Division of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Lung. 2011 Jun;189(3):181-92. doi: 10.1007/s00408-011-9278-3. Epub 2011 Jan 28.
In critically ill patients, endotracheal intubation is associated with a high risk of complications, including severe hypoxemia and hypotension. The purpose of this review is to discuss the definitions, complications, airway assessment, and patient optimization with respect to these patients. In addition, we present different approaches and techniques to help secure the airway in critically ill patients. We also discuss strategies to help minimize the risk of a difficult or failed airway and to mitigate the severe life-threatening complications associated with this high-risk procedure.
在危重症患者中，气管插管与严重低氧血症和低血压等并发症的风险较高相关。本综述旨在讨论这些患者的定义、并发症、气道评估和患者优化。此外，我们还介绍了不同的方法和技术，以帮助在危重症患者中确保气道通畅。我们还讨论了一些策略，以帮助最大限度地降低困难或失败气道的风险，并减轻与这种高风险操作相关的严重危及生命的并发症。
