHEA intubation; LARYNGOSCOPY; INTENSIVE care units; AIRWAY (Anatomy); QUALITY assurance; ANESTHESIA; VIDEO recording
- Publication
Die Anaesthesiologie, 2024, Vol 73, Issue 6, p379
- ISSN
2731-6858
- Publication type
Article
- DOI
10.1007/s00101-024-01414-4