Emergency Surgical Airway: An Organized Approach to Chaos

This session will review a practical approach to management of the difficult airway. This approach provides clinical context, clinical pearls and pragmatism to the widely studied “Difficult Airway Algorithm.” The uses of airway adjuncts, office and/or operating room team management will be discussed. A special emphasis will be placed on pre-operative evaluation, preparation and crisis avoidance.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Develop a multidisciplinary plan for the known difficult airway that includes adjuncts, surgeon assist and the surgical airway.  
  2. Utilize airway adjuncts to de-escalate an emergent surgical airway to an urgent surgical airway. 
  3. Describes the steps to performing a surgical airway.

Allen C. Cheng, DDS, MD, FACS
Medical Director, Head and Neck Oncology, Legacy Cancer Institute
Head and Neck Surgical Associates, Legacy Cancer Institute
Portland, Oregon
Disclosure: No relevant financial relationships were disclosed.

Eric J. Dierks, DMD, MD, FRCSED, FACS
Emeritus Professor
Oregon Health and Science University
Portland, Oregon
Disclosure(s): Proteocyte AI, Toronto: Clinical Advisory Panel (Ongoing)

Baber Khatib, DDS, MD, FACS
Attending Surgeon OMFS, Head Neck Microvascular Reconstructive Surgery
Head and Neck Surgical Associates
Portland, Oregon
Disclosure(s): Sprintray Printers: Speaker's Bureau (Ongoing)

An Internet-based CDE/CME Activity
Original Release Date: September 23, 2023
Expiration Date: September 23, 2026
Estimated time to complete this educational activity: 1.0 hours
Method of participation: Self-Study

Allen Cheng DDS, MD, FACS

Fellowship Director

Head and Neck Surgical Associates, Legacy Cancer Institute, Providence Cancer Institute

Dr. Cheng earned his medical and dental degrees at the University of California, San Francisco. After completing his residency in Oral and Maxillofacial Surgery, Dr. Cheng finished fellowship training in both Head and Neck Oncology and Microvascular Reconstructive Surgery. He is a Board Certified Diplomate of the American Board of Oral and Maxillofacial Surgery.

Dr. Cheng’s practice is comprised of Head and Neck Oncology, Head and Neck Reconstruction, Maxillofacial Trauma. His research interests are focused in the areas of Head and Neck Oncology and Reconstructive Surgery. Dr. Cheng currently serves as the Section Chair of Oral and Maxillofacial Surgery and Medical Director of the Legacy Good Samaritan Oral/Head and Neck Cancer Program. He is also an Assistant Professor at the OHSU School of Dentistry in the Department of Oral and Maxillofacial Surgery.

When he’s not happily helping patients, Dr. Cheng enjoys spending time with his wife and their two children. When he and his wife are not working, they are constantly looking for child-friendly activities to consume the limitless energy exhibited by their two children.

Disclosure(s): No financial relationships to disclose

Eric J. Dierks, DMD, MD, FRCSED, FACS

Emeritus Professor

Oregon Health and Science University

Dr. Eric Dierks earned his undergrad, dental, and medical degrees at the University of Louisville. He completed OMFS residency at the Christiana Center in Delaware and ENT – Head and Neck Surgery residency at the University of Texas Southwestern in Dallas. He is board certified in both specialties. He then served five years on the full-time ENT-HNS faculty at UTSW before moving to Portland, Oregon where he joined similarly trained Dr. Bryce Potter to found the Head and Neck Surgical Associates (HNSA).

Disclosure(s): KLS Martin: honoraria (Ongoing)

Baber Khatib, MD, DDS, FACS

Attending Surgeon OMFS, Head Neck Microvascular Reconstructive Surgery

Head and Neck Surgical Associates

Baber Khatib is board certified by both the Canadian and the American Board of Oral and Maxillofacial Surgery. He completed dental school at the University of Alberta, Canada, Medical School at the University of California Davis and OMFS residency at University of California San Francisco. He completed fellowships in Advanced Craniomaxillofacial Trauma Reconstruction as well as Head and Neck Oncologic Microvascular Reconstructive Surgery in Portland OR.

Currently he works at the Head and Neck Surgical Associates in Portland Oregon where he serves as the director of 3D Printing and Digital Innovation. Additionally, he is a clinical assistant professor in the Department of OMFS at Oregon Health Science University.

Dr. Khatib regularly applies technology and 3D printing to his dental implant, orthognathic, trauma and reconstruction practice. He has a special interest in using 3D printing and navigation to give smiles back to those who deserve it most – trauma and cancer patients.

Disclosure(s): Sprintray Printers: Speaker's Bureau (Ongoing)

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
4 Questions  |  1 attempt  |  0/4 points to pass
4 Questions  |  1 attempt  |  0/4 points to pass
Emergency Surgical Airway: An Organized Approach to Chaos
Open to view video.
Open to view video.
Post-Quiz
4 Questions  |  Unlimited attempts  |  3/4 points to pass
4 Questions  |  Unlimited attempts  |  3/4 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available