Users Online: 1187 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
Home | About us | Editorial board | Search | Ahead of print | Current issue | Archives | Submit article | Instructions | Subscribe | Contacts | Login 


RSACP wishes to inform that it shall be discontinuing the dispatch of print copy of JOACP to it's Life members. The print copy of JOACP will be posted only to those life members who send us a written confirmation for continuation of print copy.
Kindly email your affirmation for print copies to [email protected] preferably by 30th June 2019.

 
REVIEW ARTICLE
Year : 2020  |  Volume : 36  |  Issue : 3  |  Page : 303-315

A new approach to airway assessment— “Line of Sight” and more. Recommendations of the Task Force of Airway Management Foundation (AMF)


1 Department of Anesthesiology and Intensive Care, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
2 Department of Anesthesiology and Intensive Care, Lok Nayak Hospital, New Delhi, India
3 Department of Anesthesiology and Intensive Care, Baba Saheb Ambedkar Medical College and Hospital, New Delhi, India
4 Department of Anesthesiology and Intensive Care, ABVIMS and Dr. RML Hospital, New Delhi, India
5 Department of Anesthesiology and Intensive Care, PGIMS, Rohtak, Haryana, India
6 Department of Anesthesiology and Intensive Care, PGI, Chandigarh, India

Correspondence Address:
Dr. Rakesh Kumar
C.334 Saraswati Vihar, Delhi - 110 034
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacp.JOACP_236_20

Rights and Permissions

Assessment of airway is recommended by every airway guideline to ensure safe airway management. Numerous unifactorial and multifactorial tests have been used for airway assessment over the years. However, there is none that can identify all the difficult airways. The reasons for the inadequacy of these methods of airway assessment might be their dependence on difficult to remember and apply mnemonics and scores, inability to identify all the variations from the “normal” , and their lack of stress on evaluating the non-patient factors. Airway Management Foundation (AMF) experts and members have been using a different approach, the AMF Approach, to overcome these problems inherent to most available models of airway assessment. This approach suggests a three-step model of airway assessment. The airway manager first makes the assessment of the patient through focused history, focused general examination, and focused airway assessment using the AMF “line of sight” method. The AMF “line of sight” method is a non-mnemonic, non-score-based method of airway assessment wherein the airway manager examines the airway along the line of sight as it moves over the airway and notes down all the variations from the normal. Assessment of non-patient factors follows next and finally there is assimilation of all the information to help identify the available, difficult, and impossible areas of the airway management. The AMF approach is not merely intubation centric but also focuses on all other methods of securing airway and maintaining oxygenation. Airway assessment in the presence of contagion like COVID-19 is also discussed.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed311    
    Printed14    
    Emailed0    
    PDF Downloaded42    
    Comments [Add]    

Recommend this journal