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Which of the following is most likely to indicate potentially difficult bag-valve mask (BVM) ventilation?
Which of the following airway items is the most important to have in the resuscitation room?
A 23-year-old has been involved in a car crash. He requires intubation for respiratory failure secondary to pulmonary contusions. Following one failed attempt at intubation, his saturations have dropped from 98% to 92%.
What is the most appropriate course of action?
A 67-year-old patient with community-acquired pneumonia presents with hypoxia resistant to oxygen via a non-rebreathing mask (saturations of 82%). Following induction of anaesthesia, her saturations can be maintained at 94% with BVM ventilation but repeated attempts at intubation and placement of an LMA have failed.
What is the most appropriate course of action?
A morbidly obese 60-year-old man with a beard has been involved in a road traffic accident.
He has been complaining of significant neck pain and has developed severe hypoxia as a result of a flail chest with pulmonary contusions.
Following induction of anaesthesia, it is proving impossible to maintain saturations above 70% with BVM ventilation and three attempts at intubation have failed.
What is the most appropriate course of action?
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