Airway Management Geetanjali S Verma
INDEX
Page numbers followed by f refer to figure, fc refer to flowchart, and t refer to table.
A
Air mucosal interface 258260
Airtraq 148f
Airway
alert form 226, 281
anatomy of 1, 17f
assessment 54
cart, contents of difficult 216
clinical evaluation of 54
confirmation techniques of secured 190
considerations in ambulatory setting 252
control, types of 246
descriptions of difficult 211
devices, supraglottic 102
difficult 199fc, 211, 216, 221
access to 221
algorithm 218fc
assessment 67
management 82, 213
pathologies 212
equipment 102
standardization of 251
evaluation, copur scale for 64
examination 55
component 212
components of preoperative 212
exchange catheters 251
for extubation 251
extubation over supraglottic 223
fire 246, 248
management of 249
risk of 247
guidelines for difficult 250
inability to protect 221
innervation of upper 88f
laser surgery for 248
management 226, 255
advances in 250
follow-up after difficult 225
techniques for difficult 217
manipulation, responses to 51
nasopharyngeal 102, 216
obstruction 165, 220
causes 165
management 165
prevention 165
oropharyngeal 102, 103, 103f, 194, 216
pressure 235f-237f
bilevel positive 229
high peak 209
release ventilation 239, 240f
related nerve blocks 255
resources 251
surgeries 246
tests for assessment of 58
tone, loss of 216
ultrasonography 254
clinical applications of 255
Alfentanil 77
Allergy, latex 52
Alveolar arterial PO2 gradient 45
Alveolar carbon dioxide tension 50
Alveolar damage, diffuse 244
Alveolar gas equation 42
Alveolar oxygen
concentration 70
tension 50
Ambu laryngeal mask 116
airway 116fc
American Society of Anesthesiologists 211, 225
Amikacin 245
Aminobenzoate 85
Anesthesia 30
alternative 274
managing 215
stages of 79
Anesthetic pharmacology 68
Anesthetic technique, aims of 246
Anesthetizing airway for awake intubation 80
Ankylosing spondylitis 54
Anticholinergic drugs 83
Antifogging system 253
Antipseudomonal
cephalosporin 245
fluoroquinolone 245
A-O gap See Atlanto-occipital gap
Aortic body 35
Apert syndrome 55, 212, 213
Apneic mass movement oxygenation 71
Apneustic center 33
APRV See Airway pressure release ventilation
Arndt wire guided endobronchial blocker 204
Arrhythmia 211
Arterial blood gases 215
Arterial oxygen
content 50, 70
saturation 50
tension 50
Arterial-venous oxygen content 50
Artery pressure, pulmonary 37, 38
Arthritis 54
Arytenoid cartilage 6, 7
Aspiration 52, 166
acid 99
anesthetic factors 98
device factor 99
effects of 99
methods to prevent 99
particulate 99
patient factors 98
prevention of 79, 98
prophylaxis 83
pulmonary 220
risk of 107, 274
surgical factors 98
Atelectasis 262
absorptive 244
compression 263
Atlanto-occipital gap 63
Atlanto-occipital joint
assessment 59f
extension 58
Atomizers 86
Atracurium 52, 76
Atropine 83
Automatic tube compensation 241
Awake intubation
advantages of 80
indications for 80
preparation for 81
Azygos vein arches 15
B
Back maneuver 72, 73
Bag-mask ventilation 66
difficult 212
Bag-valve-mask connector 180
options 180
Balloon dilatation technique 187
Barometric pressure 50
Barotrauma 243
Baska mask 126, 126f
advantages 127
Beckwith-Wiedemann syndrome 212, 213
Benzocaine 85
Benzonatate 86
Bioimpedance cardiography 131
Bizzarri-Giuffrida blade 136
Blood
flow, distribution of 38
gas 65
pulmonary 196
supply 3, 9
Body oxygen stores 69
Bohr's effect 44
Bohr's equation derivation 27
Bohr's method 26
Bonfils retromolar intubation fiberscope 254
Bowen-Jackson blade 136
Brachiocephalic veins 14
Bradycardia 52, 94
causes of 94
Breathing
central control 31
curve, work of 31f
deep 70, 71
regulation and control of 31
work of 30
