急诊科成年创伤患者紧急插管时潜在的颈椎损伤与困难气道管理——一项系统综述
Potential cervical spine injury and difficult airway management for emergency intubation of trauma adults in the emergency department--a systematic review.
作者信息
Ollerton J E, Parr M J A, Harrison K, Hanrahan B, Sugrue M
机构信息
Department of Trauma, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW 1871, Australia.
出版信息
Emerg Med J. 2006 Jan;23(1):3-11. doi: 10.1136/emj.2004.020552.
Abstract
BACKGROUND
Emergency airway management for trauma adults is practised by physicians from a range of training backgrounds and with differing levels of experience. The indications for intubation and technique employed are factors that vary within EDs and between hospitals.
OBJECTIVES
To provide practical evidence based guidance for airway management in trauma resuscitation: first for the trauma adult with potential cervical spine injury and second the management when a difficult airway is encountered at intubation.
SEARCH STRATEGY AND METHODOLOGY
Full literature search for relevant articles in Medline (1966-2003), EMBASE (1980-2003), and the Cochrane Central Register of Controlled Trials. Relevant articles relating to adults and written in English language were appraised. English language abstracts of foreign articles were included. Studies were critically appraised on a standardised data collection sheet to assess validity and quality of evidence. The level of evidence was allocated using the methods of the Australian National Health and Medical Research Council.
摘要
背景
来自不同培训背景和经验水平的医生都在对成年创伤患者进行紧急气道管理。气管插管的指征和所采用的技术在急诊科内部以及不同医院之间都存在差异。
目的
为创伤复苏中的气道管理提供基于实践证据的指导：首先针对有潜在颈椎损伤的成年创伤患者，其次针对气管插管时遇到困难气道的处理。
检索策略与方法
全面检索Medline（1966 - 2003年）、EMBASE（1980 - 2003年）以及Cochrane对照试验中心注册库中的相关文章。对与成年人相关且以英文撰写的文章进行评估。纳入了国外文章的英文摘要。在标准化的数据收集表上对研究进行严格评估，以评估证据的有效性和质量。使用澳大利亚国家卫生与医学研究委员会的方法来确定证据水平。
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