Kovacs George, Sowers Nicholas
Department of Emergency Medicine, Division of Medical Education, Dalhousie University, 3rd Floor, HI Site, Suite 355, Room 364D, Halifax, Nova Scotia B3H 3A7, Canada; Department of Anaesthesia, Division of Medical Education, Dalhousie University, 3rd Floor, HI Site, Suite 355, Room 364D, Halifax, Nova Scotia B3H 3A7, Canada; Department of Medical Neurosciences, Division of Medical Education, Dalhousie University, 3rd Floor, HI Site, Suite 355, Room 364D, Halifax, Nova Scotia B3H 3A7, Canada; Charles V. Keating Trauma & Emergency Centre, QEII Health Sciences Centre, 1799 Robie Street, Halifax, Nova Scotia B3H 3G1, Canada.
Department of Emergency Medicine, Division of Medical Education, Dalhousie University, 3rd Floor, HI Site, Suite 355, Room 364D, Halifax, Nova Scotia B3H 3A7, Canada; Charles V. Keating Trauma & Emergency Centre, QEII Health Sciences Centre, 1799 Robie Street, Halifax, Nova Scotia B3H 3G1, Canada.
Emerg Med Clin North Am. 2018 Feb;36(1):61-84. doi: 10.1016/j.emc.2017.08.006.
Airway management in the trauma patient presents numerous unique challenges beyond placement of an endotracheal tube and outcomes are dependent on the provider's ability to anticipate difficulty. Airway management strategies for the care of the polytrauma patient are reviewed, with specific considerations for those presenting with traumatic brain injury, suspected c-spine injury, the contaminated airway, the agitated trauma patient, maxillofacial trauma, and the traumatized airway. An approach to airway management that considers the potential anatomic and physiologic challenges in caring for these complicated trauma patients is presented.
创伤患者的气道管理除了气管插管外还面临众多独特挑战,其结果取决于医护人员预判困难的能力。本文综述了多发伤患者的气道管理策略,并特别考虑了伴有创伤性脑损伤、疑似颈椎损伤、气道污染、烦躁的创伤患者、颌面创伤以及创伤气道的患者。本文还提出了一种气道管理方法,该方法考虑了在护理这些复杂创伤患者时可能遇到的解剖学和生理学挑战。