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应对气道急症:准备,就绪,行动!

Coping with airway emergencies: Get, Set, Go!

作者信息

Raveendra U S, Gupta Anju, Biswas Swagata, Gupta Nishkarsh

机构信息

Department of Anesthesia, Jerudong Park Medical Centre, Brunei, Darussalam.

Department of Anesthesiology, Pain Medicine and Critical Care, AIIMS, Delhi, India.

出版信息

Indian J Anaesth. 2020 Aug;64(Suppl 3):S168-S174. doi: 10.4103/ija.IJA_591_20. Epub 2020 Aug 15.

DOI:10.4103/ija.IJA_591_20
PMID:33162597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7641048/
Abstract

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.

摘要

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。

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本文引用的文献

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Indian J Anaesth. 2020 May;64(Suppl 2):S116-S119. doi: 10.4103/ija.IJA_581_20. Epub 2020 May 23.
2
Recommendations for Endotracheal Intubation of COVID-19 Patients.新型冠状病毒肺炎患者气管插管建议。
Anesth Analg. 2020 May;130(5):1109-1110. doi: 10.1213/ANE.0000000000004803.
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Heliox for inducible laryngeal obstruction (vocal cord dysfunction): A systematic literature review.氦氧混合气治疗诱发性喉梗阻(声带功能障碍):一项系统文献综述。
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Radiological evaluation of airway - What an anaesthesiologist needs to know!气道的放射学评估——麻醉医生需要了解什么!
Indian J Anaesth. 2019 Apr;63(4):257-264. doi: 10.4103/ija.IJA_488_18.
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Massive Macroglossia After Posterior Cranial Fossa Surgery: A Case Report.
A A Pract. 2018 Apr 15;10(8):204-208. doi: 10.1213/XAA.0000000000000663.
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A Novel Difficult-Airway Prediction Tool for Emergency Airway Management: Validation of the HEAVEN Criteria in a Large Air Medical Cohort.一种用于紧急气道管理的新型困难气道预测工具:在大型空中医疗队列中对HEAVEN标准的验证
J Emerg Med. 2018 Apr;54(4):395-401. doi: 10.1016/j.jemermed.2017.12.005. Epub 2018 Jan 10.
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Management of an intraoperatively damaged endotracheal tube in a case of difficult airway using fibre-optic bronchoscope with minimal apnoea period.在困难气道病例中,使用纤维支气管镜并尽量缩短呼吸暂停时间处理术中受损的气管导管。
Indian J Anaesth. 2017 Apr;61(4):347-349. doi: 10.4103/ija.IJA_674_16.
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