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Consideraciones anestésicas en el manejo perioperatorio del paciente con síndrome de Jarcho-Levin 贾乔-莱文综合征患者围手术期管理中的麻醉注意事项
IF 1.3 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.redar.2023.03.003
F. Rico Rodríguez , D.A. Camargo Espitia , A. Mayoral Márquez , S. Ruan Lin , M.C. Martín Lorenzo

Jarcho-Levin syndrome is an eponym used to describe a spectrum of small thoracic skeletal dysplasias with variable involvement of vertebrae and ribs. Initially considered lethal, it is currently compatible with life in its mildest forms. Bone alterations that lead to a restrictive respiratory pattern, recurrent respiratory infections and particular phenotype can make perioperative anesthetic management difficult. The proper assessment of the airway is of special interest because it presents predictors of a difficult airway, as well as the prevention, early diagnosis and adequate treatment of respiratory failure.

We present the case of a patient with Jarcho-Levin syndrome who underwent vertebral distraction surgery, with its most notable implications in anesthetic management.

贾乔-莱文综合征是一个外来语名称,用于描述一系列椎骨和肋骨受累的小胸廓骨骼发育不良。这种病最初被认为是致命的,但目前最轻微的患者也能存活。骨骼改变会导致限制性呼吸模式、反复呼吸道感染和特殊表型,给围术期麻醉管理带来困难。对气道的正确评估是特别重要的,因为它可以预测呼吸道的困难程度,以及预防、早期诊断和适当治疗呼吸衰竭。我们介绍了一例接受椎体牵引手术的 Jarcho-Levin 综合征患者的病例,以及其对麻醉管理的显著影响。
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引用次数: 0
Uso de una guía de punta flexible (FlexTip) para manejar el fallo del primer intento de intubación con el videolaringoscopio C-MAC D-Blade en la unidad de cuidados intensivos: serie prospectiva de casos 在重症监护病房使用柔性尖端导丝(FlexTip)处理 C-MAC D-Blade 视频喉镜首次插管失败:前瞻性病例系列
IF 1.3 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.redar.2023.02.002
M. Taboada , A. Cariñena , J. Regueira , C. Francisco , M. Rodríguez , T. Seoane-Pillado

We describe a series of 11 cases in which we used the new flexible tip (FlexTip) bougie as a rescue device following first-attempt failure at intubation with the C-MAC D-Blade video laryngoscope in our UCI. We collected data from all intubations performed using the C-MAC D-Blade video laryngoscope over a 16-month period. Ninety six patients were included in the study: 79 (86.8%) were intubated at the first attempt; 11 (12.1%) required 2 attempts; and one patient required 3 attempts. The Frova Intubating Introducer was used in one of the 12 patients requiring more than one intubation attempt, and the FlexTip was used in the remaining 11. This study shows that the new FlexTip bougie is a good rescue device when the first attempt at video laryngoscope intubation fails.

我们描述了 11 个系列病例,在这些病例中,我们在使用 C-MAC D-Blade 视频喉镜首次尝试插管失败后使用了新型柔性尖端(FlexTip)通气导管作为抢救设备。我们收集了 16 个月内使用 C-MAC D-Blade 视频喉镜进行插管的所有数据。研究共纳入了 96 名患者:其中 79 人(86.8%)在第一次尝试时就完成了插管;11 人(12.1%)需要 2 次尝试;1 名患者需要 3 次尝试。在需要进行一次以上插管尝试的 12 名患者中,有一名患者使用了 Frova 插管导引器,其余 11 名患者使用了 FlexTip 插管导引器。这项研究表明,当首次尝试视频喉镜插管失败时,新型 FlexTip 管嘴是一种很好的抢救设备。
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引用次数: 0
Anestesia neuroaxial en pacientes portadores de dispositivos de derivación de líquido cefalorraquídeo: revisión descriptiva 脑脊液分流装置患者的神经轴麻醉:描述性综述
IF 1.3 Q3 Medicine Pub Date : 2023-12-27 DOI: 10.1016/j.redar.2023.05.009
P. García Casas, M. Echevarría Moreno

Neuraxial anesthesia in patients with cerebrospinal fluid (CSF) shunt devices has traditionally been associated with a high risk of complications. In order to gather all available evidence, a structured search was conducted to include published studies involving users of these devices, undergoing any form of neuraxial technique for obstetric or surgical procedures unrelated to them. Effectiveness of the technique and perioperative complications were assessed. Only case series and case reports (n = 72) were identified. One patient was found to have insufficient anesthetic coverage, necessitating a modification of the technique, and another one had an intraoperative complication which compromised the subject's safety. No infection events or postoperative device dysfunction related to the anesthetic method were described. The evidence found is scarce and of low quality, preventing the establishment of significant conclusions. Nevertheless, patients may obtain benefit from an individualized evaluation.

