TY - CHAP M1 - Book, Section TI - Chapter 2. Approach to the Difficult Airway A1 - Jang, Timothy A1 - Wagner, Jason C. A2 - Farcy, David A. A2 - Chiu, William C. A2 - Flaxman, Alex A2 - Marshall, John P. PY - 2012 T2 - Critical Care Emergency Medicine AB - A difficult airway exists in a patient when conventional face mask ventilation is problematic or tracheal intubation is difficult, requiring advanced airway skills for success. Patient factors such as micrognathia, a short neck, a large tongue, craniofacial abnormalities, pregnancy, and obesity are chronic conditions associated with a difficult airway but do not inherently define a difficult airway. Other conditions such as angioedema, epiglottitis, Ludwig's angina, retropharyngeal abscess, tracheal trauma, traumatic/expanding neck hematoma, and cervical trauma are examples of acute factors that similarly may cause a difficult airway condition to exist. When patients with any of these conditions develop dyspnea or respiratory distress, immediate action is required to avert life-threatening decompensation or permanent debility. Furthermore, these patients can present at any time: a patient with a penetrating neck injury may present to an ED without warning, or a long-term ICU patient with diffuse soft tissue edema and a beard may unexpectedly decompensate and require intubation. Therefore, in a variety of settings, clinicians must be prepared for rapid escalation of care and difficult airway management. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/24 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=55810042 ER -