Raveendra U S, Gupta Anju, Biswas Swagata, Gupta Nishkarsh
Department of Anesthesia, Jerudong Park Medical Centre, Brunei, Darussalam.
Department of Anesthesiology, Pain Medicine and Critical Care, AIIMS, Delhi, India.
Indian J Anaesth. 2020 Aug;64(Suppl 3):S168-S174. doi: 10.4103/ija.IJA_591_20. Epub 2020 Aug 15.
Airway emergencies are among the life-threatening events that are encountered in the operating room, emergency department or intensive care unit. They are important causes of preventable morbidity and mortality where time is the essence. It can be extremely challenging to rapidly assess the airway for early diagnosis and perform appropriate interventions simultaneously. Outcome depends on the implementation of an optimal strategy to establish a patent airway. Equally important is the overall stabilisation of the patient and management of the primary clinical condition as appropriate. Key components of management include early recognition of threatened airway, appropriate and timely airway intervention, and maintaining oxygenation. In this review, we describe aetiology, evaluation and management of airway emergencies.
气道急症是手术室、急诊科或重症监护病房中会遇到的危及生命的事件之一。在时间至关重要的情况下,它们是可预防的发病和死亡的重要原因。快速评估气道以进行早期诊断并同时进行适当干预极具挑战性。结果取决于实施建立通畅气道的最佳策略。同样重要的是对患者进行全面稳定并酌情处理主要临床状况。管理的关键组成部分包括早期识别受威胁的气道、适当及时的气道干预以及维持氧合。在本综述中,我们描述了气道急症的病因、评估和管理。