Bridging extubation, options for 251
Bromothymol blue test 192
Bronchial blocker 203, 208f
within single-lumen tube 208f
Bronchomalacia 214
Bronchopulmonary segments 16, 16f
Bronchoscopy, care after 173
Bronchospasm 163
Bronchus, main 14
Broyles’ ligament 7
Bryce Smith blade 138
Bucx blade 136
Bulb test 193
Bullard laryngoscope 252
Burns contractures 213
BURP maneuver 73
C
Callander-Thomas blade 136
Capillary distension 38
Capillary recruitment 38
Capnography, phases of 191f
Carbon dioxide transport 45
Carbon monoxide 47
diffusing capacity 47
Cardiac disease 96
Cardiac output 70
increasing 228
Cardiogenic pulmonary edema 261
Cardiovascular system 51
Carotid artery 94
Cartilages 5
Cefepime 245
Ceftazidime 245
Cells types 20
Central nervous system 51
Cephalometric radiography 65
Cerebral cortex 33
Cerebrovascular autoregulation 53
Cervical spine 57
injury 177
X-ray 63
Cervical vertebra 63
Cetacaine 85
Chandy's maneuver 111
Chloride shift 45f
Ciaglias multiple dilator technique 186
Ciprofloxacin 245
Classic laryngeal mask airway 107f
advantages of 107
Clonidine 53
C-MAC system 147f
Cobra perilaryngeal airway 106, 120, 120f
advantages 121
disadvantages 121
insertion technique 121
Cocaine 84
Combitubes 127, 128f
advantages 129
alternate technique 129
contraindications 129
conventional technique 128
disadvantages 129
indications 129
insertion technique 128
Comet tail artefact 259, 260
Complete fiberoptic bronchoscopy 202f
Complete preoxygenation 71
Compliance 27
curve 28f
Congenital pathology 212
identifying difficulties in 213
Consciousness lost 79
Continuous positive
airway pressure 240f
pressure ventilation device 229f
Conus elasticus 176
Cook airway exchange catheter 150f
Cords
false 7
true 7
Corniculate cartilages 7
Coronary artery disease 85
Coughing 54
breath holding 220
Cricoid cartilage 6, 13, 177, 255, 259, 259f
Cricoid pressure 72, 73, 73f
complications of 74
Cricothyroid
blood vessels 179
membrane 10, 176, 255, 259f
muscle 11, 95
Cricothyroidotomy 134
Cricothyrotomy 176
anatomical consideration 176
contraindications 177
indications 177
traditional surgical 181
tubes 130
Crouzon syndrome 212, 214
CTA See Comet tail artefact
Cuff
inflation and securing tube 183
management 134
pressure 209
Cuneiform 7
D
Dead space 24, 25f
alveolar 24
anatomical 24
gas volume 50
measurement of 25
physiologic 50
types 24
Decubitus position, lateral 195
Desflurane 78
Dessication 83
Diabetes mellitus 54
Diffusion hypoxia 78
Diltiazem 53
Dipalmitoyl phosphatidylcholine 20
Dorsal medullary respiratory neurones 31
Double lumen tubes 134, 199, 202f, 209
insertion technique 199
left-sided 201f, 202f
parts of
left-sided 200f
right-sided 200f
right-sided 201f
Down's syndrome 212, 214
Drugs 100
Dysphagia 123
Dysphonia 123
Dyspnea, causes of 256
E
Ecchymosis 209
Edema, pulmonary 228, 256
Endobronchial catheter 203
Endobronchial intubation 164, 172
Endotracheal intubation 109, 157
Endotracheal tube 130, 130f, 158, 173, 187, 248
alternatives for standard 131
complications of 131
cuff 157
of appropriate size 155
standard 130
End-pulmonary capillary oxygen content 50
Enflurane 78
Enterobacteriaceae 244
EPAP See Expiratory positive airway pressure
Epiglottis 7, 90, 255, 257, 258
Epistaxis 162
Eschmann introducer 149
Esophageal detector device 193, 193f
Esophageal diseases 98
Esophageal intubation 163
Esophageal sphincter, incompetent lower 98
Esophageal tracheal combitube 127
Esophagus 255, 260, 260f
Ethmoidal nerve
anterior 88
block, anterior 90
Etomidate 74, 75
Excitation, stage of 79
Expiratory lung volume 240f
Expiratory muscles 27
Expiratory positive airway pressure 229
Extubation 219
adverse responses to 219
