Journal article
Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*
N Chrimes, A Higgs, CA Hagberg, PA Baker, RM Cooper, R Greif, G Kovacs, JA Law, SD Marshall, SN Myatra, EP O'Sullivan, WH Rosenblatt, CH Ross, JC Sakles, M Sorbello, TM Cook
Anaesthesia | WILEY | Published : 2022
DOI: 10.1111/anae.15817
Abstract
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occur in the hands of both inexperienced and experienced practitioners. Current evidence shows that unrecognised oesophageal intubation occurs sufficiently frequently to be a major concern and to merit a co-ordinated approach to address it. Harm from unrecognised oesophageal intubation is avoidable through reducing the rate of oesophageal intubation, combined with prompt detection and immediate action when it occurs. The detection of ‘sustained exhaled carbon dioxide’ using waveform capnography is t..
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Funding Acknowledgements
NC is the creator of the Vortex Approach but has no financial interest in this material which is licensed under a Creative Commons Attribution-NonCommercialNoDerivatives 4.0 International License. NC has undertaken unpaid consultancy work for Verathon Inc. NC's partner is employed by Verathon Inc. and he has accompanied her to a corporate retreat funded by Verathon Inc. NC is a director of the healthcare education provider Simpact Pty Ltd. AH is immediate past Treasurer of the Difficult Airway Society. CAH has received research support from Ambu, Fisher and Paykel Health Limited, Karl Storz Endoscopy, Teleflex and Vyaire Medical. CAH has received honoraria from UpToDate and Elsevier. PAB is the owner of Airway Simulation Ltd which manufactures the ORSIM~ bronchoscopy simulator. RG is treasurer of the European Airway Management Society and has received research support from Karl Storz Endoscopy. GK and JAL are CoDirectors of Airway Interventions and Management in Emergencies (AIME) Educational Programs. SDM is a Councillor of the Australian and New Zealand College of Anaesthetists and an Associate Editor of Anaesthesia. CHR is an independent contractor for Teleflex Inc. and also assists in the development and teaching of procedural skills laboratories. JCS is faculty on The Difficult Airway Course, Associate Editor of Walls Manual of Emergency Airway Management, Author UpToDate Chapter: RSI for Adults Outside the Operating Room and Author UpToDate Chapter: Emergency Cricothyrotomy. MS is the current president of the European Airway Management Society. He has received paid consultancy from Teleflex Medical, Verathon Medical and DEAS Italia, is a patent co-owner (no royalties) of DEAS Italia and has received lecture grants and travel reimbursements from MSD Italia and MSD USA. TC's department has received devices for evaluation or research, either free or at cost, from several manufacturers. No other competing interests or external funding declared.