Department Family Medicine and Primary Health Care, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria.
S Afr Fam Pract (2004). 2022 Oct 24;64(1):e1-e7. doi: 10.4102/safp.v64i1.5532.
Tracheal intubation in primary health care is a necessary skill and usually one that is necessary for appropriate emergency management of unstable patients. Primary care practitioners may not have an anaesthetist or critical care doctor available to help them in these emergencies and must manage these patients themselves. Often tracheal intubation may fail because of multiple possible factors and a different course of action may be needed to minimise the potential for harm to the patient. The primary care professional or family physician will have to manage this failed intubation. Primary health care facilities providing obstetric services must have guidelines and appropriate equipment for management of airway problems. This article will explore reasons for the failure of tracheal intubation and how this can be managed.
在初级卫生保健中,气管插管是一项必要的技能,通常也是不稳定患者进行适当急救管理所必需的。初级保健医生在这些紧急情况下可能无法获得麻醉师或重症监护医生的帮助,必须自行管理这些患者。由于多种可能的因素,气管插管常常会失败,因此可能需要采取不同的行动方案,将对患者的潜在伤害降到最低。初级保健专业人员或家庭医生将不得不处理这次插管失败。提供产科服务的初级卫生保健机构必须有处理气道问题的指南和适当的设备。本文将探讨气管插管失败的原因以及如何处理。