complications of routine 220
identifying high-risk 220
initial plan 219
of difficult airway 222
of high-risk patients 222
over fiberoptic bronchoscope 223
over tracheal tube exchange catheter 224
planning 222
normal 219
postpone 225
preparing for 222
prevention of adverse responses 219
simple algorithm for planning 221
standard 223
strategies, recommended 251
unintended 220
F
Face mask 155, 229f
Facies-Pierre-Robin syndromes 55
Fasciculations 52
Fentanyl 53, 77
Fenum end tidal CO2 detector 191f
Fetal condition 274
Fiberoptic bronchoscope 87, 167, 169, 202f, 207
common difficulties 172
complications 172
components of 167, 167f
contraindications 169
indications 168
physiology 168
related to 172
technique of usage 170
Fiberoptic bronchoscopy 201
examination 170
Fiberoptic intubation
advantages of 172
causes of 173
failure of 173
Fiberoptic orotracheal intubation 170f, 171f
Fiberoptic-aided method 207f
Finger breadth test 61
Flexible fiberoptic bronchoscope 82
Flexible fiberscope 253
Flexible laryngeal mask airway 110f
Flow volume loops 48, 49f
Focal B-lines 262
Fogarty catheter 205
placement 205
Fogarty embolectomy catheter 208f
Foreign body aspiration 213
Fowler's method 25, 26f
Fraction inspired oxygen 50
Fresh gas flow 70
Functional residual capacity 22, 69f, 240f
G
Gas exchange 41
Gastric acid production, increased 99
Gastric emptying
decreased 99
delayed 98
Gastric filling, increased 99
Gastric tube placement 256
Gastric volume, reducing 99
Gastroesophageal reflux disease 54
Gentamicin 245
Glidescope 147f, 253
Glossopharyngeal nerve 88, 90, 93f
block 92, 92f, 93f
Glottic web 213
Glottis 7
Glycopyrrolate 83
Goldenhar syndrome 212, 214
Griggs technique 187
Guedel airway 102
Gum elastic bougie 149, 150f
H
Haemophilus influenzae 244
Halothane 78
hepatitis 79
Hemangioma 213
Hemodynamic changes 220
Hemoglobin 43, 45
concentration 48
Hering-Breuer reflex 34
Hofmann elimination 79
Huffman prism 139
Hunter's syndrome 212
Hurler's syndrome 212
Hydralazine 53
Hyoid bone 5, 255, 257, 258
greater cornu of 94f
sonogram of 256f
Hyoid cartilage 259f
Hypercapnia 35
Hypercarbia 244
Hypertension 211
Hypocapnia 35
Hypopharynx 1, 255
Hypoplastic mandible 212
Hypotension 94
Hypoxemia 211
Hypoxia, causes of 256
Hypoxic pulmonary vasoconstriction 197t
I
ICA See Internal carotid artery
I-gel 122, 122f
advantages 123
deciding size of 124t
disadvantages 123
insertion technique 123
uses 123
ILA See Intubating laryngeal airway
Infection 213
Inflammatory cytokines 244
Inhalational agents 53, 197
Inhalational induction 77
Inhaled air passes 23
Inspiration 24
Inspiration/expiration ratio 238
Inspiratory
flow rate 238
lung volume 240f
muscles 27
positive airway pressure 229
Inspired oxygen level 238
Insufflation techniques 247
Internal carotid artery 260
Interstitial syndrome 261
cardiogenic 261
noncardiogenic 262
Intracranial pressure 53
increased 87, 220
Intravenous
access 155
induction 75
Intubating introducers 149
and stylets 148
Intubating laryngeal airway 117, 118f
Intubation
difficult 212, 217
drugs for 75
failed 160, 211
strategy for 217
stylets, lighted 254
technique, related to 172
IPAP See Inspiratory positive airway pressure
Isoflurane 78
J
Jet ventilation 247
Jugular veins, anterior 14
K
Ketamine 74, 75
Khan's blade 136
Kiesselbach's plexus 3
King vision 148f
Klippel-Feil sequence 214
Klippel-Feil syndrome 55
L
Labetalol esmolol 53
Laplace's law 20
Laryngeal cavity 7
Laryngeal edema 165
causes 165
management 165
Laryngeal incompetence 220
Laryngeal mask airway 106, 109t, 113, 113f, 115t, 153, 199, 260
classic 107
disposable 115
Fastrach intubating 109, 110f
flexible 109
indications/applications of 115
intubating 82
limitations of classic 108
proseal 111
supreme 113
Laryngeal nerve
block, superior 92, 94f
recurrent 11, 95
superior 11, 92
Laryngeal trauma 220
Laryngeal tube 106, 118
suction 118, 119, 119f
Laryngomalaia 214
Laryngopharynx 5, 6f
Laryngoscope 135, 139, 155
blades 136
historic aspect 135
left-handed 136
mirrored 139
parts of 135, 135f
Laryngoscopy
and intubation, regular 156
difficult 211
direct 60
grading 63
technique of direct 156
Laryngospasm 163
Larynx 92, 255
adult female 5
adult male 5
blood supply of 10f
depicting cricothyroid membrane, anatomy of 176f
extrinsic muscles of 8, 8f
infraglottic 7
internal muscles of 9f
intrinsic musculature of 9
subglottic 7
Laser resistant tracheal tubes 133
Laser tubes 133, 134
types of 134
Layngopharynx 1
Lemon airway assessment 62
Levofloxacin 245
Lidocaine 84
Light bulb, variations with 136
Lighted stylet 151, 152f
Lingual branch 90
Lips 57
LMA See Laryngeal mask airway
Local anesthetic 85
absorption 84
LRTT See Laser resistant tracheal tubes
Lung 15, 15f, 202f, 255
bronchial blocker
left 208f
right 208f
contusion 262
causes for 262
functions in 20
isolation of 195
nondependent 196, 209, 210
nonventilated 209
separation 199fc
sequence for 208f
surgery, left and right 201f
ultrasonography 261
volume 240
after mechanical expiration 240f
and capacities 21, 21f
primary 21
Lung-chest wall pressure–volume curve 28f
M
Macroglossia 212
Mainstem bronchus 209
left 207f
Mallampati 64
classification 58f
test 58
Mandibular angle and hyoid bone, relation of 63
Mandibular protrusion test 57
Mandibular space 59
Mandibulohyoid distance 63
Manubriosternal junction 13
Mask ventilation, controlled 216
Maxillary nerve, cranial nerve 89
Maxillofacial trauma 177
McCoy blade 141
McMorrow-Mirakhur mirrored laryngo-scope 139
Measles stomatitis 213
Medullary depression, stage of 79
Medullary respiratory center 31
Membrane location, confirmation of 182
Metochlopramide 100
Micrognathia 212
Microlaryngoscopy tubes 247
Midazolam 75
Midface hypoplasia 212
Miller blade 141f
Minimal alveolar concentration 77
Mivacurium 52, 76
Mnemonics 66
Morphine 77
Mucopolysaccharidoses 212
Muscle 8
aryepiglottic 9
cricothyroid 9
lateral cricoarytenoid 9
oblique arytenoid 9
posterior cricoarytenoid 9
sternohyoid 8, 13
sternothyroid 8, 13
strap 258260
stylopharyngeus 8
thyroarytenoid 9
thyroepiglottic 8
thyrohyoid 8
transverse arytenoid 9
vocalis 9
N
Nasal approach 90
Nasal cavity 88
damage to 162
innervation of 88f
right 91f
Nasal intubation 158
complications with 162
contraindications 158
indications 158
method 158
Nasal packing 89
Nasopharyngeal airway 104, 105f
Nasopharynx 1, 2f, 88
Nasotracheal intubation 4, 159f
Nasotracheal tube 90
Nausea/vomiting 74
Nebulizers 87
Neck 57
flexion, severe 216
Needle cricothyrotomy 178, 178f
technique 178
Nerve 10
anterior ethmoidal 88f
blocks 87
injury 165
detection 165
innervating larynx 10f
olfactory 88f
trigeminal 88f
Neuromuscular blocking agents 74, 76
Nicardipine 53
Nitroglycerin 53, 197
Nitroprusside 53
Nitrous oxide 78
No-drop technique 183
Non-laryngeal mask airway 116
Nonstriated trachealis muscle 13
Nonventilated lung, bronchus of 208
Nose 2, 55
blood supply of 3f
functions of 2
nerve supply of 4f
Nostrils, patency of 55, 55f
O
Obesity 30, 274
pregnancy 70
Olfactory nerve 89
One lung anesthesia, high risk of 195
One lung ventilation 195, 196f, 209
initiating 198
principles of using 198
techniques of 198
Opioids 77
Optical intubating stylets 254
Oral
airway 155
approach 89
cavity 57
endotracheal intubation 157
intubation, traditional method of 156f
Oropharyngeal balloon 128
Oropharynx 1, 4, 5f, 90, 255
Osteoarthritis 54
Ovassapian airway 103, 104f
pharyngeal surface of 171f
Oxford blade 138
Oxygen
cascade 41, 42, 42f
consumption 50, 70
dissociation curve 43, 44f
saturation, measurement of 215
source 155
toxicity 244
transport 43
tubing 180
connector options 180
Oxyscope laryngoscope 136
P
Palm print 61
sign 62f
Pancuronium 76
Paranasal sinuses 3, 3f
Patil's test 59
Pediatric airway
anatomy 17f
assessment 64
Pediatric blades 138
Percutaneous dilatation
cricothyrotomy 180
tracheostomy 185, 186
technique of 186f
Percutaneous transtracheal jet ventilation 179
Periglottic injury 223
Peripheral chemoreceptors 35
Pethidine 77
Pfeiffer syndrome 212, 214
Pharyngeal branch 92
Pharynx 1, 92
airway 126t
parts of 1, 2f
Pierre Robin syndrome 215
Pneumonia 262
ventilator associated 244
Pneumotaxic center 33
Pneumothorax 261
diagnosis of 256
Polio blade 155
Polysomnography 66
Positive end-expiratory pressure 238
Positive-pressure ventilation 52, 106, 240f
Potential cervical pathology 80
Prayer sign 61, 62f
Pre-epiglottic space 257, 258
Preformed tubes 132, 133f
applications 133
limitations 133
Preoxygenation 68, 69
efficacy of 70
efficiency of 70
techniques of 71
Pressure
regulated volume control 239
ventilation, negative 230
Propofol 53, 74, 75
Proseal laryngeal mask airway 111f, 113t
Proton pump inhibitors 101
Pulmonary embolism 262, 263
confirmed 263
probable 263
Pulmonary function testing 48
R
RAE tube See Ring-Adair-Elwyn tube
Range of movement 65
Rapid sequence induction 72
Rapid sequence intubation 72
complications of 74
technique of 73
Regurgitation, risk of 223
Reinforced tubes 131, 132f
applications 132
limitations 132
Remifentanil 77
Renin-angiotensin system, activation of 52
Respiration
centers for regulation of 32f
receptors for regulation of 34
Respiratory
formulas 50
function tests 215
mechanics 27
muscles 27
neurones, ventral medullary 32
pattern terminology 23
portion 4
quotient 50
rate 238
system 51
function of 19
structure of 19
tubes 24
Retrograde intubation 159
complications with 163
indications 159
method 160
steps in 160f
Retropharyngeal abscess 213
Rheumatoid arthritis 54
Rigid fiberoptic bronchoscopes, indirect 252
Rima glottidis 7
Ring-Adair-Elwyn tube 132, 133f
Robertshaw blade 141f
Rocuronium 74, 76, 155
Rusch viewmax laryngoscope 139
S
Saethre-Chotzen syndrome 212
Samsoon and young's modification 58
SCM See Sternocleidomastoid muscle
Scopolamine 83
Scoring systems 61
Sedation/hypnotics 83
Seldinger technique 176, 180
Sellick's maneuver 1, 72
Selmon's law 12
Sensors
chemoreceptors 35
mechanoreceptors 34
Septal abscesses 162
Sevoflurane 53, 78
Shark Finn appearance in capnography 164f
Shikani optical stylet 254
Shunt 46
equation 46, 47f
intrapulmonary 50
Siker laryngoscopes 139
Simulation, role of 252
Single graduated dilator technique 187
Single lumen tube 169, 207, 208f
Skin incision, vertical 182
Sleep
apnea syndrome 54
studies 66
SLIPA See Streamlined liner of pharynx airway
Snoring 54
Sodium
citrate 100
thiopentone 74
Soft palate 90
Soft seal laryngeal mask 117
Sore throat 165
Sphenoid bone 90
Sphenopalatine nerve block 89, 90f
Spina bifida 52
Spinal fusion 213
Spontaneous inspiration 240f
Square wave flow 236f
SSLM S Soft seal laryngeal mask
Standard insertion technique 108
Staphylococcus aureus 244
Static compliance 29f
Sternocleidomastoid muscle 260
Sternomental distance 60f
Stomach 255
Streamlined liner of pharynx airway 124, 124f
advantages 125
disadvantages 126
Streptococcus pneumoniae 244
Stylet 150, 151f
Styrene ethylene butadiene styrene 122
Subclavian artery, right 95
Subglottic jet ventilation 248
Subglottic stenosis 213
high-risk for 177
