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Continuing Education in Anaesthesia, Critical Care & Pain 2006 6(3):124-127; doi:10.1093/bjaceaccp/mkl015
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 6 Number 3 2006 © The Board of Management and Trustees of the British Journal of Anaesthesia [2006]. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Airway management after major trauma

Julius Cranshaw, MRCP FRCA PhD DICM EDIC
Consultant in Anaesthesia and Critical Care Medicine, The Royal Bournemouth Hospital Castle Lane East, Bournemouth, BH7 7DW

Jerry Nolan, FRCA FCEM
Consultant in Anaesthesia and Critical Care Medicine, Royal United Hospital Combe Park, Bath BA1 3NG, UK Tel: 01225 825056 Fax: 01225 825061 E-mail: jerry.nolan@ruh-bath.swest.nhs.uk (for correspondence)
The first 150 words of the full text of this article appear below.


Key points

The primary goal during early treatment of the severely injured patient is to provide sufficient tissue oxygen delivery to avoid organ failure and secondary central nervous system damage.

2–12% of major trauma victims have a cervical spine injury; 7–14% of these are unstable.

Advanced airway interventions are associated with significant complications and have the potential to cause harm and benefit.

Indications for immediate intubation are life-threatening hypoxaemia caused by airway obstruction not relieved by simple means, and inadequate ventilatory support because of an inadequate facemask seal.

In the emergency department, nearly 10% of intubations are described as difficult after rapid sequence induction.

 

The primary goal in the early management of the severely-injured patient is the provision of sufficient oxygen to the tissues to avoid organ failure and secondary central nervous system damage. The first priority is to establish and maintain a patent airway. With the addition of high-concentration . . . [Full Text of this Article]


   Prehospital airway management
 

   Airway management in hospital
 

   RSI and intubation
 

   Failed intubation
 

   Summary
 

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