胸外伤麻醉医生的先进诊断与治疗技术：一项基于证据的综述

Advanced diagnostic and therapeutic techniques for anaesthetists in thoracic trauma: an evidence-based review.

作者信息

Pollock Gabriel A, Lo Jessie, Chou Henry, Kissen Michael S, Kim Michelle, Zhang Vida, Betz Alexander, Perlman Ryan

机构信息

Department of Anaesthesia, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Thoracic Anaesthesia, Department of Anaesthesia, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Regional Anaesthesia & Acute Pain Service Department of Anaesthesia, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Department of Anaesthesia, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Regional Anaesthesia & Acute Pain Service Department of Anaesthesia, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

出版信息

Br J Anaesth. 2023 Jan;130(1):e80-e91. doi: 10.1016/j.bja.2022.07.005. Epub 2022 Aug 26.

DOI:10.1016/j.bja.2022.07.005

PMID:36096943

Abstract

Anaesthetists play an important role in the evaluation and treatment of patients with signs of thoracic trauma. Anaesthesia involvement can provide valuable input using both advanced diagnostic and therapeutic interventions. Commonly performed interventions may be complicated in this setting including airway management, damage control resuscitation, and acute pain management. Anaesthetists must consider additional factors including airway injuries, vascular injuries, and coagulopathy when treating this population. This evidence-based review discusses traumatic thoracic injuries with a focus on new interventions and modern anaesthesia techniques. This review further serves to support the early involvement of anaesthetists in the emergency department and other areas where they can provide value to the trauma care pathway.

摘要

麻醉医生在评估和治疗有胸外伤体征的患者中发挥着重要作用。麻醉干预可通过先进的诊断和治疗手段提供有价值的支持。在此情况下，常见的操作可能会变得复杂，包括气道管理、损伤控制复苏和急性疼痛管理。在治疗这类患者时，麻醉医生必须考虑其他因素，包括气道损伤、血管损伤和凝血功能障碍。这篇基于证据的综述讨论了创伤性胸外伤，重点是新的干预措施和现代麻醉技术。这篇综述进一步支持麻醉医生在急诊科及其他能为创伤护理路径提供价值的领域尽早介入。