Dieck Thorben, Koppert Wolfgang
Klinik für Anästhesiologie und Intensivmedizin / Medizinische Hochschule Hannover.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Oct;48(10):600-7. doi: 10.1055/s-0033-1358622. Epub 2013 Nov 5.
In the Helsinki Declaration terms and conditions are demanded to control problems in airway management in perioperative care situations. A differentiated airway management can reduce morbidity and mortality. This includes staff- and structure-adjusted standard operating procedures (SOP), which take into account different patient groups, situations of treatment and current guidelines. Along with these SOPs continuing education, sytematic screening of patients and the use of algorithms and checklists are recommended. In this regard paediatric care requires special consideration. Furthermore the fibreoptic as the gold standard for the difficult airway as well as surgical airway management are essential and must be available at all times, whereas videolaryngoscopy takes on increasing evidence as an additional technique.
《赫尔辛基宣言》要求制定条款和条件,以控制围手术期护理中气道管理的问题。差异化的气道管理可降低发病率和死亡率。这包括根据人员和结构调整的标准操作程序(SOP),该程序考虑了不同的患者群体、治疗情况和现行指南。除了这些标准操作程序外,还建议进行继续教育、对患者进行系统筛查以及使用算法和检查表。在这方面,儿科护理需要特别考虑。此外,纤维喉镜作为困难气道的金标准以及外科气道管理至关重要,必须随时可用,而视频喉镜作为一种额外的技术,其证据越来越多。