Djabatey E A, Barclay P M
Anaesthetists, Liverpool Women's Hospital, Liverpool, UK.
Anaesthesia. 2009 Nov;64(11):1168-71. doi: 10.1111/j.1365-2044.2009.06060.x.
A retrospective audit was performed of all obstetric general anaesthetics in our hospital over an 8 year period to determine the incidence of difficult and failed intubation. Data was collected from a number of sources to ensure accuracy. A total of 3430 rapid sequence anaesthetics were given. None of the patients had a failed or oesophageal intubation (95% CI, 0-1:1143). There were 23 difficult intubations (95% CI, 1:238-1:100). This was anticipated in nine cases, requiring awake fibreoptic intubation in three cases. Consultants or specialist registrars were involved in the management of all cases. We attribute the low incidence of airway complications to the above average rate of general anaesthesia in our hospital, senior cover and specialised anaesthetic operating department assistants.
我们对我院8年间所有产科全身麻醉病例进行了回顾性审计，以确定困难插管和插管失败的发生率。从多个来源收集数据以确保准确性。共进行了3430例快速顺序麻醉。无一例患者插管失败或误入食管（95%置信区间，0-1:1143）。有23例困难插管（95%置信区间，1:238-1:100）。其中9例为预期困难插管，3例需要清醒纤维支气管镜插管。所有病例的处理均有顾问医师或专科住院医师参与。我们将气道并发症的低发生率归因于我院高于平均水平的全身麻醉率、上级医师的支持以及专业的麻醉手术室助理。
