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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Application of Continuous Positive Airway Pressure During Video-Assisted Thoracoscopic Surgery.

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Updated: Jun 20, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Lung isolation techniques for patients with difficult airway.

Javier H Campos1

  • 1Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA. javier-campos@uiowa.edu

Current Opinion in Anaesthesiology
|September 16, 2009
PubMed
Summary

Managing a difficult airway during thoracic surgery requires careful planning. Independent bronchial blockers are recommended for lung isolation in patients with challenging airways, ensuring safe one-lung ventilation.

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Last Updated: Jun 20, 2026

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Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
07:15

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation

Published on: December 5, 2025

Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Airway Management

Background:

  • One-lung ventilation is crucial in thoracic surgery.
  • Difficult airways complicate lung isolation due to factors like prior radiation or surgery.
  • Existing methods include double-lumen endotracheal tubes and independent bronchial blockers.

Purpose of the Study:

  • To review the management of lung isolation in thoracic surgical patients with difficult airways.
  • To identify optimal strategies for patients with compromised airway anatomy.

Main Methods:

  • Preoperative identification of difficult airways is key.
  • Selection of appropriate lung isolation devices based on patient factors.
  • Review of techniques for awake intubation and lung isolation.

Main Results:

  • Independent bronchial blockers (e.g., Arndt, Cohen, Fuji Uniblocker) are effective for lung isolation in difficult airways.
  • Awake intubation with a flexible fiberoptic bronchoscope is the safest initial approach.
  • Alternative methods include double-lumen endotracheal tubes with airway catheter exchange.

Conclusions:

  • For patients with difficult airways requiring one-lung ventilation, awake intubation followed by independent bronchial blocker placement is recommended.
  • Independent bronchial blockers are also preferred for patients with existing tracheostomies.
  • Careful pre-planning and device selection are essential for successful outcomes.