Yildirim Erkan
Private Office (Thoracic Surgery), Doctors' Center, Abdi İpekci cd, No: 57, Floor 4, Nisantasi, Istanbul, Turkey.
Thorac Surg Clin. 2018 Aug;28(3):415-428. doi: 10.1016/j.thorsurg.2018.05.006.
Recognizing and acting early on airway compromise reduces morbidity and mortality in patients with airway obstruction. Causes include foreign bodies, toxic/hot fumes, difficult intubation, laryngeal spasm, and tumors. Before definitive control of the airway is possible, provide 100% oxygen with a tightly fitting mask to optimize body oxygen stores. Pulse oximetry is a poor indicator of airway compromise; a decreasing arterial hemoglobin oxygen saturation is a late sign of impending hypoxemia. Basic airway maneuvers improve the patency of an obstructed airway. Getting help from an anesthetist early is a priority.
早期识别并处理气道受损情况可降低气道梗阻患者的发病率和死亡率。病因包括异物、有毒/热烟雾、插管困难、喉痉挛和肿瘤。在能够对气道进行确定性控制之前，使用紧密贴合的面罩提供100%氧气，以优化体内氧储备。脉搏血氧饱和度测定对于气道受损情况而言是一个较差的指标；动脉血红蛋白氧饱和度下降是即将发生低氧血症的晚期征象。基本气道操作可改善梗阻气道的通畅性。尽早寻求麻醉医生的帮助是首要任务。
