Goranović Tatjana, Maldini Branka, Markić Ana, Milić Morena, Skurić Jadranka
Department of Anesthesiology and Intensive Care Unit, Sveti Duh University Hospital, Zagreb, Croatia.
Acta Clin Croat. 2012 Sep;51(3):499-503.
Airway management relates to the period of tracheal intubation, maintenance of endotracheal tube in situ, and finally extubation. Problems related to difficult extubation still pose significant challenge for both anesthesiologists and intensivists. This article reviews current approach to extubation strategy following difficult intubation. Guidelines and algorithm may be helpful in order to ensure safe management of the patient during this delicate period of airway management.
气道管理涉及气管插管期、气管内导管的原位维持以及最终的拔管。与困难拔管相关的问题仍然给麻醉医生和重症监护医生带来重大挑战。本文综述了困难插管后拔管策略的当前方法。指南和算法可能有助于在气道管理的这一微妙时期确保患者的安全管理。