VA Western New York Healthcare System, Division of Critical Care and Pain Medicine, Department of Anesthesiology, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Rm 203C, 3495 Bailey Ave, Buffalo, NY 14215, USA.
J Anesth. 2010 Oct;24(5):811-4. doi: 10.1007/s00540-010-0996-0. Epub 2010 Aug 7.
We have surveyed the availability of equipment, content of difficult-airway carts (DAC), and training in the use of such equipment in intensive-care units (ICU). We devised a set of proposals regarding what constitutes the ideal DAC. We surveyed 300 ICU in the United States. The survey was conducted to inquire about the presence and content of a DAC. Only 70% of respondents had a DAC in their unit. 82% of units surveyed checked the contents of the cart daily. 80% of directors were aware of its location. 80% of units had an attached list of contents and 51% had an attached algorithm for management of a difficult airway. LMA was present in 80% followed by 35 and 30% for Combitube and pre-assembled needle cricothyroidotomy set. Under non-invasive airway devices, video laryngoscope with 48% was ahead of fibreoptic bronchoscope (38%) and lighted stylet (15%). 80% of units had a CO₂-detection device immediately available. Limited data are available on the impact of DAC in airway management in the ICU. It is strongly recommended that a DAC be present. What constitutes the ideal contents of a DAC is open to questions. We hope discussion will lead to consensus of what should or should not be included on the cart.
我们调查了重症监护病房（ICU）中设备的可用性、困难气道车（DAC）的内容以及使用此类设备的培训情况。我们提出了一套关于理想 DAC 应包含哪些内容的建议。我们调查了美国的 300 家 ICU。这项调查旨在询问 DAC 的存在和内容。只有 70%的受访者所在单位有 DAC。82%的调查单位每天检查手推车的内容。80%的主任知道它的位置。80%的单位附有内容清单，51%的单位附有困难气道管理的算法。LMA 存在于 80%，其次是 Combitube 和预组装的针型环甲膜切开术套件，分别为 35%和 30%。在非侵入性气道设备中，视频喉镜以 48%领先于纤维支气管镜（38%）和光棒（15%）。80%的单位可以立即获得 CO₂检测设备。关于 DAC 在 ICU 气道管理中的影响的数据有限。强烈建议配备 DAC。DAC 的理想内容还有待讨论。我们希望讨论能达成共识，确定手推车上应包含哪些内容，以及不应包含哪些内容。
