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Health Emergencies

Tutorial 517

The Physiologically Difficult Airway

Dr Dawson Lafleur1†, Dr Daenis Camire2, Dr Glenio B. Mizubuti3, Dr Frederick Mihm4 

¹Anesthesiology Resident, Kingston Health Sciences Centre, Canada

²Anesthesia Critical Care Medicine Fellow, Stanford University, Stanford, California, USA 

3Supervising Consultant, Anaesthesia Consultant & Associate Professor, Queen’s University, Kingston Health Sciences Centre, Canada 

4Second Supervising Consultant, Anaesthesia Critical Care Medicine, Professor, Stanford University, Stanford, California, USA 

Edited by: Dr Gregory Klar, Anaesthesia Consultant and Assistant Professor, Queen’s University, Kingston Health Sciences Centre, Canada 

Corresponding author email: dawson.lafleur@kingstonhsc.ca 

Published February 27, 2024

Abstract

This tutorial aims to provide insight into difficult airway scenarios that extent beyond an anatomically difficult airway as described in difficult airway algorithms. The “Physiological Difficult Airway” is a reality that is common in intensive care, anaesthesiology, and emergency medicine.