围手术期医师-药师气道共同管理专家共识
Expert Consensus on Perioperative Physician-Pharmacist Airway Co-Management.
作者信息
Meng Dongmei, Qiu Yuan, Li Shiyue, Liu Jun, Liu Lunxu, Pu Qiang, You Zhen, Lan Lan, Chen Dehui, Wang Guoying, Wang Ping, Zhang Xiaowen, Xie Hui, He Yuwen, He Suzhen, Zheng Zhihua, Wei Li, Zhao Jun, Zhu Jianguo, Tian Hui, Liu Anchang, Chen Chuangqi, Tang Kejing, Jiang Gening, Li Yuping, Jin Gang, Jiao Zheng, Hu Jian, Yan Sheng, Dai Haibin, Zhang Qiang, Cui Yong, Li Xingang, Zhao Zhigang, Sun Daqiang, Ma Libing, Zeng Yingtong, Guo Dan, Zhang Lei, Wei Li, He Jianxing
机构信息
Department of Pharmacy, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
出版信息
J Evid Based Med. 2025 Jun;18(2):e70008. doi: 10.1111/jebm.70008.
BACKGROUND
Airway management during the perioperative period is a vital component of perioperative care. However, there is a lack of consensus on the selection of medications, timing of administration, and the management of airway complications. This consensus aimed to promote a more rational and standardized application of airway management medications.
METHODS
Clinical medical and pharmaceutical experts were invited to participate in this study using the modified Delphi method. Participants completed two rounds of online surveys, with the second round based on the responses from the first round.
RESULTS
Participants (n = 42) reached a consensus on 11 clinical issues and formed 11 recommendations for clinical practice, each with a consensus degree of more than 80%. The recommendations covered aspects of preoperative, intraoperative, and postoperative risk factors evaluation, along with crucial points of medication monitoring in preventing and treating perioperative pulmonary complications.
CONCLUSIONS
The modified Delphi method resulted in consensus recommendations for the perioperative physician-pharmacist airway co-management. We hope this consensus will prevent pulmonary complications and improve patient outcomes through collaborative discussions between physicians and pharmacists.
背景
围手术期气道管理是围手术期护理的重要组成部分。然而，在药物选择、给药时机以及气道并发症的管理方面缺乏共识。本共识旨在促进气道管理药物更合理、规范的应用。
方法
邀请临床医疗和药学专家采用改良德尔菲法参与本研究。参与者完成两轮在线调查，第二轮基于第一轮的回复。
结果
参与者（n = 42）就11个临床问题达成共识，并形成了11条临床实践建议，每条建议的共识度均超过80%。这些建议涵盖术前、术中和术后风险因素评估，以及预防和治疗围手术期肺部并发症的药物监测要点。
结论
改良德尔菲法产生了围手术期医生 - 药师气道联合管理的共识性建议。我们希望通过医生和药师之间的协作讨论，这一共识将预防肺部并发症并改善患者预后。
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