The all India difficult airway association 2016 guidelines for tracheal intubation in the intensive care unit

Sheila Nainan Myatra, Syed Moied Ahmed, Pankaj Kundra, Rakesh Garg, Venkateswaran Ramkumar, Apeksh Patwa, Amit Shah, Ubaradka S. Raveendra, Sumalatha Radhakrishna Shetty, Jeson Rajan, Dilip K. Pawar, Singaravelu Ramesh, Sabyasachi Das, Jigeeshu Vasishtha Divatia

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Tracheal intubation (TI) is a routine procedure in the Intensive Care Unit (ICU) and is often life-saving. In contrast to the controlled conditions in the operating room, critically ill patients with respiratory failure and shock are physiologically unstable. These factors, along with a suboptimal evaluation of the airway and limited oxygen reserves despite adequate pre-oxygenation, are responsible for a high incidence of life-threatening complications such as severe hypoxaemia and cardiovascular collapse during TI in the ICU. The All India Difficult Airway Association (AIDAA) proposes a stepwise plan for safe management of the airway in critically ill patients. These guidelines have been developed based on available evidence; wherever robust evidence was lacking, recommendations were arrived at by consensus opinion of airway experts, incorporating the responses to a questionnaire sent to members of the AIDAA and the Indian Society of Anaesthesiologists. Non-invasive positive pressure ventilation during pre-oxygenation improves oxygen stores in patients with respiratory pathology. Nasal insufflation of oxygen at 15 L/min can increase the duration of apnoea before the occurrence of hypoxaemia. High-flow nasal cannula oxygenation at 60–70 L/min may also increase safety during TI in critically ill patients. Stable haemodynamics and gas exchange must be maintained during rapid sequence induction. It is necessary to implement an intubation protocol during routine airway management in the ICU. Adherence to a plan for difficult airway management incorporating the use of intubation aids and airway rescue devices and strategies is useful.

Original languageEnglish
Pages (from-to)922-930
Number of pages9
JournalIndian Journal of Anaesthesia
Volume60
Issue number12
DOIs
Publication statusPublished - 01-12-2016
Externally publishedYes

Fingerprint

Intubation
Intensive Care Units
India
Airway Management
Guidelines
Critical Illness
Oxygen
Insufflation
Positive-Pressure Respiration
Expert Testimony
Apnea
Operating Rooms
Nose
Respiratory Insufficiency
Shock
Gases
Hemodynamics
Pathology
Safety
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Myatra, S. N., Ahmed, S. M., Kundra, P., Garg, R., Ramkumar, V., Patwa, A., ... Divatia, J. V. (2016). The all India difficult airway association 2016 guidelines for tracheal intubation in the intensive care unit. Indian Journal of Anaesthesia, 60(12), 922-930. https://doi.org/10.4103/0019-5049.195485
Myatra, Sheila Nainan ; Ahmed, Syed Moied ; Kundra, Pankaj ; Garg, Rakesh ; Ramkumar, Venkateswaran ; Patwa, Apeksh ; Shah, Amit ; Raveendra, Ubaradka S. ; Shetty, Sumalatha Radhakrishna ; Rajan, Jeson ; Pawar, Dilip K. ; Ramesh, Singaravelu ; Das, Sabyasachi ; Divatia, Jigeeshu Vasishtha. / The all India difficult airway association 2016 guidelines for tracheal intubation in the intensive care unit. In: Indian Journal of Anaesthesia. 2016 ; Vol. 60, No. 12. pp. 922-930.
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Myatra, SN, Ahmed, SM, Kundra, P, Garg, R, Ramkumar, V, Patwa, A, Shah, A, Raveendra, US, Shetty, SR, Rajan, J, Pawar, DK, Ramesh, S, Das, S & Divatia, JV 2016, 'The all India difficult airway association 2016 guidelines for tracheal intubation in the intensive care unit', Indian Journal of Anaesthesia, vol. 60, no. 12, pp. 922-930. https://doi.org/10.4103/0019-5049.195485

The all India difficult airway association 2016 guidelines for tracheal intubation in the intensive care unit. / Myatra, Sheila Nainan; Ahmed, Syed Moied; Kundra, Pankaj; Garg, Rakesh; Ramkumar, Venkateswaran; Patwa, Apeksh; Shah, Amit; Raveendra, Ubaradka S.; Shetty, Sumalatha Radhakrishna; Rajan, Jeson; Pawar, Dilip K.; Ramesh, Singaravelu; Das, Sabyasachi; Divatia, Jigeeshu Vasishtha.

In: Indian Journal of Anaesthesia, Vol. 60, No. 12, 01.12.2016, p. 922-930.

Research output: Contribution to journalArticle

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AU - Ramkumar, Venkateswaran

AU - Patwa, Apeksh

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AU - Raveendra, Ubaradka S.

AU - Shetty, Sumalatha Radhakrishna

AU - Rajan, Jeson

AU - Pawar, Dilip K.

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