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Airway Management & Bronchoscopy_Niven - 1

Pdf Summary

The document discusses airway management and bronchoscopy as part of critical care medicine. It highlights the complications and challenges associated with airway management in critically ill patients. It mentions that a significant percentage of patients experience major events such as cardiovascular instability, severe hypoxemia, and cardiac arrest during intubation. The document also outlines various factors that contribute to airway management complications, including patient-related factors, education/training, judgment, equipment/resources, and communication.<br /><br />The document emphasizes the importance of preparation, preoxygenation, and a systematic approach to airway management. It mentions the use of assessment tools such as the Mallampati score and the MACOCHA score to predict difficult airways. It also discusses the use of different induction agents and neuromuscular blockade agents during intubation.<br /><br />Bronchoscopy is discussed as a diagnostic and therapeutic tool for various indications, including airway disease, hemoptysis, and malignant airway obstruction. The document emphasizes the need for sedation, monitoring, and caution when performing bronchoscopy in the ICU. It also mentions the management of complications such as bleeding and tracheal stenosis associated with bronchoscopy.<br /><br />Other topics covered in the document include tracheostomy management and the use of tracheostomy in patients with acute respiratory failure. It discusses the indications, timing, and complications associated with tracheostomy. The document also highlights the importance of oral hygiene, respiratory secretion clearance, and early mobilization in tracheostomy patients.<br /><br />Overall, the document provides a comprehensive overview of airway management and bronchoscopy in critical care settings. It emphasizes the need for proper preparation, a systematic approach, and teamwork to ensure successful airway management and minimize complications.

Keywords

airway management

bronchoscopy

critical care

complications

intubation

sedation

tracheostomy

ICU

diagnostic tool

therapeutic tool