Talmor Daniel
Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, Boston, MA 02215, USA.
Respir Care. 2008 Feb;53(2):226-31; discussion 231.
Mass casualty respiratory failure will lead to many challenges, not the least of which is safe and secure management of the victims' airways. These patients will be sicker than those typically managed in the operating room and will require more emergency management of their airways. Mass casualty incidents involving biological or chemical agents will pose the additional risk of exposure to pathogen. During the severe acute respiratory syndrome epidemic in Toronto, airway manipulation was clearly identified as the procedure most associated with risk to health care workers. Planning for scenarios such as these will require consideration of personal protection for health care workers to minimize these risks. Understanding the risks involved and the airway techniques required for each possible scenario will be key to planning and preparation.
大规模伤亡导致的呼吸衰竭会带来诸多挑战，其中最重要的挑战之一就是对受害者气道进行安全可靠的管理。这些患者的病情会比手术室中通常处理的患者更严重，并且需要对其气道进行更多的紧急处理。涉及生物或化学制剂的大规模伤亡事件会带来接触病原体的额外风险。在多伦多严重急性呼吸综合征疫情期间，气道操作被明确认定为与医护人员健康风险关联最大的操作。针对此类情况进行规划时，需要考虑为医护人员提供个人防护，以将这些风险降至最低。了解每种可能情况所涉及的风险以及所需的气道技术，将是规划和准备工作的关键。
