困难气道的拔管
Extubation of the Challenging or Difficult Airway.
作者信息
Parotto Matteo, Cooper Richard M, Behringer Elizabeth C
机构信息
Department of Anesthesiology and Pain Medicine, University of Toronto, 12th Floor, 123 Edward Street, Toronto, ON M5G 1E2 Canada.
Department of Anesthesia and Pain Management, Toronto General Hospital, EN 429 - 200 Elizabeth Street, Toronto, ON M5G 2C4 Canada.
出版信息
Curr Anesthesiol Rep. 2020;10(4):334-340. doi: 10.1007/s40140-020-00416-3. Epub 2020 Sep 4.
PURPOSE OF REVIEW
This review explores relevant definitions, epidemiology, management, and potential future research directions in the extubation of the challenging/difficult airway. It provides guidance on identifying patients at risk and how to approach these clinical scenarios.
RECENT FINDINGS
Based on recent literature, including large-scale audits and closed claims analysis, it is increasingly recognized that extubation of the difficult airway is a situation at risk of severe adverse events. Some strategies to manage the extubation of the challenging/difficult airway have been described.
SUMMARY
Extubating the challenging/difficult airway is a high-risk situation. However, it is fundamental to keep in mind that intended extubation is always an elective procedure. As such, it is imperative to adhere to principles of careful patient and context assessment, planning, and execution only when optimal conditions have been secured.
综述目的
本综述探讨了具有挑战性/困难气道拔管的相关定义、流行病学、管理以及潜在的未来研究方向。它为识别有风险的患者以及如何处理这些临床情况提供了指导。
最新发现
基于近期文献，包括大规模审计和结案索赔分析，人们越来越认识到困难气道拔管是一种存在严重不良事件风险的情况。已经描述了一些处理具有挑战性/困难气道拔管的策略。
总结
对具有挑战性/困难气道进行拔管是一种高风险情况。然而，必须牢记，预期的拔管始终是一种选择性操作。因此，只有在确保最佳条件时，坚持仔细的患者和情况评估、规划及执行原则才至关重要。
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