Tracheal Intubation In Critically Ill Adults With A Physiologically Difficult Airway Springer by Springer instant download after payment.

Abstract

Purpose: Our study aimed to provide consensus and expert clinical practice statements related to airway manage‑

ment in critically ill adults with a physiologically difcult airway (PDA).

Methods: An international Steering Committee involving seven intensivists and one Delphi methodology expert

was convened by the Society of Critical Care Anaesthesiologists (SOCCA) Physiologically Difcult Airway Task Force.

The committee selected an international panel of 35 expert clinician–researchers with expertise in airway manage‑

ment in critically ill adults. A Delphi process based on an iterative approach was used to obtain the fnal consensus

statements.

Results: The Delphi process included seven survey rounds. A stable consensus was achieved for 53 (87%) out of 61

statements. The experts agreed that in addition to pathophysiological conditions, physiological alterations associated

with pregnancy and obesity also constitute a physiologically difcult airway. They suggested having an intubation

team consisting of at least three healthcare providers including two airway operators, implementing an appropriately

designed checklist, and optimizing hemodynamics prior to tracheal intubation. Similarly, the experts agreed on the

head elevated laryngoscopic position, routine use of videolaryngoscopy during the frst attempt, preoxygenation