Sun Feng, Wang Ya, Ma Shicheng, Zhu Huadong, Yu Xuezhong, Xu Jun
Emergency Department, Peking Union Medical College Hospital, Beijing 100730, China.
J Thorac Dis. 2017 Nov;9(11):4599-4606. doi: 10.21037/jtd.2017.10.79.
Airway management is a common and key method to maintain and improve external respiration function of patients. Emergency physicians need a more appropriate guide to airway management. We concisely concluded current circumstances of Chinese emergency airway management. Then, we raised four principles: (I) priority to ventilation and oxygenation; (II) evaluation before intubation; (III) higher level of preparation (de-escalation); (IV) simplest (and least potentially harmful) form of intubation. We raised "CHANNEL" flow to direct initial emergency airway management and an algorithm was showed for emergency physicians understanding key points of airway management and further making medical decision. Finally, we introduced pharmacology of airway management.
气道管理是维持和改善患者外呼吸功能的常用关键方法。急诊医生需要更合适的气道管理指南。我们简要总结了中国急诊气道管理的现状。然后，我们提出了四条原则：（I）通气和氧合优先；（II）插管前评估；（III）更高水平的准备（降级）；（IV）最简单（且潜在危害最小）的插管形式。我们提出了“CHANNEL”流程以指导初始急诊气道管理，并展示了一种算法，供急诊医生理解气道管理要点并进一步做出医疗决策。最后，我们介绍了气道管理的药理学。
