Optimization of the first and the next airway intervention.

Abstract

The causes that originate an intervention on the airway can be variable depending on the context, with the main objective of effectively ensuring the delivery of oxygen, the anesthesiologist will use some of the most widespread and validated techniques to secure the airway, such as oro-tracheal intubation, the placement of a supra-glottic device, or the use of a face mask, and in the rare circumstance of no ventilation, no oxygen, an emergency frontal access to the neck should be implemented, in order to be able to to rebuild the oxygenation lost during the use of the above tools. At present, there are numerous devices to achieve effective ventilation and / or oro-tracheal intubation, different monitoring instruments, new drugs, different alternatives for the administration of oxygen and accumulated knowledge about the management of difficulties in the management of the pathway. air, which all together, positively impact patient safety. However, having many alternatives is not synonymous with success in airway management, if it is not possible to optimize each of the different interventions applied to the maximum. Next, we review the strategies provided by the bibliography on how to improve the first intubation attempt together with optimizations or better interventions on its management.