Ben-Abraham Ron, Shapira Itzhak, Kalmovich Boaz, Rudick Valery, Weinbroum Avi A
Department of Anesthesiology and Critical Care Medicine, Tel-Aviv Sourasky Medical Center, Israel.
J Med. 2004;35(1-6):105-14.
Rapidly progressive respiratory failure is the leading cause of death from inhalation of toxic chemical warfare agents. In an expected chaotic scenario, direct laryngoscopic tracheal intubation is unlikely to be easily and quickly performed due to shortage of medical personnel experienced with laryngoscopy and/or reduced dexterity imposed by the protective gear worn by the caregivers. Supraglottic devices have increasingly been used for emergent airway control in prehospital settings, thus avoiding the need for laryngoscopy. This review summarizes Medline English literature search on supraglottic devices and their use in the prehospital setting or in mass casualty event focusing on their potential role for emergent airway control in the setup of toxic inhalation.
快速进展性呼吸衰竭是吸入有毒化学战剂致死的主要原因。在预期的混乱场景中，由于缺乏有喉镜操作经验的医务人员和/或护理人员所佩戴的防护装备导致灵活性降低，直接喉镜气管插管不太可能轻松、快速地完成。声门上装置越来越多地用于院前急救中的紧急气道控制，从而避免了喉镜检查的需要。这篇综述总结了对声门上装置及其在院前急救或大规模伤亡事件中的应用的医学文献检索，重点关注其在有毒气体吸入情况下紧急气道控制中的潜在作用。
