Lotz Gösta
Anasthesiol Intensivmed Notfallmed Schmerzther. 2016 Apr;51(4):244-51; quiz 252. doi: 10.1055/s-0041-103155. Epub 2016 Apr 12.
Due to its relevance to patient outcome, management of the difficult airway is a major topic in the training of anesthesiologists. Algorithms may serve as a plan for a difficult situation. Since 1993, many professional organizations have published guidelines for airway management. ASA and DGAI share common strategies in their guidelines, but also have significant differences. The DGAI provides different algorithms for both the anticipated and unanticipated difficult airway, while the ASA uses one universal algorithm. Extraglottic airway devices and video laryngoscopes are integral part of all these algorithms. In the DGAI guideline, spontaneous breathing is essential, in contrast to the ASA algorithm. Furthermore, the DGAI guideline is much more specific than the ASA guideline in regard to the anticipated difficult airway, extubation strategy and continuing training of anesthesiologists.
由于其与患者预后相关,困难气道的管理是麻醉医生培训中的一个主要课题。算法可作为应对困难情况的方案。自1993年以来,许多专业组织都发布了气道管理指南。美国麻醉医师协会(ASA)和德国麻醉与重症医学学会(DGAI)在其指南中有共同的策略,但也存在显著差异。DGAI针对预期和非预期困难气道提供了不同的算法,而ASA使用一种通用算法。声门外气道装置和视频喉镜是所有这些算法的组成部分。与ASA算法不同,在DGAI指南中,自主呼吸至关重要。此外,在预期困难气道、拔管策略和麻醉医生的持续培训方面,DGAI指南比ASA指南更为具体。