Morton T, Brady S, Clancy M
Accident and Emergency Department, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Anaesthesia. 2000 May;55(5):485-8. doi: 10.1046/j.1365-2044.2000.01362.x.
The need for tracheal intubation in the emergency department is often unpredictable and precipitous in nature. When compared with the operating room, a higher incidence of difficult intubation is observed. There are currently no accepted guidelines with respect to the stocking of difficult airway equipment in the emergency department. We have conducted a telephone survey to determine the availability of equipment for the management of the difficult airway in English emergency departments. Overall, the majority of units held a curved laryngoscope blade (100%), gum elastic bougie (99%) and surgical airway device (98%). Of alternative devices for ventilation, a laryngeal mask airway was kept by 65% of departments, a needle cricothyroidostomy kit by 63% and an oesophageal-tracheal twin-lumen airway (Combitube) by 18%. Of alternative devices for intubation, fewer than 10% held a retrograde intubating kit, intubating laryngeal mask, bronchoscope or lighted stylet. Seventy-four per cent of departments held an end-tidal carbon dioxide detector.
急诊科气管插管的需求通常不可预测且情况紧急。与手术室相比，困难插管的发生率更高。目前，对于急诊科困难气道设备的储备，尚无公认的指南。我们进行了一项电话调查，以确定英国急诊科处理困难气道的设备供应情况。总体而言，大多数科室备有弯形喉镜叶片（100%）、弹性橡胶探条（99%）和外科气道装置（98%）。在用于通气的替代设备中，65%的科室备有喉罩气道，63%备有环甲膜穿刺套件，18%备有食管气管双腔气道（食管气管联合导管）。在用于插管的替代设备中，持有逆行插管套件、插管型喉罩、支气管镜或光棒的科室不到10%。74%的科室备有呼气末二氧化碳检测仪。
