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McGraw-Hill Professional Publishing
Management of the Difficult and Failed Airway, Second Edition / Edition 2

Management of the Difficult and Failed Airway, Second Edition / Edition 2

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Meet the clinical challenge of the difficult and failed airway with this updated full-color guide

A Doody's Core Title for 2015!

Includes DVD with airway techniques!

"This beautifully illustrated and extensively referenced textbook provides a comprehensive review of the available options for airway management....For the busy clinician, this book provides the most up-to-date review available of the many innovations that have been introduced in the past 10 years."—Steven L. Shafer, MD, Columbia University

Written by the founders of The Difficult Airway Course: Anesthesia™ and utilizing an instructive case-based approach, this text/DVD presents all of the leading-edge principles, tools, and procedures of airway assessment and management. The scope of the book encompasses the many airway devices that have been developed since the publication of the first edition, many of which have the potential to markedly enhance airway management.

Extensively revised and updated, the second edition of Management of the Difficult and Failed Airway emphasizes how airway management is context-sensitive: included are strategies for treating patients in a range of settings, from prehospital care to the ER, as well as proven techniques for special patient populations. In addition, new chapters have been added to further refresh the book’s content and provide you with a solid grasp of the most critical topics in this fast-evolving area.

The book’s effective organization has been maintained, beginning with the first section’s focus on the basic foundations of difficult and failed airway management. The second section reviews must-know airway devices and techniques, while the third part of the text introduces case studies that thoroughly examine the application of these techniques in complex clinical situations. A final section covers the practical considerations, such as difficult airway carts and teaching and simulation in airway management.


  • Skill-building, case-based approach highlights the right tools and techniques for stabilizing the patient, plus important safety precautions relevant to the clinical setting
  • New “context-sensitive” focus links airway techniques to specific clinical environments, including airway cases in prehospital care, the emergency department, the critical care unit, and the operating room
  • Essential new chapters cover the fundamental principles of bag-mask-ventilation, single lung ventilation using double lumen tubes, and airway management in austere environments, in addition to airway education and simulation
  • Mnemonics, easy-to-follow algorithms, and alternative strategies (Plan A, Plan B, etc.) in every chapter reinforce pivotal concepts
  • Chapter-ending questions offer effective self-assessment
  • Accompanying DVD with instructive video visually explains common procedures in a learn-as-you-go style

Product Details

ISBN-13: 9780071623469
Publisher: McGraw-Hill Professional Publishing
Publication date: 11/16/2011
Edition description: Net
Pages: 608
Product dimensions: 8.70(w) x 10.90(h) x 1.20(d)

About the Author

Dr. Orlando Hung, MD, FRCPC

Professor, Departments of Anesthesia, Surgery, and Pharmacology

Dalhousie University

Queen Elizabeth II Health Sciences Centre

Halifax, Nova Scotia, Canada

Michael F. Murphy, MD, FRCPC

Professor and Chair

Department of Anesthesia and Pain Medicine

University of Alberta

Zone Chief of Anesthesia

Edmonton, Alberta, Canada

Dr. Michael Murphy and Dr. Orlando Hung are the instructors for the Difficult Airway Course™, a popular training program for anesthesiologists and emergency medicine physicians.

Table of Contents





1. Evaluation of the Airway, Michael F. Murphy and D. John Doyle

2. The Algorithms, Michael F. Murphy and Edward T. Crosby

3. Preparation for Awake Intubation, Ian R. Morris

4. Pharmacology of Intubation, Ronald B. George and Orlando R. Hung

5. Aspiration: Risks and Prevention, Saul Pytka, Edward Crosby, and Idena Carroll


6. Context-Sensitive Airway Management, Steven Petrar, Orlando R. Hung, and Michael F. Murphy

7. Manual Noninvasive Ventilation: Bag-Mask-Ventilation, George Kovacs and Michael F. Murphy

8. Direct Laryngoscopy, Richard M. Levitan and George Kovacs

9. Flexible Bronchoscopic Intubation, Ian R. Morris

10. Rigid and Semirigid Fiberoptic and Video Laryngoscopy and Intubation, Richard M. Cooper and J. Adam Law

11. Nonvisual Intubation Techniques, Chris C. Christodoulou and Orlando R. Hung

12. Extraglottic Devices for Ventilation and Oxygenation, Chris Hinkewich, Orlando R. Hung, and Thomas J. Cowan

13. Surgical Airway, Gordon O. Launcelott and Liane B. Johnson


A: Airway Cases in Prehospital Care

14. What is Unique about Airway Management in the Prehospital Setting? Mark Vu, David Petrie, John M. Tallon, and Michael F. Murphy

15. Airway Management of a Patient with Traumatic Brain Injury, J. Adam Law, Edward T. Crosby, and Andy Jogoda

16. Airway Management of an Unconscious Patient Who Remains Trapped inside the Vehicle Following a Motor Vehicle Collision, Tom C. Phu, Orlando R. Hung, and Ronald D. Stewart

