Difficult Airway?

Author: Jonathan M Jones / Editor: Gavin Lloyd / Reviewer: Nadarajah Prasanna, Amanda King / Codes: Published: 24/05/2023

A 71-year-old man with a history of chronic obstructive pulmonary disease, obesity, angina and ankylosing spondylitis presents to the Emergency Department (ED) acutely short of breath. Despite repeated nebulisers, intravenous steroids, carefully titrated oxygen and intravenous aminophylline he has deteriorated. He is now semi-conscious (E2, M5, V2) and his respiratory effort is weakening rapidly.

You’ve persuaded the registrar covering intensive care that he needs intubation and they will be with you in resus in a few minutes. In the meantime it looks like you will have to provide support with bag-valve mask ventilation as his saturations are plummeting.

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  1. Prem Kishore S says:

    Helpful in difficult intubations

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