对患者安全的困难气道管理策略的全面回顾。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-31 DOI:10.17085/apm.23123
Hoon Jung
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引用次数: 0

摘要

气道管理困难对确保患者安全至关重要。它涉及到解决在面罩通气、插管、声门上气道放置、有创气道手术或拔管过程中可能出现的挑战和失败,即使是熟练的医疗保健提供者。尽管气道管理中最危急的情况“不能插管,不能充氧”的发生率较低,为0.0019-0.04%,但其发生可能会产生严重后果,包括牙齿损伤、气道损伤、缺氧性脑损伤,甚至死亡。这项研究旨在通过审查最近的指南并结合最新的循证实践,为医疗保健提供者提供一种全面的、基于证据的气道困难管理方法,以提高他们在气道困难管理方面的准备和能力,从而最终有助于提高患者安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A comprehensive review of difficult airway management strategies for patient safety.

Difficult airway management is critical to ensuring patient safety. It involves addressing the challenges and failures that can occur, even with skilled healthcare providers, during face mask ventilation, intubation, supraglottic airway placement, invasive airway procedures, or extubation. Although the incidence of the most critical situation in airway management, "cannot intubate, cannot oxygenate," is low at 0.0019-0.04%, its occurrence can have severe consequences, including dental injury, airway injury, hypoxic brain damage, and even death. This study aimed to offer healthcare providers a comprehensive and evidence-based approach for difficult airway management by reviewing recent guidelines and incorporating the latest evidence-based practices to improve their preparedness and competence in difficult airway management, and thus ultimately contribute to improved patient safety.

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