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气管切开和喉切除术气道急症管理的多学科指南。

Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies.

机构信息

University Hospital of South Manchester NHS Foundation Trust, Manchester, UK.

出版信息

Anaesthesia. 2012 Sep;67(9):1025-41. doi: 10.1111/j.1365-2044.2012.07217.x. Epub 2012 Jun 26.

DOI:10.1111/j.1365-2044.2012.07217.x
PMID:22731935
Abstract

Adult tracheostomy and laryngectomy airway emergencies are uncommon, but do lead to significant morbidity and mortality. The National Tracheostomy Safety Project incorporates key stakeholder groups with multi-disciplinary expertise in airway management. , the Intensive Care Society, the Royal College of Anaesthetists, ENT UK, the British Association of Oral and Maxillofacial Surgeons, the College of Emergency Medicine, the Resuscitation Council (UK) the Royal College of Nursing, the Royal College of Speech and Language Therapists, the Association of Chartered Physiotherapists in Respiratory Care and the National Patient Safety Agency. Resources and emergency algorithms were developed by consensus, taking into account existing guidelines, evidence and experiences. The stakeholder groups reviewed draft emergency algorithms and feedback was also received from open peer review. The final algorithms describe a universal approach to managing such emergencies and are designed to be followed by first responders. The project aims to improve the management of tracheostomy and laryngectomy critical incidents.

摘要

成人气管切开和喉切除术气道急症并不常见,但会导致严重的发病率和死亡率。国家气管切开安全项目汇集了具有气道管理多学科专业知识的主要利益相关者群体。该项目由重症监护学会、皇家麻醉师学院、耳鼻喉科英国协会、英国口腔颌面外科医师协会、急诊医学学院、复苏理事会(英国)、皇家护理学院、皇家言语语言治疗师学院、特许物理治疗师呼吸治疗协会和国家患者安全局组成。资源和紧急算法是通过共识制定的,考虑到现有指南、证据和经验。利益相关者团体审查了紧急算法草案,并收到了公开同行评审的反馈。最终的算法描述了一种通用的方法来管理这种紧急情况,旨在由急救人员遵循。该项目旨在改善气管切开和喉切除术危急事件的管理。

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