Navigating Goals of Care While Confronting an Urgent, Difficult Intubation: A Case Report. A A Pract 2019 Mar 15;12(6):193-195
Date
09/01/2018Pubmed ID
30169388DOI
10.1213/XAA.0000000000000881Scopus ID
2-s2.0-85062832619 (requires institutional sign-in at Scopus site)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 SRAuthor
Paul S. Pagel MD, PhD Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Airway ManagementAnesthesiologists
Clinical Decision-Making
Humans
Intubation, Intratracheal
Male
Middle Aged
Pulmonary Disease, Chronic Obstructive