Intubation difficile: algorithmes decisionnels dans le bloc operatoire principal du CHUV. [Difficult intubation: decision-making algorithms in the main operating suite of the University Hospital Center]

Détails

ID Serval
serval:BIB_889D9ED383D7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Intubation difficile: algorithmes decisionnels dans le bloc operatoire principal du CHUV. [Difficult intubation: decision-making algorithms in the main operating suite of the University Hospital Center]
Périodique
Revue Médicale de la Suisse Romande
Auteur⸱e⸱s
Chassot  P. G., Ravussin  P.
ISSN
0035-3655 (Print)
Statut éditorial
Publié
Date de publication
07/1994
Volume
114
Numéro
7
Pages
609-15
Notes
English Abstract
Journal Article --- Old month value: Jul
Résumé
In the setting of an operative suite or in the case of cardio-pulmonary resuscitation, processing algorithms are mandatory for acute crisis situations like the difficult intubation. The following recommendations have been prescribed as applicable for a teaching hospital (CHUV, Lausanne), based on three different possibilities (expected difficult intubation in elective cases, expected difficulties in emergency cases, and unexpected difficulties): awake intubation under topical and local anesthesia, if possible by fibroscopy, for all cases where difficult intubation is expected; steps for unexpected difficult intubation: laryngoscopy with flexible stylettes and special blades, laryngeal mask, trans-tracheal jet-ventilation, rigid tracheo-bronchoscopy by ENT specialist, rescue coniotomy, tracheotomy; tracheal overpressure with transtracheal O2 ventilation in "full stomach" emergency cases; limited number and length of time for intubation trials; keep oxygen inflow during and/or between the intubation attempts; return to spontaneous ventilation as soon as possible. The three algorithms are presented and commented.
Mots-clé
*Algorithms Bronchoscopy Emergencies High-Frequency Jet Ventilation Humans Intubation, Intratracheal/*methods Laryngoscopy *Preoperative Care Resuscitation Tracheotomy
Pubmed
Création de la notice
28/01/2008 10:43
Dernière modification de la notice
20/08/2019 14:47
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