Expert consensus on adult tracheal intubation in the lateral decubitus position

Title: Expert consensus on adult tracheal intubation in the lateral decubitus position
Edition: Original
Classification: Experts consensus
Field: Administration
Countries and regions: China
Guidelines users: Anesthesiologists, emergency physicians, and intensive care medicine and related department physicians who treat patients suitable for lateral position tracheal intubation.
Evidence classification method: OCEBM Levels of Evidence
Development unit: The First Affiliated Hospital, School of Medine, Zhejiang University
Registration time: 2024-10-13
Registration number: PREPARE-2024CN810
Purpose of the guideline: Lateral position tracheal intubation technique has been increasingly recognized by a wide range of anesthesiologists, surgeons, and operating room nurses for its advantages in maintaining airway patency, promptly and effectively performing artificial or mechanical controlled ventilation, preventing reflux and aspiration, and reducing hemodynamic fluctuations and limb traction injuries caused by position changes. Therefore, it is particularly important to further improve the theoretical knowledge of lateral position anesthesia induction tracheal intubation techniques, establish standards and procedures for lateral position tracheal intubation, help more anesthesiologists master the lateral position tracheal intubation technique, and better safeguard the life safety of patients during the perioperative period. This expert consensus covers the relevant anatomical characteristics, hemodynamic characteristics, indications, contraindications, operational points, complications, and management of difficult airways and intubation failure of lateral position tracheal intubation, providing a reference for the safe and effective application of lateral position tracheal intubation during the perioperative period.