TY - CHAP M1 - Book, Section TI - Chapter 35. Airway Management A1 - O'Connor, Michael F. A1 - Ovassapian, Andranik A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Wood, Lawrence D.H. Y1 - 2005 N1 - T2 - Principles of Critical Care, 3e AB - The choice between noninvasive ventilation via mask versus ventilation via translaryngeal tracheal intubation is an increasingly critical branch point in the management of patients with respiratory failure.Shock, a failed trial of extubation, inability to protect and maintain one's own airway, need for larger minute ventilations or larger transpulmonary pressures, and transport of an unstable patient all remain indications for tracheal intubation.Assessment and adequate preparation of the patient prior to intubation are crucial to ensuring successful and safe intubation.Awake tracheal intubation with topical anesthesia remains the preferred technique, although skilled operators can perform rapid sequence induction and intubation with a high degree of success. General anesthesia and paralysis are associated with substantial risks in critically ill, hemodynamically unstable patients.The appropriate timing of tracheostomy remains poorly defined. Improved endotracheal tubes allow for prolonged intubation with a low risk of associated traumatic injury.Percutaneous tracheostomy and conventional tracheostomy are increasingly performed at the bedside to minimize the hazards associated with transporting a critically ill patient. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2022/08/11 UR - accessmedicine.mhmedical.com/content.aspx?aid=2287028 ER -