Succinylcholine 52, 74, 76
Supraglottic airway devices 67, 106, 107, 116, 251
first-generation 106
second-generation 107
Supraglottic devices, newer 254
Supraglottic jet ventilation 247
Suprasternal notch, level of 260f
Surgery, proceed with 274t
Surgical airway 175
cricothyrotomy 175
placement 67
tracheostomy 175
Surgical anesthesia, stage of 79
Surgical cricothyrotomy 178, 181, 182f
complications 184
no-drop technique 181
rapid four-step technique 183
Syringe test 193
Systemic arterial pressure 53
T
Tachycardia 52, 211
Temporomandibular joint 54, 56
assessment 56f
disease 213
Tension pneumothorax 165
management 165
X-ray 165
Terminate spontaneous breathing trial 242
Theoretical spirometric tracing 240f
Thiopentone 53, 75
test 191
Thoracic vertebra 13
Thoracoabdominal aneurysm 199
Thumb insertion technique 109
Thyrocervical trunk 9
Thyrohyoid membrane 258, 258f
Thyroid
artery, inferior 9
cartilage 6, 7, 10, 257, 258
superior cornu of 94f
gland 260, 260f
veins, inferior 13
Thyromental distance 60f
Tidal volume 238
breathing 70, 71
Tobramycin 245
Tongue 255, 257
Tonsillar
branch 90, 92
hypertrophy 213
Tonsils 92
Topicalization 84
Trachea 13, 95, 202f, 255, 259f, 260, 260f
bifurcates 14
Tracheal and
endobronchial intubation 256
esophageal intubation 256
Tracheal carina 203
Tracheal cartilage 240, 259
Tracheal hook, insertion of 183
Tracheal intubation 51f, 154
complications 161
difficult 211
management after failed 276t
reversible 224
sonomatic device for 194f
Tracheal stenosis 166, 243
prevention 166
Tracheal trauma 220
Tracheal tube displacement, precautions to prevent 194
Tracheobronchitis 244
Tracheoesophageal lumen 128
Tracheomalacia 214
Tracheostomy 134, 185, 187
airway maintenance 185
complications 188
contraindications 185
elective 225
high 175
indications 185
insertion technique 187
intraoperative complications 188
open 185
postoperative complications 189
prolonged ventilation 185
technique 188
tube 130
insertion of 183
Trachlight 152, 152f
Translaryngeal anesthesia 96f, 97f
Transtracheal jet
techniques 248
ventilation 82, 179
TRC See Tracheal cartilage
Treacher Collins syndrome 55, 215
Trigeminal nerve 4, 88
Trisomy 21 214
Tube
exchanger 149
left-sided 202f
position, confirmation of 183
Tulip airway 121f
device 121
advantages 122
disadvantages 122
Tull blade 136
Tumor 262
Two lung ventilation 196f
Typical disposable atomizer 86f
U
Ultrasonography, advantages of 254
Univent tube 206, 206f
placement 207
Upper cervical vertebral fusion 214
Upper lobe
left 200
right 199, 200
Upsher scope 253
Uvula 65
V
Vagus nerve 11, 34, 52, 88
Vancomycin 245
Vasodilators 197
Vasovagal reaction 94
Vecuronium 53, 76, 155
Venous oxygen
content, mixed 50
saturation, mixed 50
tension, mixed 50
Venous oxyhemoglobin saturation 68
Ventilation 23, 275
airways 23
and perfusion, distribution of 39
application 228
assist/control 236f
complications 243
continuous positive pressure 228
control 246
mode 235f
difficult 217
inadequate 227
initiating 231
invasive 231
mechanical 243
mode of 227, 238
basic classification 227
newer modes of 239
noninvasive 227
perfusion
distribution 40f
relationships 39
respiratory 243
strategies 227
volume control 238
Ventricular transmural pressure, left 228
Verapamil 53
Vertebral body 260
Video laryngoscope 142, 253
types of 143t
Video Macintosh intubation laryngoscope 253
Videolaryngoscopy, role of 250
Viewmax blade 142f
Vocal cord 95, 255
palsy 11
types of 12f
Volutrauma 243
Vomiting 52
W
Weaning mechanical ventilation 241
Wheezing 54
Z
Zenker's diverticulum 261
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Chapter Notes

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