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Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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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...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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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...
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Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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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...
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Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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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...
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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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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.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
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Airway Management in Thoracic Anesthesia: EACTAIC Consensus Document.

Manuel Granell1, Caroline Vanpeteghem2, Jo Mourisse3

  • 1University of Valencia, Spain, Consorcio Hospital General University of Valencia, Spain.

Journal of Cardiothoracic and Vascular Anesthesia
|December 6, 2025
PubMed
Summary
This summary is machine-generated.

This consensus statement provides expert guidance on lung isolation techniques in thoracic anesthesia, covering double-lumen tubes and bronchial blockers for routine and difficult airways. It aims to consolidate practices and guide future research for improved patient care.

Keywords:
bronchial blockerdifficult airwaydouble-lumen tubeflexible fiberoptic/video bronchoscopyminimally invasive thoracic surgeryone-lung ventilation

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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Airway Management

Background:

  • Lung isolation is crucial in thoracic anesthesia.
  • International experts convened to establish consensus on airway management.
  • Existing practices varied, necessitating standardized recommendations.

Purpose of the Study:

  • To provide expert consensus on lung isolation and separation techniques.
  • To review benefits and drawbacks of devices for routine and difficult airways.
  • To address best practices for double-lumen tubes and bronchial blockers.

Main Methods:

  • A systematic review of expert opinions and existing literature.
  • Consensus development by the Airway Management Task Force of the EACTAIC Thoracic Subcommittee.
  • Evaluation of recommendations with high consensus (>60% to >95%).

Main Results:

  • Key clinical topics addressed include goals of lung isolation, use of double-lumen tubes, bronchial blockers, difficult airway management, special cases, and research priorities.
  • Recommendations achieved strong consensus despite limited high-level evidence.
  • The consensus consolidates diverse practices in thoracic anesthesia.

Conclusions:

  • The consensus provides a framework for current best practices in thoracic airway management.
  • It serves as a foundation for future research to enhance clinical practice.
  • Recommendations align with principles of good clinical practice and enhanced recovery.