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

Medical Director, Head and Neck Oncology, Legacy Cancer Institute

Head and Neck Surgical Associates, Legacy Cancer Institute

Allen Cheng DDS, MD, FACS is an alumnus of the dental and medical schools at the University of California, San Francisco. He completed his residency in oral and maxillofacial surgery at the University of California San Francisco. He is fellowship trained in both head and neck oncology and microvascular reconstructive surgery. Upon graduating from his fellowship, Dr. Cheng joined Head and Neck Surgical Associates. His practice is comprised of head and neck oncology, head and neck reconstruction, maxillofacial trauma, orthognathic surgery, and dentoalveolar surgery. He serves as Medical Director of Head and Neck Oncology at Legacy Cancer Institute and is the President-elect for the Oregon Society of Oral and Maxillofacial Surgery.

Disclosures: No Relevant Conflict of Interest Disclosures were reported.

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

Emeritus Professor

Oregon Health and Science University

Dr. Eric Dierks is a graduate in both medicine and dentistry from the University of Louisville. His OMFS residency was done at the Christiana Medical Center of Delaware, and his ENT residency was completed at the University of Texas Southwestern Medical Center at Dallas. He is board-certified in both specialties. Dr. Dierks has practiced within the Head and Neck Institute in Portland, Oregon where his academically-affiliated practice consisted of head and neck oncologic surgery and associated reconstruction, craniomaxillofacial trauma, as well as traditional oral surgery. Along with his excellent partners, he created a fellowship in Head and Neck Oncologic and Reconstructive Surgery in 1992 and a second fellowship in Advanced Craniomaxillofacial and Trauma Surgery in 2001, and has seen many of his former fellows go on to leadership roles both nationally and internationally. Dr. Dierks has trained almost 100 residents and fellows and has over 140 publications and book chapters in his areas of interest. For over 30 years he has been and adjunct faculty member at OHSU and was recently honored with the designation of Emeritus Professor of Oral and Maxillofacial Surgery at Oregon Health and Science University.

Disclosure(s): Proteocyte AI, Toronto: Clinical Advisory Panel (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