Airway Management, Emergency Medicine

Scott G. Weiner and Carlo L. Rosen Reviewed 06/2017
 


Basics

Description

  • Techniques that ensure adequate oxygenation and ventilation

  • Oral and nasopharyngeal airways:

    • Lift tongue off hypopharynx

    • Facilitate bag-valve-mask (BVM) ventilation

    • Insert when gag refle...

Diagnosis

Signs and Symptoms

Clinical conditions requiring airway management: 
  • Failure to maintain or protect the airway:

    • Oropharyngeal swelling

    • Absent gag reflex

    • Inability to clear secretions, blood

    • Strido...

Treatment

Pre-Hospital

Options for patients in respiratory arrest for advanced life support (ALS) providers: 
  • Bag–valve management (BVM) ventilation followed by definitive airway management in the ED

  • Oro...

Follow-Up

Disposition

Admission Criteria

Almost all intubated patients should be admitted to an ICU. 

Discharge Criteria

Rarely, certain ED patients who have been intubated for airway protection or to fac...

Pearls and Pitfalls

Respect the airway. Failure to intubate and ventilate is a life-threatening condition: 
  • Assess each patient for the possibility of difficult intubation.

  • Prepare and familiarize yours...

Additional Reading

  • Murphy  MF. Airway management. In: Wolfson  AB, Hendey  G, Ling  L, et al., eds. Harwood-Nuss’ Clinical Practice of Emergency Medicine. 5th ed. Philadelphia, PA: Lippincott Willia...

Codes

ICD9

  • 96.01 Insertion of nasopharyngeal airway

  • 96.02 Insertion of oropharyngeal airway

  • 96.05 Other intubation of respiratory tract

ICD10

0CHY7BZ Insertion of Airway into Mouth and Throat, Via Natural ...

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