Atemwegsmanagement: alternative Techniken |
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Authors: | Dr. H. Genzwürker K. Ellinger |
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Affiliation: | 1. Klinik für An?sthesiologie und Operative Intensivmedizin, Universit?tsklinikum Mannheim, Theodor-Kutzer-Ufer 1–3, 68167, Mannheim, Deutschland 2. Klinik für An?sthesie, Intensiv- und Notfallmedizin und Schmerztherapie, Krankenhaus St. Elisabeth, Oberschwaben Klinik gGmbH, Ravensburg, Deutschland
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Abstract: | Adequate oxygenation of the patient is the key principle in most emergencies. Airway management is not the use of specific devices, but a concept that considers all options to deliver oxygen to the patient. Mask ventilation and intubation are subject to restrictions due to the need for training and the specifics of the prehospital setting. The use of supraglottic alternatives to mask ventilation and tracheal intubation such as laryngeal masks, combitube and laryngeal tubes is an important option in contemporary airway management. Availability, training and use of adequate devices must be considered a standard. Emergency cricothyrotomy should only be considered as a last resolve when less invasive strategies fail. |
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