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Expert consensus on difficult airway assessment.

Ming Xia1, Wuhua Ma2, Mingzhang Zuo3

  • 1Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Hepatobiliary Surgery and Nutrition
|August 21, 2023
PubMed
Summary
This summary is machine-generated.

This expert consensus provides standardized guidance for difficult airway assessment in anesthesia, integrating medical history, physical exams, imaging, and new technologies to improve patient safety and reduce complications.

Keywords:
Expert consensusairway managementdifficult airway

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Area of Science:

  • Anesthesiology
  • Airway Management

Background:

  • Difficult airway identification is critical in operating room (OR) and non-OR anesthesia settings.
  • Lack of prior guidelines necessitates expert consensus for standardized airway assessment.
  • The goal is to reduce airway-related complications and enhance patient safety.

Purpose of the Study:

  • To develop an expert consensus providing guidance for airway assessment.
  • To standardize and improve the accuracy of difficult airway identification.
  • To reduce airway-related complications and improve patient safety.

Main Methods:

  • Developed by the Airway Management Group of the Chinese Society of Anaesthesiology (CSA) with international expert review.
  • Utilized the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system for evidence and recommendations.
  • Recommendations were refined through a three-round Delphi survey.

Main Results:

  • Presents a comprehensive airway assessment approach including history, physical exam, scores, and imaging.
  • Incorporates new developments like transnasal endoscopy, virtual laryngoscopy, and 3D printing.
  • Reviews emerging technologies for difficult airway prediction (facial images, voice analysis) and suggests future research directions.

Conclusions:

  • Applicable to anesthesiologists, critical care, and emergency physicians.
  • Aims to refine preoperative airway assessment.
  • Facilitates preparation of appropriate intubation strategies for patients with potentially difficult airways.