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Published on: January 17, 2011
Challenging airways in deep neck space infections
Peter D Karkos1, Samuel C Leong, Helen Beer
1Department of Otolaryngology, Royal Liverpool University Hospital, Liverpool, UK. pkarkos@aol.com
American Journal of Otolaryngology
|November 6, 2007
Summary
Managing the airway in deep neck space infections is challenging. This review discusses options like awake fiberoptic intubation and tracheotomy for these emergencies.
Area of Science:
- Otolaryngology
- Anesthesiology
- Emergency Medicine
Background:
- Deep neck space infections are uncommon but pose significant airway management challenges.
- Optimal airway control strategies lack universal agreement due to varying local factors.
Purpose of the Study:
- To review and discuss available airway management options for deep neck space infections.
- To highlight considerations for awake fiberoptic intubation and tracheotomy under local anesthesia.
Main Methods:
- Literature review of deep neck space infections and airway management techniques.
- Discussion of relevant anatomy, microbiology, and routes of spread.
Main Results:
- Airway management decisions are multifactorial, influenced by expertise and equipment.
- Awake fiberoptic intubation and tracheotomy are key techniques to consider.
Conclusions:
- Effective airway management in deep neck space infections requires careful consideration of multiple factors.
- Specific techniques like awake fiberoptic intubation and tracheotomy offer viable solutions for these critical cases.
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