Hirota K, Yamakage M, Hashimoto S, Asai T, Isono S
Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki, 036-8562, Japan.
Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo, 060-8543, Japan.
J Anesth. 2018 Feb;32(1):132-136. doi: 10.1007/s00540-017-2432-1. Epub 2017 Nov 13.
Respiratory management during general anesthesia aims to safely secure the airway and maintain adequate ventilation to deliver oxygen to the vital organs, maintaining homeostasis even during surgery. Despite its clinical importance, anesthesiologists often encounter difficulties in properly managing respiration during the perioperative period, leading to severe respiratory complications. In this year's JA symposium, 5 editorial board members of Journal of Anesthesia (JA) who are experts in the field of respiratory management in anesthesia discussed the following topics: quitting smoking before surgery: exposure to passive smoke is damaging to children, ventilator-associated pneumonia, high inspiratory oxygen concentration and lung injury, aspiration pneumonia, and postoperative respiratory management strategy in patients with obstructive sleep apnea. We hope that this special article regarding this year's JA symposium may be useful for JA readers to manage clinical anesthesia on a daily basis.
全身麻醉期间的呼吸管理旨在安全确保气道通畅,并维持足够的通气以向重要器官输送氧气,即使在手术期间也能维持体内稳态。尽管其具有临床重要性,但麻醉医生在围手术期正确管理呼吸时常常遇到困难,从而导致严重的呼吸并发症。在今年的《麻醉学杂志》(JA)研讨会上,《麻醉学杂志》的5位编辑委员会成员(他们是麻醉领域呼吸管理方面的专家)讨论了以下主题:术前戒烟;被动吸烟对儿童有害;呼吸机相关性肺炎;高吸入氧浓度与肺损伤;误吸性肺炎;以及阻塞性睡眠呼吸暂停患者的术后呼吸管理策略。我们希望这篇关于今年JA研讨会的专题文章对JA读者日常管理临床麻醉可能有所帮助。