Advanced airway management is the assessment and protection of a compromised airway via the use of techniques such as patient positioning, suction, oropharyngeal, supraglottic and surgical airway (Cricothyrotomy).
Endotracheal intubation is de-emphasised and should not occur un-necessarily
A Vortex-like approach should be utilised for a considered and structured management approach in:
Cardiac arrest patients
Patients with an unprotected airway that has risk of compromise:
A-reflexic patients with a GCS ≤8, especially head trauma, without a gag reflex
Induction (CCP Only)
Patient Factors & Considerations
In the vast majority of cases, a supraglottic airway device is adequate and simple troubleshooting approaches can mitigate problems (e.g. avoidance of high pressure ventilations that cause cuff leak).
An absolute need for endotracheal intubation is very infrequent
Officer managing airway is to control all patient movements.
Adjunct placement, ventilation efficacy and capnography waveform must be re-assessed following all patient movements.
The most competent, current and appropriate clinician in relation to airway management should manage/coordinate the process: