Vie aeree difficili & CICO

Per professionisti sanitari. Le informazioni non sostituiscono la valutazione clinica del singolo caso; fanno fede il riassunto delle caratteristiche del prodotto aggiornato e le linee guida citate.

Revisione medica: Dr. med. univ. Daniel Pehböck, DESA, 03.11.2026

Vie aeree difficili & CICO: Previsione – prima di ogni induzione, Via aerea fisiologicamente difficile – «Resuscitate before you intubate», Preossigenazione e ossigenazione apnoica, Piano A–D nel dettaglio (DAS 2025), Curarizzazione in caso di CICO, eFONA: bisturi – bougie – tubo (adulti, bambini da circa 8 anni) – in sintesi per i team di emergenza, anestesia e terapia intensiva, con fonti e revisione medica.

Contenuto del capitolo

1. Previsione – prima di ogni induzione
2. Via aerea fisiologicamente difficile – «Resuscitate before you intubate»
3. Preossigenazione e ossigenazione apnoica
4. Piano A–D nel dettaglio (DAS 2025)
5. Curarizzazione in caso di CICO
6. eFONA: bisturi – bougie – tubo (adulti, bambini da circa 8 anni)
7. Bambini sotto i circa 8 anni
8. Vortex – tre linee di vita
9. Comunicazione
10. Dopo la gestione delle vie aeree

Farmaci in questo capitolo

• Rocuronio
• Sugammadex

Fonti e linee guida

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2. Frerk C, Mitchell VS, McNarry AF et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015;115:827–848 (Vorgängerfassung; Einzelschritte Skalpell.
3. Piepho T, Kriege M, Byhahn C, Cavus E, Dörges V, Ilper H et al. S1-Leitlinie Atemwegsmanagement 2023 (DGAI), AWMF-Register 001-028, Version 2023-09, gültig ab 21.08.2023 für 5 Jahre. Anästh Intensivmed 2024;65:69–96.
4. Timmermann A, Böttiger BW, Byhahn C et al. S1-Leitlinie Prähospitales Atemwegsmanagement (Kurzfassung), DGAI-Beschluss 25.02.2019, AWMF-Register 001-040. Anästh Intensivmed 2019;60:316–336.
5. Bernhard M, Bein B, Böttiger BW et al. Handlungsempfehlung Prähospitale Notfallnarkose beim Erwachsenen (DGAI, S1), 2015 (Anästh Intensivmed bzw. Notfall Rettungsmed 2015)
6. Apfelbaum JL, Hagberg CA, Connis RT et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology 2022;136:31–81.
7. Ahmad I, El-Boghdadly K, Bhagrath R et al. Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults. Anaesthesia 2020;75:509–528.
8. Higgs A, McGrath BA, Goddard C et al. (DAS, ICS, FICM, RCoA). Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth 2018;120:323–352.
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10. The Protected Airway: DAS 2025 Update.
11. Mosier JM, Joshi R, Hypes C et al. The physiologically difficult airway. West J Emerg Med 2015;16:1109–1117.
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19. Association of Paediatric Anaesthetists of Great Britain and Ireland (APA) und Difficult Airway Society. Paediatric difficult airway guidelines (2012; Algorithmen für Kinder von 1–8 Jahren inkl. CICO mit Kanülen-Krikothyreotomie); Black AE, Flynn PER, Smith HL, Thomas ML, Wilkinson KA. Development of a guideline for the management of the unanticipated difficult airway in pediatric practice. Paediatr Anaesth 2015;25:346–362.
20. All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia. Indian J Anaesth 2025 (11/2025)
21. Übersichtsarbeit zur Notfall-Koniotomie (eFONA) bei Kindern. Front Disaster Emerg Med 2026.
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23. Soar J, Böttiger BW et al. European Resuscitation Council Guidelines 2025 Adult Advanced Life Support. Resuscitation 2025;215 Suppl 1:110769 (Korrigendum 2026).
24. Djakow J, Turner NM, Skellett S et al. European Resuscitation Council Guidelines 2025 Paediatric Life Support. Resuscitation 2025;215 Suppl 1:110767.
25. Riassunti delle caratteristiche dei prodotti autorizzati – prodotto e sezione per ogni dose nell'app.