Russo S G, Moerer O, Nickel E A, Goetze B, Timmermann A, Quintel M
Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075 Göttingen, Deutschland.
Anaesthesist. 2010 Jun;59(6):555-63. doi: 10.1007/s00101-010-1728-4.
Extraglottic airway devices (EGA) are not only used in routine anaesthesia practice, they also have a distinct value for in-hospital and out-of-hospital difficult airway management. In the environment of the intensive care unit (ICU) EGA are not used on a regular basis. However, expertise and knowledge regarding EGA coming from the operating theatre or the out-of-hospital setting may also be of value for the ICU setting. This review presents the potential indications for EGA on the ICU for the management of difficult airway situations as well as during percutaneous tracheotomy. Furthermore, the possible advantages of EGA during postoperative recovery from anaesthesia as well as termination of controlled ventilation for intensive care patients are discussed.
声门外气道装置(EGA)不仅用于常规麻醉实践,它们在院内和院外困难气道管理中也具有独特价值。在重症监护病房(ICU)环境中,EGA并非经常使用。然而,来自手术室或院外环境中关于EGA的专业知识和技能对于ICU环境也可能具有价值。本综述介绍了ICU中EGA在困难气道情况管理以及经皮气管切开术中的潜在适应证。此外,还讨论了EGA在麻醉术后恢复期间以及重症监护患者控制通气终止过程中的可能优势。