Chi S Y, Han Y, Li W X, Wang Guyan
Department of Anesthesiology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China.
Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Zhonghua Yi Xue Za Zhi. 2022 Jun 7;102(21):1568-1573. doi: 10.3760/cma.j.cn112137-20220118-00121.
A shared airway during anesthesia refers to maintaining the airway and ventilation of the patient by the anesthesiologist as the surgeon performs the procedures in the same anatomic space. Due to the narrow airway space in shared airway surgery, the difficulty lies both in the exposure of surgery field and implementation of the optimized airway management strategy and maintaining the airway safety in clinical practice. In recent years, many new visualized airway management tools and supraglottic ventilation devices have been invented and verified in clinical settings. Especially, the development of tubeless supraglottic oxygenation and ventilation technique provides new insights into the airway management. This review intends to provide a reference for future innovations in airway management tools and ventilation techniques by summarizing previous airway management strategies of shared airway surgery to benefit more patients.
麻醉期间的共享气道是指在外科医生于同一解剖空间进行手术时，由麻醉医生维持患者的气道和通气。由于共享气道手术中气道空间狭窄，难点既在于手术视野的暴露、优化气道管理策略的实施，也在于临床实践中维持气道安全。近年来，许多新型可视化气道管理工具和声门上通气装置已被发明并在临床环境中得到验证。特别是，无管声门上氧合和通气技术的发展为气道管理提供了新的思路。本综述旨在通过总结既往共享气道手术的气道管理策略，为气道管理工具和通气技术的未来创新提供参考，以造福更多患者。
