BioMed Research International

Advances and Controversies in Perioperative Airway Management


Publishing date
15 Jan 2016
Status
Published
Submission deadline
28 Aug 2015

1Charles University, Prague, Czech Republic

2University of Iowa, Iowa City, USA

3University of Kocaeli, Kocaeli, Turkey

4Antrim Area Hospital, Antrim, UK

5Tokyo Women’s Medical University, Tokyo, Japan


Advances and Controversies in Perioperative Airway Management

Description

Securing and maintaining a patent airway is one of the cornerstones of safe perioperative management. The process begins with preoperative airway assessment. New systems for preoperative airway evaluation have been developed and validated during the last two decades with a focus placed on imaging methods—magnetic resonance imaging (MRI), ultrasound, and nasal endoscopy. Advances in equipment are mostly related to two categories—the improvement of laryngoscopes and the development of new extraglottic airway devices. Videolaryngoscopes allow improved visualisation and intubation of deviated larynx and also help in patients with restricted mouth opening or limited mobility of the cervical spine. Recent efforts have been focused on making these devices more portable.

Development of new extraglottic airway devices has been driven by efforts to decrease complications associated with tracheal intubation and to invent a device providing high protection against aspiration of gastric contents. Such devices should possess high oropharyngeal seal pressures and allow easy insertion even in the hands of inexperienced users. Other areas of development of extraglottic airway devices focus on their use in difficult airway management or in nonstandard indications. Difficult or failed scenarios in perioperative airway management are relatively rare, being much more frequent in prehospital medicine or in emergency departments. Therefore, current guidelines, algorithms, and recommendations for clinical pratice are often not based on evidence but rather on expert opinions, consensus, and anecdotal reports. Future airway research should focus on setting up large multicentre studies adequately powered to evaluate the incidence of rare complications, such as aspiration of gastric contents or damage to anatomical structures. More light should be also shone on the real role of simulation studies on manikins and their extrapolation to human medicine.

We would like to invite investigators to submit original research articles, systematic reviews, meta-analyses, and focused review articles that can contribute to solving the problems of perioperative airway management.

Potential topics include, but are not limited to:

  • Preoperative airway assessment
  • Use of ultrasound and other imaging methods in airway assessment and airway management
  • Novel technologies in laryngoscopy
  • Supraglottic airway devices in borderline indications—laparoscopic surgeries, obesity, and other positions than supine
  • Supraglottic airways in difficult airway management
  • Risks and complications of airway management techniques
  • Current state and future of airway management research
  • Role of simulation in airway management
  • Airway management training and application of guidelines

Articles

  • Special Issue
  • - Volume 2016
  • - Article ID 1965623
  • - Editorial

Advances and Controversies in Perioperative Airway Management

Pavel Michalek | Magboul M. Magboul | ... | Makoto Ozaki
  • Special Issue
  • - Volume 2015
  • - Article ID 754626
  • - Review Article

The Role of Airway and Endobronchial Ultrasound in Perioperative Medicine

Jiri Votruba | Petra Zemanová | ... | Michaela Michalkova Vesela
  • Special Issue
  • - Volume 2015
  • - Article ID 746560
  • - Review Article

Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine

Pavel Michalek | William Donaldson | ... | Marek Hakl
  • Special Issue
  • - Volume 2015
  • - Article ID 368761
  • - Review Article

Controversies in Pediatric Perioperative Airways

Jozef Klučka | Petr Štourač | ... | Martina Kosinová
  • Special Issue
  • - Volume 2015
  • - Article ID 806243
  • - Research Article

Comparison of Direct and Indirect Laryngoscopes in Vomitus and Hematemesis Settings: A Randomized Simulation Trial

Ryosuke Mihara | Nobuyasu Komasawa | ... | Toshiaki Minami
  • Special Issue
  • - Volume 2015
  • - Article ID 386080
  • - Clinical Study

Comparison of Pressure Changes by Head and Neck Position between High-Volume Low-Pressure and Taper-Shaped Cuffs: A Randomized Controlled Trial

Nobuyasu Komasawa | Ryosuke Mihara | ... | Toshiaki Minami
  • Special Issue
  • - Volume 2015
  • - Article ID 617805
  • - Research Article

Utility of a Gum-Elastic Bougie for Difficult Airway Management in Infants: A Simulation-Based Crossover Analysis

Nobuyasu Komasawa | Akira Hyoda | ... | Toshiaki Minami
  • Special Issue
  • - Volume 2015
  • - Article ID 201898
  • - Clinical Study

Comparison of Five 2nd-Generation Supraglottic Airway Devices for Airway Management Performed by Novice Military Operators

Tomas Henlin | Michal Sotak | ... | Pavel Michalek
  • Special Issue
  • - Volume 2015
  • - Article ID 639543
  • - Review Article

Respiratory Strategies and Airway Management in Patients with Pulmonary Alveolar Proteinosis: A Review

Tomas Vymazal | Martina Krecmerova
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