Nouraei et al. A multidisciplinary approach for managing the infraglottic difficult airway in the setting of the Coronavirus pandemic. Oper Tech Otolaryngol Head Neck Surg. 2020
This article provides a common framework for multidisciplinary shared-airway management in difficult airway patients with infraglottic obstructions. The authors present devices and strategies that have improved airway management safety and may prove useful in the setting of the novel Coronavirus Disease 2019 (COVID-19). In patients requiring mechanical ventilation with general anesthesia, the introduction of Evone and Tritube increases the safety of endotracheal intubation and surgical options in the settings of an acutely obstructed airway. Manual ventilator Ventrain is presented as valid option in cases where front-of neck access is favorable. Furthermore, the authors emphasize that FCV via Tritube aids in minimizing aerosol generation when managing patients with airway compromise due to laryngotracheal stenosis. Overall, Evone and Tritube offer new solutions for shared airway situations that might be suitable for patients otherwise indicated for ECMO or cardiopulmonary bypass therapy.
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