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Airway Management in Trauma.

George Kovacs1, Nicholas Sowers2

  • 1Department of Emergency Medicine, Division of Medical Education, Dalhousie University, 3rd Floor, HI Site, Suite 355, Room 364D, Halifax, Nova Scotia B3H 3A7, Canada; Department of Anaesthesia, Division of Medical Education, Dalhousie University, 3rd Floor, HI Site, Suite 355, Room 364D, Halifax, Nova Scotia B3H 3A7, Canada; Department of Medical Neurosciences, Division of Medical Education, Dalhousie University, 3rd Floor, HI Site, Suite 355, Room 364D, Halifax, Nova Scotia B3H 3A7, Canada; Charles V. Keating Trauma & Emergency Centre, QEII Health Sciences Centre, 1799 Robie Street, Halifax, Nova Scotia B3H 3G1, Canada.

Emergency Medicine Clinics of North America
|November 15, 2017
PubMed
Summary
This summary is machine-generated.

Difficult airway management in trauma patients requires anticipating challenges. This review covers strategies for polytrauma patients with specific injuries, focusing on patient-centered approaches for better outcomes.

Keywords:
AirwayAirway managementTrauma

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Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Anesthesiology

Background:

  • Airway management in trauma patients is complex, extending beyond simple endotracheal intubation.
  • Patient outcomes are significantly influenced by the clinician's foresight in managing airway difficulties.

Purpose of the Study:

  • To review airway management strategies for polytrauma patients.
  • To highlight specific considerations for complex trauma cases.
  • To present a comprehensive approach to challenging trauma airways.

Main Methods:

  • Literature review of airway management in polytrauma.
  • Analysis of specific patient populations (TBI, c-spine injury, contaminated airway, agitated patient, maxillofacial trauma).
  • Discussion of anatomic and physiologic challenges.

Main Results:

  • Trauma airway management necessitates anticipation of unique difficulties.
  • Specific patient factors (e.g., traumatic brain injury, cervical spine injury) require tailored strategies.
  • A systematic approach considering patient-specific challenges is crucial.

Conclusions:

  • Effective airway management in trauma hinges on anticipating and addressing patient-specific anatomic and physiologic challenges.
  • Provider expertise in managing diverse trauma presentations is critical for successful outcomes.
  • This review provides a framework for approaching complex trauma airways.