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Updated: Feb 7, 2026

Point-of-Care Ultrasound: A Review of Ultrasound Parameters for Predicting Difficult Airways
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The Vortex model: A different approach to the difficult airway.

P Charco-Mora1, R Urtubia2, L Reviriego-Agudo3

  • 1Servicio de Anestesiología y Cuidados Críticos, Airway Management Teaching Center (FIDIVA), Universidad de Valencia, Hospital Clínico Universitario de Valencia, Valencia, España; Vicepresidente de la Sección de Vía Aérea de la SEDAR.

Revista Espanola De Anestesiologia Y Reanimacion
|July 25, 2018
PubMed
Summary

The Vortex Approach offers a new strategy for difficult airway management in anesthesia, aiming to reduce complications. This cognitive aid approach helps anesthesiologists overcome limitations of traditional algorithms.

Keywords:
Airway managementAlgorithmAlgoritmosDifficult airwayIntubación difícilVortexVortex approachVía aérea difícil

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Area of Science:

  • Anesthesiology
  • Airway Management
  • Medical Education

Background:

  • Airway management is critical in anesthesia, yet inadequate management causes significant morbidity and mortality.
  • Current algorithmic strategies for difficult airway management have limitations in clinical application and structure.

Purpose of the Study:

  • To introduce and evaluate the Vortex Approach as a novel strategy for managing difficult airways.
  • To address the limitations of existing algorithmic approaches in clinical practice.

Main Methods:

  • The Vortex Approach utilizes a cognitive aid strategy.
  • It is designed to reduce cognitive load and prevent fixation errors during airway management.
  • This approach contrasts with traditional, rigid algorithmic methods.

Main Results:

  • The Vortex Approach aims to provide a more effective solution for challenging airway scenarios.
  • It has the potential to decrease the rate of complications associated with difficult airway management.

Conclusions:

  • The Vortex Approach represents a promising advancement in anesthesia and difficult airway management.
  • This strategy may improve patient safety by mitigating risks linked to complex airway situations.