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Critical language during an airway emergency: Time to rethink terminology?
- Source :
- Indian Journal of Anaesthesia
- Publication Year :
- 2020
- Publisher :
- Medknow, 2020.
-
Abstract
- Clear language should be used during emergency airway management to aid communication and understand the nature of the emergency. Unfortunately, during emergency airway management, there is no uniform language used for communication. Various difficult airway guidelines use different terminologies. Terminologies like “can't intubate, can't oxygenate” (CICO) and “can't intubate, can't ventilate” (CICV) have certain limitations. Though terminology like “Front of Neck Access” (FONA) is dominant in the literature,”emergency cricothyroidotomy” is used more often in clinical practice, suggesting a disconnect between the dominant terminology in the literature and in clinical practice. Terminology should not be used merely because it is catchy, simple and advocated by a few. It must accurately reflect the nature of the situation, convey a sense of urgency, and suggest an action sequence. An initiative to achieve consensus among existing terminologies is much needed. Leaders in the field should work towards refining airway terminology and replace poor phrases with ones that are more concise, precise and can be used universally in an airway emergency.
- Subjects :
- complete ventilation failure
business.industry
medicine.medical_treatment
Airway emergency
030208 emergency & critical care medicine
Aid communication
emergency cricothyroidotomy
Terminology
Clinical Practice
Special Article
03 medical and health sciences
0302 clinical medicine
Anesthesiology and Pain Medicine
Action (philosophy)
030202 anesthesiology
critical language
medicine
Airway management
Engineering ethics
business
Airway
Difficult airway
Simple (philosophy)
Subjects
Details
- ISSN :
- 00195049
- Volume :
- 64
- Database :
- OpenAIRE
- Journal :
- Indian Journal of Anaesthesia
- Accession number :
- edsair.doi.dedup.....c9085b6689a474fa2384bf6e034543a9