Management of unanticipated difficult tracheal intubation

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Call for help early. Always have a backup plan. No more than 4 attempts at the initial intubation plan. Be familiar with the various types of laryngeal mask airways. No more than 2 attempts at the use of a laryngeal mask airway. Do not traumatize the airway – maintain oxygenation and postpone surgery. If necessary, do not delay cricothyroidotomy.

Arne Budde and Leonard Pott