Walls R M
Department of Emergency Medicine, Vancouver General Hospital, British Columbia, Canada.
Emerg Med Clin North Am. 1993 Feb;11(1):53-60.
The approach to airway management in the multiple trauma patient has changed significantly over the past decade. A number of central controversies have been identified, and the debates continue. This article identifies the major controversies in trauma airway management, reviews and summarizes relevant literature, and presents specific recommendations and supporting arguments. Particular emphasis is placed upon the role of endotracheal intubation, use of neuromuscular blocking agents, and the issue of neuromuscular blockade versus rapid tranquilization of the combative trauma patient.
在过去十年中，多重创伤患者气道管理的方法发生了显著变化。已经发现了一些核心争议，且争论仍在继续。本文确定了创伤气道管理中的主要争议，回顾并总结了相关文献，并提出了具体建议及支持论据。特别强调了气管插管的作用、神经肌肉阻滞剂的使用，以及神经肌肉阻滞与对有攻击性的创伤患者进行快速镇静的问题。
