Airway management in the intensive care unit. Issue 10 (October 2022)

• Record Type: Journal Article
• Authors: Edelman, Daniel; Brewster, David
• Is Part Of: Anaesthesia and intensive care medicine. Volume 23:Issue 10(2022)
• Page Start: 589
• Page End: 593
• Publication Date: 2022-10
• Subjects: Airway management -- algorithms -- COVID-19 -- intensive care units -- intubation -- patient care team; Anesthesiology -- Periodicals; Critical care medicine -- Periodicals; Anesthesia -- Periodicals; Intensive care -- Periodicals; Electronic journals; Periodicals; 617.9605
• DOI: 10.1016/j.mpaic.2022.07.012
• Languages: English
• ISSNs: 1472-0299

Abstract

Abstract: Airway management practices in the intensive care unit (ICU) are still evolving, evidenced by an increasing proliferation of guidelines and algorithms in recent years. Specific considerations relate to the out-of-theatre environment and the physiological state in this patient population. Airway management in ICU is ultimately a multifaceted process spanning team training, simulation, preassessment, preparation, positioning of the patient, equipment decisions, guidelines/algorithm adherence and most recently the consideration of the coronavirus disease (COVID-19) pandemic. The use of video laryngoscopy has increased, as have the practices of apnoeic oxygenation and the use of checklists. Emergency front-of-neck access (FONA) should be taught to all staff and standardized equipment made available. This article highlights the factors a multidisciplinary team must navigate when approaching airway management in the ICU.