肥胖患者的气道管理：肥胖与减重麻醉学会的最佳实践建议：得到全威尔士气道小组、苏格兰气道小组和困难气道协会认可。
Airway management in patients living with obesity: best practice recommendations from the Society for Obesity and Bariatric Anaesthesia: Endorsed by the All Wales Airway Group, Scottish Airway Group and Difficult Airway Society.
作者信息
McKechnie Andrew, Iliff Helen A, Black Rebecca, Ahmad Imran, Chesworth Angela, Chesworth Paul, Davis Nordene, Griffiths Catherine
机构信息
Lewisham and Greenwich NHS Trust, London, UK.
Department of Anaesthesia, Swansea Bay University Health Board, Swansea, UK.
出版信息
Anaesthesia. 2025 Sep;80(9):1103-1114. doi: 10.1111/anae.16647. Epub 2025 Jun 5.
INTRODUCTION
Patients living with obesity present specific challenges for airway management. They have been overrepresented repeatedly in studies looking at complications associated with airway management. Whilst generic airway guidelines offer assistance, there are no evidence-based guidelines specific to this group of patients to support safe and effective airway management.
METHODS
An expert multidisciplinary working party was convened on behalf of the Society of Obesity and Bariatric Anaesthesia to conduct this work. A systematic review was performed and was followed by a three-round Delphi process.
RESULTS
Forty-three recommendations are made which cover a number of key areas of practice including: pre-assessment; planning; peroxygenation; tracheal intubation; supraglottic airway devices; tracheal extubation; training; and organisational responsibilities.
DISCUSSION
It is hoped the recommendations made will improve the safety and efficacy of airway management in patients living with obesity. They are not intended to replace current airway management guidelines.
引言
肥胖患者的气道管理面临特殊挑战。在有关气道管理相关并发症的研究中，他们的比例一直过高。虽然通用的气道指南提供了帮助，但尚无针对这类患者的循证指南来支持安全有效的气道管理。
方法
代表肥胖与肥胖症麻醉学会召集了一个多学科专家工作小组来开展这项工作。进行了系统综述，随后进行了三轮德尔菲法。
结果
提出了43条建议，涵盖了多个关键实践领域，包括：术前评估；规划；给氧；气管插管；声门上气道装置；气管拔管；培训；以及组织职责。
讨论
希望所提出的建议能提高肥胖患者气道管理的安全性和有效性。它们并非旨在取代现行的气道管理指南。
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