使用脑脊液(CSF)分流装置的患者进行神经麻醉历来具有较高的并发症风险。为了收集所有可用的证据,我们进行了一次结构化检索,以纳入已发表的研究,这些研究涉及这些设备的使用者,他们在与这些设备无关的产科或外科手术中接受了任何形式的神经麻醉技术。对技术的有效性和围手术期并发症进行了评估。结果只发现了系列病例和病例报告(n = 72)。发现一名患者的麻醉覆盖面不足,需要修改技术,另一名患者术中出现并发症,危及受试者的安全。没有发现与麻醉方法有关的感染事件或术后设备功能障碍。所发现的证据很少且质量不高,因此无法得出重要结论。不过,患者可以从个性化评估中获益。
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引用次数: 0
Pregabalina preoperatoria previene las fasciculaciones y mialgias inducidas por succinilcolina: metaanálisis de ensayos aleatorizados 术前使用普瑞巴林可预防琥珀酰胆碱引起的筋束收缩和肌痛:随机试验的荟萃分析
IF 1.3 Q3 Medicine Pub Date : 2023-12-15 DOI: 10.1016/j.redar.2022.12.004
P.A. Vélez , V. Lara-Erazo , A.F. Caballero-Lozada , A. Botero , G. Lozada , A.F. Velásquez , L.M. Villegas , A. Zorrilla-Vaca

Succinylcholine is the gold standard neuromuscular blocker for rapid sequence induction, however, its use is associated with fasciculations and myalgias. A systematic review and meta-analysis including randomized controlled clinical trials was performed comparing gabapentinoids versus placebo for the prevention of fasciculations and succinylcholine-induced myalgias. Six randomized clinical studies were included. The total number of patients was 481, of which 241 were in the intervention group and 240 in the placebo group. Gabapentinoids reduced the incidence of succinylcholine-induced myalgia (RR = .69; 95% CI: .56-.84; P < .001), which remained statistically significant for pregabalin (RR = .71; 95% CI: .54-.93; P = .013) and gabapentin (RR = .61; 95% CI: .45-.82; P = .001) separately. There was no difference between the groups in fasciculations (RR = .92; 95% CI: .82-1.03; P = .148). Preoperative use of gabapentinoids is associated with lower incidence of succinylcholine-induced myalgias within the first 24 hours after the procedure.

琥珀胆碱是用于快速序列诱导的金标准神经肌肉阻滞剂,但其使用与筋束收缩和肌痛有关。一项包括随机对照临床试验在内的系统综述和荟萃分析比较了加巴喷丁类药物和安慰剂在预防筋束收缩和琥珀胆碱诱发肌痛方面的效果。其中包括六项随机临床研究。患者总数为 481 人,其中干预组 241 人,安慰剂组 240 人。加巴喷丁类药物降低了琥珀胆碱诱发肌痛的发生率(RR = .69;95% CI:.56-.84;P <;.001),普瑞巴林(RR = .71;95% CI:.54-.93;P = .013)和加巴喷丁(RR = .61;95% CI:.45-.82;P = .001)分别降低了肌痛的发生率。两组之间在筋膜痉挛方面没有差异(RR = .92;95% CI:.82-1.03;P = .148)。术前使用加巴喷丁类药物可降低术后 24 小时内琥珀胆碱诱发肌痛的发生率。
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引用次数: 0
Trombo en tránsito izquierdo intraoperatorio en trasplante bipulmonar diagnosticado por ecocardiografía transesofágica: ¿qué es lo siguiente? 经食道超声心动图诊断的双肺移植术中左侧转运血栓:下一步该怎么办?
IF 1.3 Q3 Medicine Pub Date : 2023-12-12 DOI: 10.1016/j.redar.2023.03.006
D. Perez-Ajami , P. Carmona García , I. Zarragoikoetxea Jauregui , G. Sales Badía , P. Argente Navarro , E. Viscasillas Navarro

