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Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2013 June;79(6):679-82

Copyright © 2013 EDIZIONI MINERVA MEDICA

lingua: Inglese

Tracheal intubation of patients in non-standard positions requires training

Van Zundert T. C. R. V. 1, Van Zundert A. A. J. 1, 2

1 Department of Anesthesiology, Maastricht University Hospital, Maastricht, The Netherlands; 2 Department of Anesthesiology, Intensive Care Unit and Pain Therapy, Catharina Hospital-Brabant Medical School, Eindhoven, The Netherlands


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In extreme emergency situations, patients may need to undergo endotracheal intubation, while in a non-supine position. This manuscript offers several options to the anesthesiologist to cope with tracheal intubations in non-standard positions. The authors stress that there is a need for adequate training in an anaesthesia skills lab, whereby classic direct laryngoscopy and indirect videolaryngoscopy should be practiced on manikins, before our trainees actually practice anesthesia on patients in operating theatres. This manuscript is also a plea for developing an algorithm for emergency airway management in the non-supine position.

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zundert@iae.nl