Feller-Kopman David
Medical Procedure Service, Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.
Clin Chest Med. 2003 Sep;24(3):445-55. doi: 10.1016/s0272-5231(03)00047-9.
In conclusion, though there has been a dramatic reduction in the acute complications of artificial airways in the last hundred years, it remains crucial for the intensivist/anesthesiologist to have an implicit understanding of the anatomy and physiology of the process of ETI. As new techniques such as PDT are introduced, we must investigate their utility compared with the current standard of care in the most rigorous fashion. Additionally, as many of the complications of ETI can lead to increases in morbidity and mortality, prompt diagnosis and management are essential.
总之,尽管在过去的一百年里人工气道的急性并发症已大幅减少,但对于重症监护医生/麻醉医生而言,深入了解气管插管过程的解剖学和生理学知识仍然至关重要。随着诸如经皮扩张气管切开术(PDT)等新技术的引入,我们必须以最严谨的方式研究它们与当前标准治疗方法相比的效用。此外,由于气管插管的许多并发症会导致发病率和死亡率增加,及时诊断和处理至关重要。