Extubation of the difficult airway

UMMS Affiliation

Department of Anesthesiology



Document Type


Medical Subject Headings

Airway Extubation; Airway Management; Critical Care; Critical Illness; Heart Arrest; Humans; *Intensive Care Units; Length of Stay; Respiration, Artificial




Managing the airway in the intensive care unit (ICU) is complicated by a wide array of physiologic factors. Difficult airway may be a consequence of patient's anatomy or airway edema developed during the ICU stay and mechanical ventilation. The incidence of failed airways and of cardiac arrest related to airway instrumentation in the ICU is much higher than that of elective intubations performed in the operating room. In this article, we will provide a framework for identifying a difficult airway, criteria for safe extubation, as well as review the devices that are available for airway management in the ICU. Proficiency in identifying a potentially difficult airway and thorough familiarity with strategies and techniques of securing the airway are necessary for safe practice of critical care medicine

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Citation: J Intensive Care Med. 2011 Jul-Aug;26(4):261-6. DOI 10.1177/0885066610389551

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Link to Article in PubMed

PubMed ID