Acute Airway Obstruction Management in Patients with Ear Nose Throat Problems

Main Article Content

Sumon Mantaga
Jitsupa Nithiuthai


Acute upper airway obstructions in Ear-Nose-Throat patients are not uncommon. Collaboration between multidisciplinary teams and good plans are keys to success in airway management and patient safety. Anesthesiologists and nurse anesthetists have important roles in assessing and making individualized plans which can be challenging. Regarding patient safety and cost-effectiveness, applying up-to-date knowledge with limited hospital facilities and resources needs experienced staff. The airway management team requires a thorough understanding of both the patient’s condition and how to use the specialized airway equipment.

Article Details

Special Articles


1. ArnéJ,Descoins P,FusciardiJ,etal. Preoperativeassessment
for difficult intubationin generaland ENTsurgery: predictive
value of a clinical multivariate risk index. Br J Anaesth
2. Wong P,Wong J,MokMU. Anesthesiamanagementofacute
airwayobstruction. Singapore Med J2016;57:110-7.
3. McGuire G,el-Beheiry H. Completeupperairwayobstruction
during awake fiberoptic intubation in patients with unstable
cervical spinefractures. CanJ Anaesth1999;46:176-8.
4. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice
guidelinesformanagementof the difficultairway:anupdated
report bythe Americansocietyofanesthesiologiststaskforce
on management of the difficult airway. Anesthesiology
5. CookTM,Woodall N,Frerk C. Majorcomplicationsofairway
management in the UK: results of the fourth national audit
projectof the Royal Collegeof Anaesthetistsand the Difficult
Airway Society Part 1: Anesthesia. Br J Anaesth 2011;
6. Aziz MF, Healy D, Kheterpal S,etal. Routineclinical practice
effectiveness of the Glidescope intubation, complications
and failures from two institutions. Anesthesiology 2011;
7. Lowry DW, Carroll MT, Mirakhur RK, et al. Comparison of
sevorane and propofol with rocuronium for modified
rapid-sequence induction of anesthesia. Anaesthesia
8. Nouraei SA, Giussani DA, Howard DJ, et al. Physiological
comparisonofspontaneousand positive-pressureventilation
inlaryngotracheal stenosis. Br J Anaesth2008;101:419-23.
9. Cooper R, Mirakhur RK, Clarke RS, Boules Z. Comparison
of intubating condition after administration of Org 9246
(rocuronium) and suxamethonium. Br J Anaesth 1992;69:
10. Dobois PE, MulierJP. A review of theinterestofsugamadex
for deep neuromuscular blockade management in Belgium.
Acta Anaesthesiol Belg 2013;64:269-73.
11. Hager HH, Burns B. Succinylcholine Chloride. StatPearls
2020[Internet]. [Cited 2020June22]. Availablefrom:https://
12. SorensenMK,BretlauC,GatkeMR, SorensenAM,Rasmussen
LS. Rapid sequenceinductionand intubationwithrocuroniumsugammadexcompared withsuccinylcholine:arandomized
trial. Br J Anaesth2012;108:682-9.
13. Ho AM, Chung DC, Karmakar MK, et al. Dynamic airflow
limitation after topical anaesthesia of the upper airway.
AnaesthIntensive Care2006;34:211-5.
14. Fusco P,Luorio A, Valle MD,etal. Awaketracheostomyina
patient with acute upper airway obstruction: an emergency
application of an elective percutaneous procedure. Open
Access Emergency Medicine2019;11:167-70.
15. GoldsteinJB, Goldenberg D.The difficultairway: Implication
for the otolaryngologist-head and neck surgeon. Operative
Techniques in Otolaryngology - Head and Neck Surgery
16. Evans E, Biro P, Bedforth N. Jet ventilation. Continuing
educationinanaesthesia. Criticalcare & Pain2007;7:2-5.