平稳拔管与平稳苏醒技术：一篇叙述性综述
Smooth Extubation and Smooth Emergence Techniques: A Narrative Review.
作者信息
Wong Tiffany H, Weber Garret, Abramowicz Apolonia E
机构信息
New York Medical College, Valhalla, NY, USA.
Department of Anesthesiology, Westchester Medical Center, Valhalla, NY, USA.
出版信息
Anesthesiol Res Pract. 2021 Jan 15;2021:8883257. doi: 10.1155/2021/8883257. eCollection 2021.
Abstract
There is a paucity of literature on extubation technique and a lack of consensus regarding the definition of smooth extubation. This narrative review paper defines an ideal extubation, otherwise known as a "smooth extubation," reviews perioperative criteria for extubation and risks and adverse events related to extubation, and explores various perioperative techniques that can be used to achieve a smooth extubation while caring for an uncomplicated patient without significant risk factors for extubation failure. In light of the evolving practice during the SARS CoV2 (COVID-19) pandemic to minimize aerosol generation and infection transmission, smooth extubation is particularly important.
摘要
关于拔管技术的文献较少，对于顺利拔管的定义也缺乏共识。这篇叙述性综述文章定义了理想的拔管，即“顺利拔管”，回顾了拔管的围手术期标准以及与拔管相关的风险和不良事件，并探讨了在护理无复杂情况且无拔管失败重大风险因素的患者时可用于实现顺利拔管的各种围手术期技术。鉴于在严重急性呼吸综合征冠状病毒2（SARS-CoV-2，即新型冠状病毒肺炎）大流行期间不断演变的做法是尽量减少气溶胶产生和感染传播，顺利拔管尤为重要。
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