Guidelines for Complications of Cancer Treatment Vol VIII Part B

8. Equipment suitable for emergency invasive airwayaccess (e.g.,cricothyrotomy)9. An exhaled CO2 detectorStrategy for Intubation of the Difficult AirwayAn assessment of the likelihood and anticipated clinical impactof four basic problems that may occur alone or in combination:a. difficult ventilationb. difficult intubationc. difficulty with patient cooperation or consentd. difficult tracheostomy2. A consideration of the relative clinical merits andfeasibility of three basic management choices:a. awake intubation versus intubation after inductionof general anesthesiab. use of noninvasive techniques for the initialapproach to intubation versus the use of invasivetechniques (i.e., surgical or percutaneoustracheostomy or cricothyrotomy)c. preservation of spontaneous ventilation duringintubation attempts versus ablation of spontaneousventilation during intubation attempts3. The identification of a primary or preferred approachto:a. awake intubationb. the patient who can be adequately ventilated butis difficult to intubatec. the life-threatening situation in which the patientcannot be ventilated or intubated4. The identification of alternative approaches that can beemployed if the primary approach fails or is not feasible.66