Prise en charge d'une intubation difficile en pré-hospitalier

Use of efficient alternative devices is the cornerstone of difficult airway management occurring in the pre-hospital emergency setting. Alternatives techniques of intubation have to be used according to a predefined algorithm. The two main alternative airway devices are the Gum elastic bougie and the Intubating Laryngeal Mask Airway Fastrach™. When Bougie and Fastrach™ fail to control airway in patients with ventilation difficulties, cricothyrotomy remains the ultimate technique which must be used.