Dörges Volker, Bein Berthold
Klinik für Anästhesiologie und Operative Intensivmedizin des Universitätsklinikums Schleswig-Holstein, Campus Kiel.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Sep;41(9):564-75. doi: 10.1055/s-2006-951614.
Difficult airway management is among the key requirements in routine anaesthesia. Failures to secure the airways resulting in a "Cannot intubate, Cannot ventilate" situation can drastically increase morbidity and mortality of patients within a very short time. Therefore, an algorithm for management of the expected and unexpected difficult airway describing the sequence of various procedures, adapted to internal standards and to techniques that are available, has to be provided by each anaesthesia department. This not only facilitates the preparation of equipment and the training of personnel, but also ensures efficient decision making under time pressure.
困难气道管理是常规麻醉的关键要求之一。气道无法确保通畅导致“无法插管,无法通气”的情况,可在极短时间内大幅增加患者的发病率和死亡率。因此,每个麻醉科都必须提供一种困难气道管理算法,描述各种操作的顺序,以适应内部标准和现有的技术。这不仅便于设备准备和人员培训,还能确保在时间紧迫的情况下高效决策。