Guidelines for Complications of Cancer Treatment Vol VIII Part B

5. The use of exhaled carbon dioxide to confirm trachealintubation.Techniques for Difficult Airway ManagementTechniques for DifficultIntubationAlternative laryngoscopebladesAwake intubationBlind intubation(oral or nasal)Fiberoptic intubationIntubating stylet ortube changerLaryngeal mask airway asan intubating conduitLight wandRetrograde intubationInvasive airway accessTechniques for DifficultVentilationEsophageal trachealCombitubeIntratracheal jet styletLaryngeal mask airwayOral and nasopharyngealairwaysRigid ventilatingbronchoscopeInvasive airway accessTranstracheal jet ventilationTwo-person mask ventilationStrategy for Extubation of the Difficult AirwayThe anesthesiologist should have a preformulated strategy forextubation of the difficult airway. This strategy will depend,in part, on the surgery, the condition of the patient, and theskills and preferences of the anesthesiologist.The preformulated extubation strategy should include1. A consideration of the relative merits of awake extubationversus extubation before the return of consciousness.67