Palencia-Herrejón E, Borrallo-Pérez J M, Pardo-Rey C
Servicio de Medicina Intensiva, Hospital Infanta Leonor, Vallecas, Madrid, España.
Med Intensiva. 2008 Feb;32 Spec No. 1:3-11.
The airway management is one of the principal skills that a physician needs to ensure optimal ventilation and oxygenation. In this guideline, Sedation and Analgesia Working Group of SEMICYUC describes rapid sequence intubation (RSI) and induction drugs and neuromuscular blocking agents. RSI is the best procedure to ensure optimal airway management in the majority of critically ill patients. Our choice of one induction drug or another can influence in the success of the airway management. As neuromuscular blocking agents can facilitate intubation, they influence the choice of the drug for intubation and of premedication. To optimize the use of drugs, the knowledge of pharmacodynamics, pharmacokinetics and side effects is imperative. A proper position of the patient is essential to establish an adequate airway management. Direct visualization of glottis and endotracheal tube pass through vocal cords is the best way to confirm the correct position of it. There are different devices to confirm correct position of the endotracheal tube.
气道管理是医生确保最佳通气和氧合所需的主要技能之一。在本指南中，SEMICYUC镇静与镇痛工作组描述了快速顺序诱导插管（RSI）、诱导药物和神经肌肉阻滞剂。RSI是确保大多数重症患者获得最佳气道管理的最佳方法。我们对一种或另一种诱导药物的选择会影响气道管理的成功率。由于神经肌肉阻滞剂可便于插管，它们会影响插管药物和术前用药的选择。为了优化药物的使用，了解药效学、药代动力学和副作用是必不可少的。患者的正确体位对于建立充分的气道管理至关重要。直接观察声门以及气管导管穿过声带是确认其正确位置的最佳方法。有不同的设备来确认气管导管的正确位置。
