Department of Anesthesiology, University of Massachusetts School of Medicine, Worcester, MA, USA.
J Intensive Care Med. 2011 Jul-Aug;26(4):261-6. doi: 10.1177/0885066610389551.
Managing the airway in the intensive care unit (ICU) is complicated by a wide array of physiologic factors. Difficult airway may be a consequence of patient’s anatomy or airway edema developed during the ICU stay and mechanical ventilation. The incidence of failed airways and of cardiac arrest related to airway instrumentation in the ICU is much higher than that of elective intubations performed in the operating room. In this article, we will provide a framework for identifying a difficult airway, criteria for safe extubation, as well as review the devices that are available for airway management in the ICU. Proficiency in identifying a potentially difficult airway and thorough familiarity with strategies and techniques of securing the airway are necessary for safe practice of critical care medicine
在重症监护病房（ICU）管理气道比较复杂，涉及到广泛的生理因素。困难气道可能是由于患者解剖结构或 ICU 住院期间气道水肿引起的，也可能是由于机械通气引起的。在 ICU 中，气道仪器操作相关的气道失败和心脏骤停的发生率远高于手术室中进行的选择性插管。本文将提供一个用于识别困难气道的框架，安全拔管的标准，并回顾 ICU 中用于气道管理的设备。熟练识别潜在困难气道以及对气道固定策略和技术的深入了解是安全进行重症监护医学实践的必要条件。
