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Difficult Airway Society Guidelines for the management of tracheal extubation: Management of tracheal extubation

V. Mitchell, +4 more
- 01 Mar 2012 - 
- Vol. 67, Iss: 3, pp 318-340
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TLDR
The Difficult Airway Society has developed guidelines for the safe management of tracheal extubation in adult peri‐operative practice, and they emphasise the importance of planning and preparation and include practical techniques for use in clinical practice and recommendations for post‐extubation care.
Abstract
Tracheal extubation is a high‐risk phase of anaesthesia. The majority of problems that occur during extubation and emergence are of a minor nature, but a small and significant number may result in injury or death. The need for a strategy incorporating extubation is mentioned in several international airway management guidelines, but the subject is not discussed in detail, and the emphasis has been on extubation of the patient with a difficult airway. The Difficult Airway Society has developed guidelines for the safe management of tracheal extubation in adult peri‐operative practice. The guidelines discuss the problems arising during extubation and recovery and promote a strategic, stepwise approach to extubation. They emphasise the importance of planning and preparation, and include practical techniques for use in clinical practice and recommendations for post‐extubation care.

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Citations
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Journal ArticleDOI

Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults

TL;DR: The Difficult Airway Management Guidelines as discussed by the authors provide a strategy to manage unanticipated difficulty with tracheal intubation and rapid sequence induction, which emphasizes assessment, preparation, positioning, preoxygenation, maintenance of oxygenation, and minimizing trauma from airway interventions.
Journal ArticleDOI

Guidelines for the management of tracheal intubation in critically ill adults

TL;DR: These guidelines describe a comprehensive strategy to optimize oxygenation,Airway management, and tracheal intubation in critically ill patients, in all hospital locations, and stress the role of the airway team, a shared mental model, planning, and communication throughout airway management.
Journal ArticleDOI

Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics

TL;DR: The Obstetric Anaesthetists' Association and Difficult Airway Society have developed the first national obstetric guidelines for the safe management of difficult and failed tracheal intubation during general anaesthesia, which comprise four algorithms and two tables.
References
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Journal ArticleDOI

Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines.

TL;DR: The potential benefits, limitations, and harms of clinical guidelines are examined, a tool for making care more consistent and efficient and for closing the gap between what clinicians do and what scientific evidence supports.
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Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia

TL;DR: The incidence of death and brain damage from airway management during general anaesthesia is low, and statistical analysis of the distribution of reports suggests as few as 25% of relevant incidents may have been reported, providing an indication of the lower limit for incidence of such complications.
Journal ArticleDOI

On error management: lessons from aviation

TL;DR: Although operating theatres are not cockpits, medicine could learn from aviation and aviation has developed standardised methods of investigating, documenting, and disseminating errors and their lessons.
Journal ArticleDOI

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

TL;DR: The Difficult Airway Society (DAS) developed guidelines for management of the unanticipated difficult tracheal intubation in the non-obstetric adult patient without upper airway obstruction as discussed by the authors.
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