Question

Problem / Situation	Possible cause(s)	Intervention or recommendation
Clinical evidence of impeding respiratory failure
Clinical Evidence of inadequate airway protection
Difficult intubation
Excessive ETT cuff leak despite air being added to the pilot balloon
Intubation indicated in the presence of facial or mandibular trauma or pathology
Oral ETT in place but the need for long term ventilation exists
Trach tube in place but patient with good upper airway control whishes to talk
Need to maintain an airway without an indication for artificial ventilation
The patient has an artificial airway, but suction catheter cannot be passed
Artificial airway no longer indicated
Need for mechanical ventilation in a patient with unilateral lung diseases.

Answer 1

Problem/situation	Possible causes	intervention /recommendation
Clinical evidence of impending Respiratory failure	Acute respiratory distress syndrome. Acute severe exacerbation of bronchial asthma	Ventilatory support with Bipap or CPAP
Clinical evidence of inadequate airway protection and difficult intubation	Fall back of tongue in unconscious patient. Short neck.	Tracheotomy
Excessive ETT air leak despite air being added to the pilot baloon	damge to the cuff	change ETT /tracheotomy
Incubation in the presence of facial and mandibular trauma	brain injury causing cessation of respiratory drive	tracheosromy
ETT tube in place but need prolonged ventilation	lack of respiratory drive due to brain injury	tracheotomy