Airway management

Airway management in patients with suspected or confirmed cervical spine injury: Guidelines from the Difficult Airway Society (DAS), Association of Anaesthetists (AoA), British Society of Orthopaedic Anaesthetists (BSOA), Intensive Care Society (ICS), Neuro Anaesthesia and Critical Care Society (NACCS), Faculty of Prehospital Care and Royal College of Emergency Medicine (RCEM)

AnaesthesiaPublished Guideline

Methodological detailssystematic review, three-round Delphi process, multidisciplinary, multi-society working party
  • Systematic review
  • Three-round Delphi process
  • Multidisciplinary, multi-society working party

Recommendations

As issued by the authors

  1. 23 recommendations agreed; evidence generally modest; one moderate and two strong recommendations

  2. Key principles and techniques for pre-oxygenation and facemask ventilation; SGA use; tracheal intubation; adjuncts during tracheal intubation; cricoid force and external laryngeal manipulation; emergency front-of-neck airway access; awake tracheal intubation; cervical spine immobilisation

  3. Signposts to recommendations on pre-hospital care, military settings and principles in human factors

Original publication

Airway management in patients with suspected or confirmed cervical spine injury: Guidelines from the Difficult Airway Society (DAS), Association of Anaesthetists (AoA), British Society of Orthopaedic Anaesthetists (BSOA), Intensive Care Society (ICS), Neuro Anaesthesia and Critical Care Society (NACCS), Faculty of Prehospital Care and Royal College of Emergency Medicine (RCEM). Anaesthesia. Published 3 May 2024. doi:10.1111/anae.16290

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