Abdelmalak Basem B, Doyle D John
Department of General Anesthesiology, Cleveland Clinic, 9500 Euclid Avenue, E-31, Cleveland, OH, 44195, USA.
Department of Outcomes Research, Cleveland Clinic, 9500 Euclid Avenue, E-31, Cleveland, OH, 44195, USA.
F1000Res. 2020 May 13;9. doi: 10.12688/f1000research.21914.1. eCollection 2020.
Clinical airway management continues to advance at a fast pace. To help update busy anesthesiologists, this abbreviated review summarizes notable airway management advances over the past few years. We briefly discuss advances in video laryngoscopy, in flexible intubation scopes, in jet ventilation, and in extracorporeal membrane oxygenation (ECMO). We also discuss noninvasive ventilation in the forms of high-flow nasal cannula apneic oxygenation and ventilation and nasal continuous positive airway pressure (CPAP) masks. Emerging concepts related to airway management, including the physiologically difficult airway and lower airway management, new clinical subspecialties and related professional organizations such as Anesthesia for Bronchoscopy, the Society for Head and Neck Anesthesia, and fellowship training programs related to advanced airway management are also reviewed. Finally, we discuss the use of checklists and guidelines to enhance patient safety and the value of large databases in airway management research.
临床气道管理继续快速发展。为帮助忙碌的麻醉医生了解最新情况,本简要综述总结了过去几年气道管理的显著进展。我们简要讨论了视频喉镜、可弯曲插管镜、喷射通气和体外膜肺氧合(ECMO)方面的进展。我们还讨论了高流量鼻导管无创通气、高流量鼻导管呼吸暂停氧合通气以及鼻持续气道正压通气(CPAP)面罩等无创通气形式。还综述了与气道管理相关的新兴概念,包括生理上的困难气道和下气道管理、新的临床亚专业以及相关专业组织,如支气管镜检查麻醉、头颈麻醉学会,以及与高级气道管理相关的专科培训项目。最后,我们讨论了使用检查表和指南以提高患者安全性以及大型数据库在气道管理研究中的价值。