Tracheal intubation in critically ill adults with a physiologically difficult airway. An international Delphi study
Methodological detailsinternational expert panel, seven survey rounds, Steering Committee of seven intensivists and one Delphi methodology expert, convened by the Society of Critical Care Anaesthesiologists (SOCCA) Physiologically Difficult Airway Task Force
- International expert panel
- Seven survey rounds
- Steering Committee of seven intensivists and one Delphi methodology expert, convened by the SOCCA Physiologically Difficult Airway Task Force
Recommendations
As issued by the authors
Physiological alterations associated with pregnancy and obesity, in addition to pathophysiological conditions, constitute a physiologically difficult airway
Intubation team of at least three healthcare providers including two airway operators
Implement an appropriately designed checklist
Optimize hemodynamics prior to tracheal intubation
Head elevated laryngoscopic position
Routine videolaryngoscopy during the first attempt
Preoxygenation with NIV
Careful mask ventilation during the apneic phase
Attention to cardiorespiratory status for post-intubation care
Original publication
Tracheal intubation in critically ill adults with a physiologically difficult airway. An international Delphi study. Intensive Care Med. Published 20 August 2024. doi:10.
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