Wenn’s mal knifflig wird – Lösungen für den schwierigen Atemweg

Der schwierige Atemweg – erwartet oder unerwartet schwierig – ist eine seltene, jedoch herausfordernde Situation für Anästhesisten in der klinischen Praxis. Kenntnisse über Prädiktoren, technische Besonderheiten der Atemwegstechniken, Algorithmen sowie die Dokumentation sind essenziell. Dieser Beitrag beschäftigt sich mit Definitionen, perioperativer Risikoevaluation sowie Lösungsansätzen für den erwartet und unerwartet schwierigen Atemweg.

Abstract

A difficult airway, whether expected or unexpected, represents a rare but challenging situation for anaesthesiologists in clinical practice. Knowledge of predictors of a difficult airway, technical characteristics of individual airway techniques, algorithms, and final documentation are essential for every anaesthesiologist. This article discusses definitions, perioperative risk assessment, and approaches to managing expected and unexpected difficult airways.

Kernaussagen

• Der schwierige Atemweg – sei er erwartet oder unerwartet schwierig – stellt eine seltene, jedoch herausfordernde Situation für Anästhesisten dar.

• Kenntnisse über Prädiktoren für einen schwierigen Atemweg und die daraus folgende Atemwegsstrategie sind essenziell.

• Jede anästhesiologische Klinik soll einen strukturierten Atemwegsalgorithmus vorhalten, der den lokalen Gegebenheiten Rechnung trägt.

• Jeder Atemwegssicherung soll eine ausreichende Planung und Kommunikation im multiprofessionellen Team vorausgehen.

Schlüsselwörter

schwieriger Atemweg - Videolaryngoskopie - Intubation

Keywords

difficult airway - videolaryngoscopy - intubation

Publication History

Article published online:
18 July 2025

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