61-year-old man without any thrombotic predisposition was undergone double sequential lung transplantation due to terminal stage of COPD without extracorporeal membrane oxygenation (ECMO) support. After implantation and reperfusion of both lungs, a complete transoesophageal echocardiography exam was performed to check especially the pulmonary venous anastomosis. In this exam, a large heterogenous, dense, hyperechoic mobile mass was identified in the LA, which was compatible with a thrombus in transit from pulmonary veins circulation. This finding was communicated to the surgical team to reopen the anastomosis and remove the clot before further consequences. There were no clinical manifestations when the patient was awakened.

61岁的男子因慢性阻塞性肺病晚期接受了双肺移植手术,但没有体外膜肺氧合(ECMO)支持。双肺植入和再灌注后,进行了全面的经食道超声心动图检查,尤其是检查肺静脉吻合口。在这次检查中,在洛杉矶发现了一个巨大的异质、致密、高回声的移动肿块,与肺静脉循环中的血栓相吻合。我们将这一发现告知手术团队,要求他们重新开放吻合口,在造成进一步后果之前清除血栓。患者苏醒后没有任何临床表现。
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引用次数: 0
La adición de midazolam intratecal al anestésico local mejora los bloqueos sensorial y motor y reduce la puntuación del dolor sin incrementar los efectos secundarios en la cirugía de miembros inferiores. Metaanálisis y revisión sistemática 在局麻药中加入鞘内咪达唑仑可改善下肢手术中的感觉和运动阻滞,降低疼痛评分,且不会增加副作用。元分析和系统综述
IF 1.3 Q3 Medicine Pub Date : 2023-12-12 DOI: 10.1016/j.redar.2023.01.007
A.U. Huda , M.Z. Mughal

This meta-analysis was done to investigate the role of intrathecal midazolam in lower limb surgeries regarding prolongation of spinal block, postoperative pain control and associated side effects. The included studies reported onset and duration of sensory and motor block, time to first request analgesia, 24 hours opioid consumption, postoperative pain control, and associated side effects following use of intrathecal midazolam for lower limb surgeries. This review was performed following the PRISMA guidelines and using the online databases, Medline, Science Direct, Google scholar and Cochrane library. We registered this review with the PROSPERO database (ID-CRD42022346361) in August 2022. A total of 10 randomised controlled trials were included in this meta-analysis.

Our results showed patients receiving 1 mg intrathecal midazolam showed significantly faster onset of sensory block (P = .001 [CI: −0.98, −0.31]). Duration of sensory and motor block were also significantly prolonged in intrathecal midazolam group (P < .00001 [CI: 18.08, 39.12], P = .002 [CI: 0.45, 2]). Intrathecal midazolam also increased the time to first request analgesia (P  = .0003 [CI: 1.22, 4.14]). Pain scores at 4 and 12 hours postoperatively were significantly lower in patients receiving intrathecal midazolam (P  = .00001[CI: −1.20, −0.47] and P = 0.05 [CI: −0.52, −0.01] respectively). In conclusion, the addition of intrathecal midazolam to local anesthetics in lower limb surgeries results in early onset of sensory and motor block. It also increases the duration of sensory and motor block. The time to first request analgesia is increased. VAS pain scores at 4 and 12 hours postoperatively were also lower without any increased side effects.

