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Airway Aims
Protect Access
< 5 hours short & > 5 hours long
Duration
Glottic
Difficult Airways
Upper Airway
Injury
edema/laceration
Foreign
body Laryngoscope - Light bulbs LTA kits, atomizers Teeth Throat Packs
??? Satisfied???
Hua M et al Anesth Analg 114:2012
Throat Packs
Pro
Aspiration
Lung Stomach N & V
Con
Evidence
Outcome
Difficult
Sore
Mucosal
edema Granuloma
Prolonged
a country motor vehicle accident . . . His gross respiratory insufficiency was managed at first by means of a tracheostomy with assisted ventilation. . . He was weaned off the respirator three weeks after the accident and soon discharged.
Three weeks later he was readmitted moribund from anoxia due to a tight stricture of the trachea for 4 cm below the previous stoma . . .
Trauma. . . had resulted in destruction of the full thickness of a segment of the trachea and its replacement within a month by a tight fibrous stricture. Gibson P Thorax 22:1967