Article Data

  • Views 2200
  • Dowloads 248

Editorials

Open Access Special Issue

Factors for advancing emergency airway management practice

  • Hui-Chun Ku1
  • Shih-Yi Lee2,3,*

1Department of Life Science, Fu Jen Catholic University, 242062 Taipei, Taiwan

2Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, MacKay Memorial Hospital, 10499 Taipei, Taiwan

3MacKay Junior College of Medicine, Nursing, and Management,11260 Taipei, Taiwan

DOI: 10.22514/sv.2022.032 Vol.18,Issue 6,November 2022 pp.1-4

Submitted: 11 January 2022 Accepted: 24 February 2022

Published: 08 November 2022

*Corresponding Author(s): Shih-Yi Lee E-mail: leesyi5538@yahoo.com.tw

Abstract

Compiling factors from scientific evidence of airway management in the emergency setting is a strategy for improving patient outcomes. Review and original articles in this special issue highlight the essential elements that deserve special attention in clinical practice, including airway assessments before artificial airway establishment, rapid sequence induction, continuous monitoring of vital signs after airway intubation, and management of artificial airway-associated discomfort.


Keywords

Capnography; Difficult airway; Difficult mask ventilation; Difficult intubation; Emergency airway management; Rapid sequence intubation; Tube-related sore throat


Cite and Share

Hui-Chun Ku,Shih-Yi Lee. Factors for advancing emergency airway management practice. Signa Vitae. 2022. 18(6);1-4.

References

[1] Jaber S, Amraoui J, Lefrant JY, Arich C, Cohendy R, Landreau L, et al. Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Critical Care Medicine. 2006; 34: 2355–2361.

[2] Jaber S, Jung B, Corne P, Sebbane M, Muller L, Chanques G, et al. An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Intensive Care Medicine. 2010; 36: 248–255.

[3] Perbet S, De Jong A, Delmas J, Futier E, Pereira B, Jaber S, et al. Incidence of and risk factors for severe cardiovascular collapse after endotracheal intubation in the ICU: a multicenter observational study. Critical Care. 2015; 19: 257.

[4] Lee SY, Chien DK, Huang MY, Huang CH, Shih SC, Wu KM, et al. Patient-specific factors associated with difficult mask ventilation in the emergency department. International Journal of Gerontology. 2017; 11: 263–266.

[5] Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, Dutton RP, et al. 2022 American society of anesthesiologists practice guidelines for management of the difficult airway. Anesthesiology. 2022; 136: 31–81.

[6] Okubo M, Gibo K, Hagiwara Y, Nakayama Y, Hasegawa K, Japanese Emergency Medicine Network Investigators. The effectiveness of rapid sequence intubation (RSI) versus non-RSI in emergency department: an analysis of multicenter prospective observational study. International Journal of Emergency Medicine. 2017; 10: 1.

[7] Jooste R, Roberts F, Mndolo S, Mabedi D, Chikumbanje S, Whitaker DK, et al. Global capnography project (GCAP): implementation of capnography in Malawi-an international anaesthesia quality improvement project. Anaesthesia. 2019; 74: 158–166.

[8] Gelb AW, Morriss WW, Johnson W, Merry AF, International Standards for a Safe Practice of Anesthesia Workgroup. World health organization-world federation of societies of anaesthesiologists (WHO-WFSA) international standards for a safe practice of anesthesia. The Canadian Journal of Anesthesia. 2018; 65: 698–708.

[9] AlQahtani RM, Abdalla M, Azzam YH, Elsherif AA, Altulayh RI. Pharmacological interventions for post-operative sore throat (POST): a network meta-analysis. Signa Vitae. 2021; 17: 169–177.

[10] Lee SY, Kuo CY, Wei DH, Ku HC, Chung RJ, Chang WH. Perspective view for mask design. Health Technol. 2017; 1: 3.

[11] Cook TM, MacDougall-Davis SR. Complications and failure of airway management. British Journal of Anaesthesia. 2012; 109: i68–i85.

[12] Hasegawa K, Shigemitsu K, Hagiwara Y, Chiba T, Watase H, Brown CA, et al. Association between repeated intubation attempts and adverse events in emergency departments: an analysis of a multicenter prospective observational study. Annals of Emergency Medicine. 2012; 60: 749–754.e2.

[13] Cook TM, Woodall N, Harper J, Benger J, Fourth National Audit Project. Major complications of airway management in the UK: results of the fourth national audit project of the royal college of anaesthetists and the difficult airway society. Part 2: intensive care and emergency departments. British Journal of Anaesthesia. 2011; 106: 632–642.

[14] Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American society of anesthesiologists task force on management of the difficult airway. Anesthesiology. 2013; 118: 251–270.

