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Management of the Difficult and Failed Airway, Second Edition / Edition 2

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Meet the clinical challenge of the difficult and failed airway with this updated full-color guide

Includes DVD with airway techniques!

"This beautifully illustrated and extensively referenced textbook provides a comprehensive review of the available options for airway management....For the busy clinician, this book provides the most up-to-date review available of the many innovations that have been introduced in the past 10 years."--Steven L. Shafer, MD, Columbia University

Written by the founders of The Difficult Airway Course: Anesthesia™ and utilizing an instructive case-based approach, this text/DVD presents all of the leading-edge principles, tools, and procedures of airway assessment and management. The scope of the book encompasses the many airway devices that have been developed since the publication of the first edition, many of which have the potential to markedly enhance airway management.

Extensively revised and updated, the second edition of Management of the Difficult and Failed Airway emphasizes how airway management is context-sensitive: included are strategies for treating patients in a range of settings, from prehospital care to the ER, as well as proven techniques for special patient populations. In addition, new chapters have been added to further refresh the book’s content and provide you with a solid grasp of the most critical topics in this fast-evolving area.

The book’s effective organization has been maintained, beginning with the first section’s focus on the basic foundations of difficult and failed airway management. The second section reviews must-know airway devices and techniques, while the third part of the text introduces case studies that thoroughly examine the application of these techniques in complex clinical situations. A final section covers the practical considerations, such as difficult airway carts and teaching and simulation in airway management.


  • Skill-building, case-based approach highlights the right tools and techniques for stabilizing the patient, plus important safety precautions relevant to the clinical setting
  • New “context-sensitive” focus links airway techniques to specific clinical environments, including airway cases in prehospital care, the emergency department, the critical care unit, and the operating room
  • Essential new chapters cover the fundamental principles of bag-mask-ventilation, single lung ventilation using double lumen tubes, and airway management in austere environments, in addition to airway education and simulation
  • Mnemonics, easy-to-follow algorithms, and alternative strategies (Plan A, Plan B, etc.) in every chapter reinforce pivotal concepts
  • Chapter-ending questions offer effective self-assessment
  • Accompanying DVD with instructive video visually explains common procedures in a learn-as-you-go style
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Editorial Reviews

Doody's Review Service
Reviewer: David B. Glick, MD, MBA (University of Chicago Pritzker School of Medicine)
Description: This update of a 2008 book offers clinicians a wide range of tools and techniques for overcoming challenges (common and uncommon) posed by patients with difficult airways.
Purpose: The purpose is to present the whole range of available tools for the management of difficult airways. This, in turn, will enable clinicians to optimize the care of each of their patients in a context-sensitive fashion.
Audience: The audience includes any clinicians involved in airway management, from medical students doing their junior clerkship rotations to the most senior anesthesia consultants. The content and presentation is suitable for all levels. The novice can learn the basics of airway management from bag-mask ventilation onward, while the experienced practitioner can pick up useful tips from some of the most notable authorities in airway management.
Features: The first of the book's four sections provides an intellectual overview of the approach to the management of difficult airways. The second section describes the various tools and techniques available for airway management. The third, and by far the longest, offers 45 case studies in airway management as examples of the applications of the techniques described in the second section. The final section offers administrative and educational suggestions.
Assessment: This book provides an excellent description and analysis of the wide range of approaches used to manage challenging airways. The case-based section provides a novel approach to reinforcing the techniques described earlier in the book. The rapid addition of new airway devices since the first edition was published made this second edition necessary.
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Product Details

  • ISBN-13: 9780071623469
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 11/16/2011
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 608
  • Product dimensions: 8.70 (w) x 10.90 (h) x 1.20 (d)

Meet the Author

Dr. Orlando Hung, MD, FRCPC

Professor, Departments of Anesthesia, Surgery, and Pharmacology

Dalhousie University

Queen Elizabeth II Health Sciences Centre

Halifax, Nova Scotia, Canada

Michael F. Murphy, MD, FRCPC

Professor and Chair

Department of Anesthesia and Pain Medicine

University of Alberta

Zone Chief of Anesthesia

Edmonton, Alberta, Canada

Dr. Michael Murphy and Dr. Orlando Hung are the instructors for the Difficult Airway Course™, a popular training program for anesthesiologists and emergency medicine physicians.

