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Abstract

Difficulty establishing an airway and lung ventilation is one of the most urgent conditions in medicine, which can lead
to severe complications, including permanent neurological damage and death. To facilitate handling this difficult clinical
situation, various guides and recommendations were created to increase patient safety, help doctors, and protect them
from criminal liability. The American Society of Anesthesiologists (ASA) issued new recommendations in 2022, which
cover all segments of this problem, starting with the clear definition of different clinical situations (difficult laryngoscopy,
difficult tracheal intubation, difficult face mask ventilation, difficult placement supra, and infraglottic means), through
recommendations for the preparation of care for difficult airway, to algorithms and strategies for solving anticipated and
unanticipated difficult airway. The paper presents the most important aspects of the mentioned segments of the new
ASA recommendations, as well as their comparison with previous ASA recommendations and recommendations of other
associations.

Keywords: difficult airway, management, recommendations, American Society of Anesthesiologists

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SMJERNICE I PREPORUKE Galenika Medical Journal, 2023; 2(6):84-90. 89