[15] Roth D, Pace NL, Lee A, Hovhannisyan K, Warenits AM, Arrich J, et al. Airway physical examination tests for detection of difficult airway management in apparently normal adult patients. Cochrane Database of Systematic Reviews. 2018; 5: CD008874.

[16] Lee SY, Shih SC, Leu YS, Chang WH, Lin HC, Ku HC. Implications of age-related changes in anatomy for geriatric-focused difficult airways. International Journal of Gerontology. 2017; 11: 130–133.

[17] Liao EC, Chang WH, Yu CH, Chau YP, Sun FJ, Lai WJ, et al. Predictors of difficult endotracheal intubation in the emergency department: a single-center pilot study. Signa Vitae. 2021; 17: 77–84.

[18] Drašković B, Uram Benka A, Drašković D, Marić D, Simić D. Anaesthesiological problems in children with congenital laryngeal stenosis. Signa Vitae. 2010; 5: 38–39.

[19] Kralik S, Škarié I, Butkovié D, Mikecin L, Kondza K, Jakobovié J. Serious complications of an obstructive upper airway infection in a young child. Signa Vitae. 2009; 4: 30–32.

[20] Yamakawa K, Dohgomori H, Furusawa T. Early morning upper airway discomfort and appearance on two x ray films. Signa Vitae. 2007; 2: 21–22.

[21] Lee J, Naing K, Yeo ZZ, Chong PH. The use of continuous positive arway pressure ventilation in the palliative management of stridor in a head and neck cancer patient. Journal of Pain and Symptom Management. 2019; 58: e3–e5.

[22] Sesterhenn AM, Iwinska-Zelder J, Dalchow CV, Bien S, Werner JA. Acute haemorrhage in patients with advanced head and neck cancer: value of endovascular therapy as palliative treatment option. The Journal of Laryngology & Otology. 2006; 120: 117–124.

[23] Škarić I, Jakobović J, ILIĆ MK, Kondza K, Babić I. Variation of vascular ring as a cause of extubation failure. Signa Vitae. 2008; 3: 29–31.

[24] Lee SY, Chao CL, Hung ST, Lim HK, Ku HC. Airway management in vascular central airway obstruction: a literature review. Signa Vitae. 2021; 17: 8–17.

[25] Lim HK, Wang JM, Hung ST, Ku HC. A dangerous cause of airway obstruction-deep neck infection. Signa Vitae. 2021; 17: 4–9.

[26] McPherson K, Stephens RC. Managing airway obstruction. British Journal of Hospital Medicine. 2012; 73: C156–C160.

[27] Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management—part 2—the anticipated difficult airway. The Canadian Journal of Anesthesia. 2013; 60: 1119–1138.

[28] Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management—part 1—difficult tracheal intubation encountered in an unconscious/induced patient. The Canadian Journal of Anesthesia. 2013; 60: 1089–1118.

[29] Lah K, Miljenko K, Grmed S. Rapid sequence intubation in the pre-hospital setting—difference between trauma and nontrauma patients. Signa Vitae. 2010; 5: 34–39.

[30] Hampton JP. Rapid-sequence intubation and the role of the emergency department pharmacist. American Journal of Health-System Pharmacy. 2011; 68: 1320–1330.

[31] Shin TG, Jo S, Hwang SY, Jo IJ, Lee TR, Yoon H, et al. Ketamine use for endotracheal intubation in severe sepsis and septic shock. Signa Vitae. 2018; 14: 24–30.

[32] Bakhsh A, Alnashri M, Alawami F, Aseel R, Almaghthawi M, Alrahaili G, et al. Changes in hemodynamic parameters with the use of etomidate versus ketamine induction in the emergency department. Signa Vitae. 2021; 17: 85–92.

[33] Zorica NT. Clinical applications of capnography. Signa Vitae. 2008; 3: S44–S45.

[34] Gökhan I, Süleyman D, Sedat T, Ömer B, Hüseyin S, Sezai O. Validation of tracheal intubation of wire-reinforced endotracheal tube with ultrasonography. Signa Vitae. 2018; 14: 20–23.

[35] Li J. Capnography alone is imperfect for endotracheal tube placement confirmation during emergency intubation. The Journal of Emergency Medicine. 2001; 20: 223–229.

[36] Vaghadia H, Jenkins LC, Ford RW. Comparison of end-tidal carbon dioxide, oxygen saturation and clinical signs for the detection of oesophageal intubation. Canadian Journal of Anaesthesia. 1989; 36: 560–564.

[37] Hatlestad D. Capnography as a predictor of the return of spontaneous circulation. Emergency medical services. 2004; 33: 75–80.

