Airway management of the multiple trauma patient presents a series of
challenges. By definition, many trauma patients present difficult airw
ays that require a different approach and formulation of a planned ser
ies of steps before airway management is initiated. Recognition of spe
cific attributes of the difficult airway, knowledge of appropriate tec
hniques, familiarity with various devices, and prompt recognition of f
ailed airway circumstances are necessary for optimal patient outcome.
This article reviews the attributes of the difficult airway, the defin
ition of the failed airway, and devices and techniques to be used in t
he management of difficult, and failed airways in the trauma patient.