Mechlin Maggie W, Hurford William E
Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio.
Respir Care. 2014 Jun;59(6):881-92; discussion 892-4. doi: 10.4187/respcare.02851.
Performing emergency endotracheal intubation necessarily means doing so under less than ideal conditions. Rates of first-time success will be lower than endotracheal intubation performed under controlled conditions in the operating room. Some factors associated with improved success are predictable and can be modified to improve outcome. Factors to be discussed include the initial decision to perform endotracheal intubation in out-of-hospital settings, qualifications and training of providers performing intubation, the technique selected for advanced airway management, and the use of sedatives and neuromuscular blocking agents.
进行紧急气管插管必然意味着要在不理想的条件下进行。首次成功的几率会低于在手术室可控条件下进行的气管插管。一些与提高成功率相关的因素是可预测的，并且可以加以调整以改善结果。要讨论的因素包括在院外环境中进行气管插管的初始决策、进行插管的人员的资质和培训、为高级气道管理选择的技术，以及镇静剂和神经肌肉阻滞剂的使用。
