Denton Gavin, Howard Laura
Heartlands Hospital, Birmingham, UK.
Manchester Royal Infirmary, Manchester, UK.
Emerg Med J. 2016 Jul;33(7):517-9. doi: 10.1136/emermed-2016-205965.1.
A shortcut review of the literature was carried out to establish whether the use of apnoeic oxygenation technique during endotracheal intubation reduces the incidence of critical desaturation. Four trials were found to be directly relevant to the three-part question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that there is emerging evidence that the use of apnoeic oxygenation decreases the incidence of critical desaturation during endotracheal intubation. Due to the heterogeneity of trials, however, further well-constructed and emergency department (ED)-based studies are probably warranted before conclusion can be drawn for daily emergency medicine practice.
开展了文献的简短回顾，以确定在气管插管期间使用无呼吸氧合技术是否会降低严重低氧饱和度的发生率。发现有四项试验与这个三部分问题直接相关。这些论文的作者、发表日期和国家、研究的患者群体、研究类型、相关结果、结果以及研究的不足之处都列成了表格。临床要点是，有新证据表明在气管插管期间使用无呼吸氧合可降低严重低氧饱和度的发生率。然而，由于试验的异质性，在能够得出适用于日常急诊医学实践的结论之前，可能需要进一步开展精心设计的、基于急诊科的研究。
