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插管与气道管理:贯穿第三个千年的难题概述

Intubations and airway management: An overview of Hassles through third millennium.

作者信息

Alanazi Abdullah

机构信息

Department of Pediatric Emergency, College of Applied Medical Sciences, King Saud Bin Abdul-Aziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.

出版信息

J Emerg Trauma Shock. 2015 Apr-Jun;8(2):99-107. doi: 10.4103/0974-2700.145401.

Abstract

BACKGROUND

The placement of a tube into a patient's trachea "the intubation" as we call is not as simple as it looks. It is a very tricky and tedious maneuver that entails skills to assess and perform. Nevertheless, often this is left to the chores of inefficient hands due to a paucity of the availability of experts. They seldom are able to complete the task and often wind up calling the attention of the unit. The present review is an attempt to describe the need to undertake intubation, the procedures and techniques, the complications, including morbidity and mortality and airway management. This overview includes explicit descriptions of the difficult airway which represents multifaceted interface amid patient factors, clinical setting, and skills of the practitioner.

MATERIALS AND METHODS

To accomplish the target, peer-reviewed English language articles published during third millennium up to 2013 were selected from Pub Med, Pub Med Central, Science Direct, Up-to-date, Med Line, comprehensive databases, Cochrane library, and the Internet (Google, Yahoo).

REVIEW OF LITERATURE

The review constituted a systematic search of literature on the requirements that necessitate the practice of intubation, different techniques that facilitate easy conduct of procedure, the complications, including, morbidity and mortality, and the airway management.

CONCLUSION

Recording every single detail has been beyond the scope of this review, however; some aspects have been wrapped up in nutshell. Some areas of the review are too basic which the medics are well aware of and knowledgeable. Nevertheless, these are difficult to be dispensed with in consideration of their source to the awareness of a common man and a great majority of the patients.

摘要

背景

将一根管子插入患者气管(即我们所说的“插管”)并非看上去那么简单。这是一项非常棘手且繁琐的操作,需要评估和执行的技能。然而,由于专家数量不足,这项操作往往交给了技术不熟练的人员。他们很少能够完成任务,而且常常引起科室的关注。本综述旨在描述进行插管的必要性、程序和技术、并发症(包括发病率和死亡率)以及气道管理。本概述明确描述了困难气道,它代表了患者因素、临床环境和从业者技能之间的多方面相互关系。

材料与方法

为实现目标,从PubMed、PubMed Central、ScienceDirect、UpToDate、MedLine、综合数据库、Cochrane图书馆以及互联网(谷歌、雅虎)中选取了2000年至2013年期间发表的经同行评审的英文文章。

文献综述

该综述对插管实践的必要性、便于操作的不同技术、并发症(包括发病率和死亡率)以及气道管理等方面的文献进行了系统检索。

结论

然而,记录每一个细节超出了本综述的范围;一些方面已简要概括。综述中的一些领域过于基础,医务人员对此非常了解且熟知。然而,考虑到其对于普通人及绝大多数患者认知来源的重要性,这些内容难以摒弃。

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