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Navigating Goals of Care While Confronting an Urgent, Difficult Intubation: A Case Report. A A Pract 2019 Mar 15;12(6):193-195

Date

09/01/2018

Pubmed ID

30169388

DOI

10.1213/XAA.0000000000000881

Abstract

Urgent airway management is challenging because time constraints limit thorough evaluation and planning before endotracheal intubation. In this report, we describe a case in which an airway history review revealed extraordinarily complex airway anatomy that led to a decision not to attempt intubation in a man with end-stage chronic obstructive pulmonary disease. We emphasize the utility of reviewing history and imaging before attempted urgent intubation. We discuss the importance of a multidisciplinary approach that includes the patient, their family, and consultants when high-risk intubation is contemplated. The ethical role of the anesthesiologist is also discussed.

Author List

Choi C, Pagel PS, Estimé SR

Author

Paul S. Pagel MD, PhD Professor in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Airway Management
Anesthesiologists
Clinical Decision-Making
Humans
Intubation, Intratracheal
Male
Middle Aged
Pulmonary Disease, Chronic Obstructive
jenkins-FCD Prod-387 b0ced2662056320369de4e5cd5f21c218c03feb3