[38] Long B, Koyfman A, Vivirito MA. Capnography in the emergency department: a review of uses, waveforms, and limitations. The Journal of Emergency Medicine. 2017; 53: 829–842.

[39] Huang CH, Wei KH. Applications of capnography in airway management outside the operating room. Signa Vitae. 2021; 17: 18–24.

[40] Grap MJ, Blecha T, Munro C. A description of patients’ report of endotracheal tube discomfort. Intensive and Critical Care Nursing. 2002; 18: 244–249.

[41] Rotondi AJ, Chelluri L, Sirio C, Mendelsohn A, Schulz R, Belle S, et al. Patients’ recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Critical Care Medicine. 2002; 30: 746–752.

[42] Topolovec-Vranic J, Canzian S, Innis J, Pollmann-Mudryj MA, McFarlan AW, Baker AJ. Patient satisfaction and documentation of pain assess-ments and management after implementing the adult nonverbal pain scale. American Journal of Critical Care. 2010; 19: 345–354.

[43] Ahmed A, Abbasi S, Ghafoor HB, Ishaq M. Postoperative sore throat after elective surgical procedures. Journal of Ayub Medical College. 2007; 19: 12–14.

[44] Samuelson KA. Adult intensive care patients’ perception of endotracheal tube-related discomforts: a prospective evaluation. Heart & Lung. 2011; 40: 49–55.

[45] Rahu MA, Grap MJ, Cohn JF, Munro CL, Lyon DE, Sessler CN. Facial expression as an indicator of pain in critically ill intubated adults during endotracheal suctioning. American Journal of Critical Care. 2013; 22: 412–422.

[46] Shinn JR, Kimura KS, Campbell BR, Sun Lowery A, Wootten CT, Garrett CG, et al. Incidence and outcomes of acute laryngeal injury after prolonged mechanical ventilation. Critical Care Medicine. 2019; 47: 1699–1706.

[47] Lee SY, Wu CL, Kuo LK, Lai CT, Hsu CP, Hwung HY, et al. The effects of xylocaine spray for pain control caused by endotracheal tube in critical care. International Journal of Gerontology. 2012; 6: 11–15.

[48] Lim HK, Lee SY, Wu CW, Lai JCY, Ho YH, Ku HC. Comparative study between oral acetaminophen and lidocaine spray on endotracheal tube-related sore throat in adult intensive care. Signa Vitae 2021; 17: 71–76.

[49] Heidegger T. Management of the difficult airway. New England Journal of Medicine. 2021; 384: 1836–1847.

[50] Cooper RM. Preparation for and management of “failed” laryngoscopy and/or intubation. Anesthesiology. 2019; 130: 833–849.

[51] Ramachandran SK, Mathis MR, Tremper KK, Shanks AM, Kheterpal S. Predictors and clinical outcomes from failed laryngeal mask airway unique™: a study of 15,795 patients. Anesthesiology. 2012; 116: 1217–1226.

[52] Lee DK, Shih DH, Park SM, Kim YH, Park SO, Lee YH. I-gel as a first-line airway device in the emergency room for patients with out-of-hospital cardiac arrest. Signa Vitae. 2018; 14: 61–65.

[53] Lin SC, Hsu SC, Weng YM, Kuo CI, Cheng CW, Kuo CW. Dose pre-hospital laryngeal mask airway use has a survival benefit in non-shockable cardiac arrest? Signa Vitae. 2014; 9: 27–32.

[54] Wass TC, Jacob AK, Kopp SL, Torsher LC. A prospective randomized high fidelity simulation center based side-by-side comparison analyzing the success and ease of conventional versus new generation video laryngoscope technology by inexperienced laryngoscopists. Signa Vitae. 2011; 6: 36–45.

[55] Chien LC, Hsu HC, Lin CH, Cheng CF, Tung YC, Hung HC, et al. Use of an intubating laryngeal mask airway on out-of-hospital cardiac arrest patients in a developing emergency medical service system. Journal of the Formosan Medical Association. 2012; 111: 24–29.

[56] Liu YC, Huang WC, Tan EC, Huang SS, Wang YK, Chu YC. Practice and outcomes of airway management in patients with cervical orthoses. Journal of the Formosan Medical Association. 2022; 121: 108–116.

[57] Lee SY, Hung CL, Lee JH, Shih SC, Weng YL, Chang WH, et al. Attaining good end-of-life care in intensive care units in Taiwan—the dilemma and the strategy. International Journal of Gerontology. 2009; 3: 26–30.

[58] Gillis J, Lai CT, Lin ML, Lee SY. Connecting palliative care and intensive care in Taiwan. International Journal of Gerontology. 2008; 2: 33–34.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top