RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57701666
T1 Chapter 15. Endotracheal Tube Intubating Introducers and Bougies
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57701666
RD 2024/04/20
AB Airway  management  in  the  Emergency  Department  often  occurs  in  an  unpredictable  and  uncontrolled  environment,  sometimes  with  the  patient  arriving  unannounced.1  The  American  Society  of  Anesthesiology  defines  a  difficult  intubation  as  an  inability  to  properly  insert  an  endotracheal  tube  with  traditional  direct  laryngoscopy  within  three  attempts  or  if  it  takes  longer  than  10  minutes.2  Difficult  intubations  usually  reflect  poor  glottic  visualization  during  direct  laryngoscopy.  A  four-grade  classification  system  by  Cormack  and  Lehane  describe  the  views  of  the  laryngeal  inlet  during  laryngoscopy.3  The  exact  incidence  of  difficult  to  intubate  patients  in  the  Emergency  Department  is  difficult  to  extrapolate  but  estimates  range  between  6%  and  11%.4,5