Читать книгу Ottawa Anesthesia Primer - Patrick Sullivan - Страница 92

Repeat intubation attempts should be avoided unless there is a different tactic to improve the chance of success. Persistent repeat attempts at intubation traumatize the patient’s airway, interrupts and delays oxygenation and ventilation, and places the patient at risk of significant morbidity and mortality.

If difficulty is encountered, retreat, regroup, and resume manual mask ventilation and oxygenation. Call for help and allow the patient to recover from any sedative – relaxant medications that have been given. No more than three intubation attempts should be made. Discuss with your staff anesthesiologist the options available to manage the anticipated difficult tracheal intubation and for patients where traditional intubation attempts have failed.