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      Difficult airway management algorithms: a directed review

      1 , 1 , 1 , 2
      Anaesthesia
      Wiley

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          Abstract

          <p class="first" id="d4214035e77">The primary aim of this study was to identify, describe and compare the content of existing difficult airway management algorithms. Secondly, we aimed to describe the literature reporting the implementation of these algorithms. A directed search across three databases (MEDLINE, Embase and Scopus) was performed. All articles were screened for relevance to the research aims and according to pre-determined exclusion criteria. We identified 38 published airway management algorithms. Our results show that most facemask employ a four-step process as represented by a flow chart, with progression from tracheal intubation, facemask ventilation and supraglottic airway device use, to a rescue emergency surgical airway. The identified algorithms are overwhelmingly similar, yet many use differing terminology. The frequency of algorithm publication has increased recently, yet adherence and implementation outcome data remain limited. Our results highlight the lack of a single algorithm that is universally endorsed, recognised and applicable to all difficult airway management situations. </p>

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          Author and article information

          Journal
          Anaesthesia
          Anaesthesia
          Wiley
          0003-2409
          1365-2044
          June 04 2019
          September 2019
          July 21 2019
          September 2019
          : 74
          : 9
          : 1175-1185
          Affiliations
          [1 ]Central Clinical School Monash University Melbourne Vic. Australia
          [2 ]Cabrini Hospital Melbourne Vic. Australia
          Article
          10.1111/anae.14779
          31328259
          ffb3cc05-cf9a-489c-a96f-a8941e47fdf5
          © 2019

          http://onlinelibrary.wiley.com/termsAndConditions#vor

          http://doi.wiley.com/10.1002/tdm_license_1.1

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