Unexpected Difficult Intubation. Is it a Solvable Problem? Reflections for a Safe Approach

Abstract

Approximately 4% of tracheal intubations are unexpectedly difficult. In the world annually million people have general anesthesia. In terms of numbers it is perhaps one of the most critical moments of the entire anesthetic procedure. Sophisticated tools, and scientific studies in opposition creates a sometimes very crowded and confusing area in which anesthesiologists, particularly the younger ones, find difficulties when they encounter so many options and are not sure which to choose. If you want a solution to the unexpected difficulties you must find a path reliable, simple and safe by identifying when and how to act and to insert into the training programs of the schools of anesthesia as a basic procedure . The review of the literature, analysis and revision of the tracheal intubation procedure for general anesthesia in elective surgery lead to the conclusion that a combined approach using tools that display the glottic region and instruments that also display the trachea allows the tube to be introduced and placed under vision and resolves the majority of difficult cases.