Pawar Dilip
Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
Indian J Anaesth. 2011 Sep;55(5):448-50. doi: 10.4103/0019-5049.89864.
In recent years, we have seen a surge in introduction of newer devices with new technology for management of difficult airway. These devices have made our management procedures easier and safer. In the absence of availability of these devices earlier, anaesthetists had developed specific clinical skills to manage these situations, which have been passed on from one generation to the other as table side teaching. These skills have served us well all these years. Do we still need them when the new devices are available to us? Probably yes! Because the newer devices are not failsafe and may fail to achieve to secure the airway sometimes. They are expensive and may not be affordable for most of our institutions and may not be available in all the hospitals in our country. These devices are new addition to our armamentarium, not as substitute but a complement to our clinical skills. Now, the question is how the usage of these devices has affected our clinical practice pattern and do these devices have any limitations? Let's try to understand.
近年来,我们看到用于困难气道管理的采用新技术的更新设备大量涌现。这些设备使我们的管理程序更轻松、更安全。在这些设备早期尚未普及的时候,麻醉医生已经培养出了特定的临床技能来处理这些情况,这些技能作为床边教学代代相传。这些技能多年来一直很好地为我们服务。当有了新设备后,我们仍然需要这些技能吗?可能是需要的!因为更新的设备并非万无一失,有时可能无法确保气道安全。它们价格昂贵,我们大多数机构可能无法承受,而且在我国并非所有医院都能获得。这些设备是我们医疗装备中的新成员,并非替代而是补充我们的临床技能。现在的问题是,这些设备的使用如何影响了我们的临床实践模式,以及这些设备有哪些局限性?让我们试着去了解一下。