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🌱 來自: critical care

difficult airway management

zhtw-of-difficult airway management

Difficult Direct Laryngoscopy (DL)

• Look externally
• Evaluate 3-3-2
• Mallampati score ≥ I
• Obstruction/Obesity
• Neck mobility

Difficult Face Mask Ventilation (FMV)

• Radiation/Restriction
• Obesity/Obstruction/Obstructive sleep apnea
• Mask seal/Mallampati/Male
• Age > 55 years old
• No teeth

Difficult Esophagogastroduodenoscopy (EGD)

• Restriction
• Obstruction/Obesity
• Disrupted or Distorted airway
• Short thyromental distance

Difficult Cricothyroidotomy

• Surgery
• Mass
• Access (obesity)/Anatomy
• Radiation
• Tumor

Difficult Video Laryngoscopy (VL)

• Contamination and CL3 or 4 with DL
• Radiation
• Abnormal anatomy: mass; previous surgery; decreased mouth opening
• Neck thick or flexion deformity
• Epiglottitis or enlarged tongue

Difficult Fiberoptic Intubation (FOl)

• Time
• Obstruction
• Disrupted or Distorted airway
• Secretion

Difficult Physiology

• Hypotension
• Oxygenation
• PH