Adel Hamed Elbaih,Mohammad Assef Mousa,
Teaching Review on Approach of Esophageal Intubation as Complications in Emergency Airway Management
American Journal of Surgical Case Reports
2020
2674-5046
http://dx.doi.org/10.31487/j.AJSCR.2020.03.13
https://www.sciencerepository.org/teaching-review-on-approach-of-esophageal-intubation-as-complications_AJSCR-2020-3-113 
Abstract: Background: Intubation is daily process in hospitals, it’s insertion of tube to secure an airway, nonemergent intubation is done in well controlled circumstances, while emergent intubation is not. Most
emergency intubated are cardiac or respiratory arrest patients. Intubation helps to secure airway for patient
breathing, also could protect from aspiration. Most common complications are: esophagus intubation and
hypotension. This research will be divided into two main topics, emergency intubation as a whole, and
unrecognized esophagus intubation as a complication. Emergency intubation discuss: knowledge about the
procedure, equipment needed, airway assessment, preoxygenation, difficulties and risks, outcomes. While
Unrecognized esophagus intubation will be discussed as complication in ER settings, point to clear:
Epidemiology, tools of detection, equipment, human and environmental bias and consideration for cardiac
arrest patients. Finishing with a conclusion and recommendation. Therefore, we aim to look into the
common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and
Emergency Airway Management.
Targeted Population: Airway cardiorespiratory arrest patients who are requiring urgent management in
the ED, with emergency physicians for teaching approach protocol.
Aim of the Study: Appropriate for assessment and priorities for Airway cardiorespiratory arrest patients by
training protocol to emergency physicians. Based on patients’ causes of Airway injuries.
Methods: Collection of all possible available data about the Esophageal Intubation as Complications in the
Emergency department. By many research questions to achieve these aims so a midline literature search
was performed with the keywords “critical care”, “emergency medicine”, “principals of airway
management”, “Esophageal Intubation as Complications”. Literature search included an overview of recent
definition, causes and recent therapeutic strategies.
Results: All studies introduced that the initial diagnosis of Esophageal Intubation as Complications is a
lifesaving conditions that face patients of the emergency and critical care departments.
Conclusion: Intubation in emergency settings require a good preparation, available equipment (e.g. ready
cart for all time), and supportive anatomical airway of the patient. Following a checklist will improve
outcomes, prevent malpractice and complications. Preoxygenation and RSI play major roles for successful
intubations with decrease risk of complications. Follow procedure steps, and expect difficult intubation for
any patient, so consider LEMON mnemonic to evaluate risk of difficulty, and after 3 attempts try a different
technique or equipment. More training and education are essential to decrease congenital and equipotential
mistakes/errors.Keywords:  Airway, emergency physicians, skill approach, management