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Table of Contents

1. Evaluation of the Airway, Michael F. Murphy and D. John Doyle
2. The Algorithms, Michael F. Murphy and Edward T. Crosby
3. Preparation for Awake Intubation, Ian R. Morris
4. Pharmacology of Intubation, Ronald B. George and Orlando R. Hung
5. Aspiration: Risks and Prevention, Saul Pytka, Edward Crosby, and Idena Carroll
6. Context-Sensitive Airway Management, Steven Petrar, Orlando R. Hung, and Michael F. Murphy
7. Manual Noninvasive Ventilation: Bag-Mask-Ventilation, George Kovacs and Michael F. Murphy
8. Direct Laryngoscopy, Richard M. Levitan and George Kovacs
9. Flexible Bronchoscopic Intubation, Ian R. Morris
10. Rigid and Semirigid Fiberoptic and Video Laryngoscopy and Intubation, Richard M. Cooper and J. Adam Law
11. Nonvisual Intubation Techniques, Chris C. Christodoulou and Orlando R. Hung
12. Extraglottic Devices for Ventilation and Oxygenation, Chris Hinkewich, Orlando R. Hung, and Thomas J. Cowan
13. Surgical Airway, Gordon O. Launcelott and Liane B. Johnson
A: Airway Cases in Prehospital Care
14. What is Unique about Airway Management in the Prehospital Setting? Mark Vu, David Petrie, John M. Tallon, and Michael F. Murphy
15. Airway Management of a Patient with Traumatic Brain Injury, J. Adam Law, Edward T. Crosby, and Andy Jogoda
16. Airway Management of an Unconscious Patient Who Remains Trapped inside the Vehicle Following a Motor Vehicle Collision, Tom C. Phu, Orlando R. Hung, and Ronald D. Stewart
17. Airway Management of a Motorcyclist with a Full-Face Helmet Following a Crash, Mark P. Vu and Orlando R. Hung
18. Airway Management of a Morbidly Obese Patient Suffering from a Cardiac Arrest, Saul Pytka and Idena Carroll
19. Airway Management with Blunt Anterior Neck Trauma, David A. Caro and Steven A. Godwin
B: Airway Cases in the Emergency Department
20. Airway Management in the Emergency Department, Michael F. Murphy and Ron M. Walls
21. Patient with Deadly Asthma Requires Intubation, Kerry B. Broderick and Richard D. Zane
22. Patient with Cardiogenic Shock, Kerry B. Broderick
23. Airway Management in the Patient with Burns to the Head, Neck, Upper Torsos, and the Airway, Robert J. Vissers
24. Airway Management in a Patient with Angioedema, Michael F. Murphy, Genevieve MacKinnon, and David Petrie
25. Airway Management for Blunt Facial Trauma, David A. Caro and Aaron E. Bair
26. Airway Management in a Patient with Ludwig's Angina, Kirk J. MacQuarrie and David Kirkpatrick
C: Airway Cases in Critical Care Unit
27. Airway Management in the Intensive Care Unit, Stephen Beed
28. Management of Extubation of a Patient Following a Prolonged Period of Mechanical Ventilation, Richard M. Cooper
29. Airway Management of a Patient in a Halo Jacket Who Has Developed a Tracheal Tube Cuff Leak, Dietrich Henzler
30. Management of a Patient Admitted to the ICU with Impending Respiratory Failure due to a Suspected Infectious Etiology, David T. Wong
31. Performing an Elective Percutaneous Dilational Tracheotomy in a Patient on Mechanical Ventilation, Angelina Guzzo, Liane B. Johnson, and Orlando R. Hung
D: Airway Cases: Surgical Patients in the Operating Room
32. Airway Management in an Uncooperative Down Syndrome Patient wiht an Upper GI Bleed, Michael F. Murphy
33. Airway Management in the Operating Room of a Patient with a History of Oral and Cervical Radiation Therapy, Ian R. Morris
34. Airway Management in Penetrating Neck Injury, Ian R. Morris
35. Intra-operative Accidental Dislodgement of the Endotracheal Tube in a Patient in Prone Position, Dennis Drapeau and Orlando R. Hung
36. Lung Separation in the Patient with a Difficult Airway, Ian R. Morris
37. Airway Management of a Patient wiht an Unanticipated Difficult Laryngoscopy (LIngual Tonsillar Hypertrophy), Edward Crosby
38. Airway Management of a Patient with Superior Vena Cava Obstruction Syndrome, Gordon O. Launcelott
39. Airway Management of a Patient with History of Difficult Airway Who Refuses to Have Awake Tracheal Intubation, Dmitry Portnoy and Carin Hagberg
40. Airway Management in the Operating Room of a Morbidly Obese Patient in a "Cannot Intubate, Cannot Ventilate" Situation due to a Suspected Infectious Etiology, David T. Wong
41. Airway Management in a Patient with Epidermolysis Bullosa for Peripheral Procedure, Sarah H. Wiser and Wendy Howard
E: Pediatric Airway Cases
42. Unique Airway Issues in the Pediatric Population, Laura V. Duggan and Narasimhan Jagannathan
43. Airway Management of a Child with Supraglottitis, Christian M. Soder and Liane B. Johnson
44. Management of a 12-Year-Old Child with a Foreign Body in the Bronchus, Liane B. Johnson
45. Management of a Child with a History of Difficult Intubation and Post-tonsillectomy Bleed, Arnim Vlatten
46. Airway Management in a 1-Year-Old with Pierre Robin Syndrome for Myringotomy and Tubes, Christian M. Soder
47. Airway Management of a 6-Year-Old with a History of Difficult Airway for Bilateral Inguinal Hernia Repair, David C. Abramson
48. Pediatric Patient with a Closed Head Injury, Joshua Nagler and Robert C. Luten
F: Obstetrical Airway Cases
49. What is Unique about the Obstetrical Airway? Brian K. Ross and Dolores McKeen
50. Airway Management of the Obstetrical Patient with an Anticipated Difficult Airway, Brian K. Ross
51. Unanticipated Difficult Airway in an Obstetrical Patient Requiring an Emergency Cesarean Section, Ademeyi J. Olufolabi and Holly A. Muir
52. Airway Management in the Pregnant Trauma Victim, Adeyemi J. Olufolabi and Holly A. Muir
53. Appendicitis in Pregnancy, Narendra Vakharia and Ronald B. George
G: Airway Cases in Other Hospital Settings
54. Unique Challenges of Ectopic Airway Management, Michael F. Murphy
55. Management of the Patient with a Neck Hematoma, J. Adam Law
56. Airway Management in Austere Environments, Thomas J. Coonan, Phil Blum, and J. Adam Law
57. Respiratory Arrest in the Magnetic Resonance Imaging Suite, D. John Doyle
58. Post-obstructive Pulmonary Edema, Matthew G. Simms and J. Adam Law
59. Difficult Airway Carts, Saul Pytka and Michael F. Murphy
60. Documentation of Difficulty and Failure in Airway Management, Lorraine J. Foley, Michael F. Murphy, and Orlando R. Hung
61. Teaching and Simulation for Airway Management, Brian K. Ross, Jo Davies, Sara Kim, and Michael F. Murphy
1. Tracheal Intubation Using the Airtraq® Laryngoscope
2. Blind Nasal Intubation
3. Tracheal Intubation Using Bullard™ Laryngoscope
4. Tracheal Intubation Using the Clarus Video System
5. Digital Intubation
6. Technique of Placement of Extraglottic Devices
7. Tracheal Intubation Using the Fastrach™
8. Tracheal Intubation Using a Flexible Bronchoscope
9. Tracheal Intubation Using the Glidescope®
10. Levitan Laryngoscope
11. Macintosh Laryngoscope
12. McCoy Laryngoscope
13. McGrath® Video Laryngoscope
14. Open Cricothyrotomy
15. Percutaneous Cricothyrotomy
16. Phillips Laryngoscope
17. Retrograde Intubation
18. Shikani Optical Stylet
19. Tracheal Intubation Using the Storz Video Macintosh Laryngoscope
20. Light-Guided Intubation Using Trachlight™
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