17. Airway Management of a Motorcyclist with a Full-Face Helmet Following a Crash, Mark P. Vu and Orlando R. Hung

18. Airway Management of a Morbidly Obese Patient Suffering from a Cardiac Arrest, Saul Pytka and Idena Carroll

19. Airway Management with Blunt Anterior Neck Trauma, David A. Caro and Steven A. Godwin

B: Airway Cases in the Emergency Department

20. Airway Management in the Emergency Department, Michael F. Murphy and Ron M. Walls

21. Patient with Deadly Asthma Requires Intubation, Kerry B. Broderick and Richard D. Zane

22. Patient with Cardiogenic Shock, Kerry B. Broderick

23. Airway Management in the Patient with Burns to the Head, Neck, Upper Torsos, and the Airway, Robert J. Vissers

24. Airway Management in a Patient with Angioedema, Michael F. Murphy, Genevieve MacKinnon, and David Petrie

25. Airway Management for Blunt Facial Trauma, David A. Caro and Aaron E. Bair

26. Airway Management in a Patient with Ludwig's Angina, Kirk J. MacQuarrie and David Kirkpatrick

C: Airway Cases in Critical Care Unit

27. Airway Management in the Intensive Care Unit, Stephen Beed

28. Management of Extubation of a Patient Following a Prolonged Period of Mechanical Ventilation, Richard M. Cooper

29. Airway Management of a Patient in a Halo Jacket Who Has Developed a Tracheal Tube Cuff Leak, Dietrich Henzler

30. Management of a Patient Admitted to the ICU with Impending Respiratory Failure due to a Suspected Infectious Etiology, David T. Wong

31. Performing an Elective Percutaneous Dilational Tracheotomy in a Patient on Mechanical Ventilation, Angelina Guzzo, Liane B. Johnson, and Orlando R. Hung

D: Airway Cases: Surgical Patients in the Operating Room

32. Airway Management in an Uncooperative Down Syndrome Patient wiht an Upper GI Bleed, Michael F. Murphy

33. Airway Management in the Operating Room of a Patient with a History of Oral and Cervical Radiation Therapy, Ian R. Morris

34. Airway Management in Penetrating Neck Injury, Ian R. Morris

35. Intra-operative Accidental Dislodgement of the Endotracheal Tube in a Patient in Prone Position, Dennis Drapeau and Orlando R. Hung

36. Lung Separation in the Patient with a Difficult Airway, Ian R. Morris

37. Airway Management of a Patient wiht an Unanticipated Difficult Laryngoscopy (LIngual Tonsillar Hypertrophy), Edward Crosby

38. Airway Management of a Patient with Superior Vena Cava Obstruction Syndrome, Gordon O. Launcelott

39. Airway Management of a Patient with History of Difficult Airway Who Refuses to Have Awake Tracheal Intubation, Dmitry Portnoy and Carin Hagberg

40. Airway Management in the Operating Room of a Morbidly Obese Patient in a "Cannot Intubate, Cannot Ventilate" Situation due to a Suspected Infectious Etiology, David T. Wong

41. Airway Management in a Patient with Epidermolysis Bullosa for Peripheral Procedure, Sarah H. Wiser and Wendy Howard

E: Pediatric Airway Cases

42. Unique Airway Issues in the Pediatric Population, Laura V. Duggan and Narasimhan Jagannathan

43. Airway Management of a Child with Supraglottitis, Christian M. Soder and Liane B. Johnson

44. Management of a 12-Year-Old Child with a Foreign Body in the Bronchus, Liane B. Johnson

45. Management of a Child with a History of Difficult Intubation and Post-tonsillectomy Bleed, Arnim Vlatten

46. Airway Management in a 1-Year-Old with Pierre Robin Syndrome for Myringotomy and Tubes, Christian M. Soder

47. Airway Management of a 6-Year-Old with a History of Difficult Airway for Bilateral Inguinal Hernia Repair, David C. Abramson

48. Pediatric Patient with a Closed Head Injury, Joshua Nagler and Robert C. Luten

F: Obstetrical Airway Cases

49. What is Unique about the Obstetrical Airway? Brian K. Ross and Dolores McKeen

50. Airway Management of the Obstetrical Patient with an Anticipated Difficult Airway, Brian K. Ross

51. Unanticipated Difficult Airway in an Obstetrical Patient Requiring an Emergency Cesarean Section, Ademeyi J. Olufolabi and Holly A. Muir

52. Airway Management in the Pregnant Trauma Victim, Adeyemi J. Olufolabi and Holly A. Muir

53. Appendicitis in Pregnancy, Narendra Vakharia and Ronald B. George

G: Airway Cases in Other Hospital Settings

54. Unique Challenges of Ectopic Airway Management, Michael F. Murphy

55. Management of the Patient with a Neck Hematoma, J. Adam Law

56. Airway Management in Austere Environments, Thomas J. Coonan, Phil Blum, and J. Adam Law

57. Respiratory Arrest in the Magnetic Resonance Imaging Suite, D. John Doyle

58. Post-obstructive Pulmonary Edema, Matthew G. Simms and J. Adam Law


59. Difficult Airway Carts, Saul Pytka and Michael F. Murphy

60. Documentation of Difficulty and Failure in Airway Management, Lorraine J. Foley, Michael F. Murphy, and Orlando R. Hung

61. Teaching and Simulation for Airway Management, Brian K. Ross, Jo Davies, Sara Kim, and Michael F. Murphy




1. Tracheal Intubation Using the Airtraq® Laryngoscope

2. Blind Nasal Intubation

3. Tracheal Intubation Using Bullard™ Laryngoscope

4. Tracheal Intubation Using the Clarus Video System

5. Digital Intubation

6. Technique of Placement of Extraglottic Devices

7. Tracheal Intubation Using the Fastrach™

8. Tracheal Intubation Using a Flexible Bronchoscope

9. Tracheal Intubation Using the Glidescope®

10. Levitan Laryngoscope

11. Macintosh Laryngoscope

12. McCoy Laryngoscope

13. McGrath® Video Laryngoscope

14. Open Cricothyrotomy

15. Percutaneous Cricothyrotomy

16. Phillips Laryngoscope

17. Retrograde Intubation

18. Shikani Optical Stylet

19. Tracheal Intubation Using the Storz Video Macintosh Laryngoscope

20. Light-Guided Intubation Using Trachlight™

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