这项荟萃分析旨在研究鞘内咪达唑仑在下肢手术中延长脊髓阻滞时间、术后疼痛控制和相关副作用方面的作用。纳入的研究报告了下肢手术中使用鞘内咪达唑仑后的感觉和运动阻滞起始时间和持续时间、首次要求镇痛的时间、24 小时阿片类药物消耗量、术后疼痛控制以及相关副作用。本综述遵循 PRISMA 指南,并使用了 Medline、Science Direct、Google scholar 和 Cochrane 图书馆等在线数据库。我们于 2022 年 8 月在 PROSPERO 数据库(ID-CRD42022346361)中注册了本综述。我们的结果显示,接受 1 毫克鞘内咪达唑仑治疗的患者感觉阻滞的起始时间明显更快(P = .001 [CI:-0.98, -0.31])。鞘内咪达唑仑组的感觉和运动阻滞持续时间也明显延长(P < .00001 [CI: 18.08, 39.12], P = .002 [CI: 0.45, 2])。鞘内咪达唑仑也延长了首次要求镇痛的时间(P = .0003 [CI: 1.22, 4.14])。接受鞘内咪达唑仑治疗的患者术后 4 小时和 12 小时的疼痛评分明显降低(分别为 P = .00001[CI: -1.20, -0.47] 和 P = 0.05[CI: -0.52, -0.01])。总之,在下肢手术的局麻药中加入鞘内咪达唑仑会导致感觉和运动阻滞提前出现。它还会延长感觉和运动阻滞的持续时间。首次要求镇痛的时间也会延长。术后 4 小时和 12 小时的 VAS 疼痛评分也较低,但副作用没有增加。
{"title":"La adición de midazolam intratecal al anestésico local mejora los bloqueos sensorial y motor y reduce la puntuación del dolor sin incrementar los efectos secundarios en la cirugía de miembros inferiores. Metaanálisis y revisión sistemática","authors":"A.U. Huda ,&nbsp;M.Z. Mughal","doi":"10.1016/j.redar.2023.01.007","DOIUrl":"10.1016/j.redar.2023.01.007","url":null,"abstract":"<div><p>This meta-analysis was done to investigate the role of intrathecal midazolam in lower limb surgeries regarding prolongation of spinal block, postoperative pain control and associated side effects. The included studies reported onset and duration of sensory and motor block, time to first request analgesia, 24<!--> <!-->hours opioid consumption, postoperative pain control, and associated side effects following use of intrathecal midazolam for lower limb surgeries. This review was performed following the PRISMA guidelines and using the online databases, Medline, Science Direct, Google scholar and Cochrane library. We registered this review with the PROSPERO database (ID-CRD42022346361) in August 2022. A total of 10 randomised controlled trials were included in this meta-analysis.</p><p>Our results showed patients receiving 1<!--> <!-->mg intrathecal midazolam showed significantly faster onset of sensory block (<em>P</em> <!-->=<!--> <!-->.001 [<span>C</span>I: −0.98, −0.31]). Duration of sensory and motor block were also significantly prolonged in intrathecal midazolam group (<em>P</em> <!-->&lt;<!--> <!-->.00001 [CI: 18.08, 39.12], <em>P</em> <!-->=<!--> <!-->.002 [CI: 0.45, 2]). Intrathecal midazolam also increased the time to first request analgesia (<em>P</em> <!--> <!-->=<!--> <!-->.0003 [CI: 1.22, 4.14]). Pain scores at 4 and 12<!--> <!-->hours postoperatively were significantly lower in patients receiving intrathecal midazolam (<em>P</em> <!--> <!-->=<!--> <!-->.00001[CI: −1.20, −0.47] and <em>P</em> <!-->=<!--> <!-->0.05 [CI: −0.52, −0.01] respectively). In conclusion, the addition of intrathecal midazolam to local anesthetics in lower limb surgeries results in early onset of sensory and motor block. It also increases the duration of sensory and motor block. The time to first request analgesia is increased. VAS pain scores at 4 and 12<!--> <!-->hours postoperatively were also lower without any increased side effects.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SARS-CoV-2 RT-PCR en ausencia de estándares de referencia no puede garantizar un rendimiento analítico confiable 在没有参考标准的情况下,SARS-CoV-2 RT-PCR 无法保证可靠的分析性能。
IF 1.3 Q3 Medicine Pub Date : 2023-12-11 DOI: 10.1016/j.redar.2023.03.010
S. Chirumbolo
{"title":"SARS-CoV-2 RT-PCR en ausencia de estándares de referencia no puede garantizar un rendimiento analítico confiable","authors":"S. Chirumbolo","doi":"10.1016/j.redar.2023.03.010","DOIUrl":"10.1016/j.redar.2023.03.010","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139020908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arriesgar es humano: las cuatro tentaciones del vial multidosis 冒险是人之常情:多剂量小瓶的四大诱惑
IF 1.3 Q3 Medicine Pub Date : 2023-12-04 DOI: 10.1016/j.redar.2023.07.003
A. Romera Rabasa, M. Lema Tomé, A. Garrido Sánchez
{"title":"Arriesgar es humano: las cuatro tentaciones del vial multidosis","authors":"A. Romera Rabasa,&nbsp;M. Lema Tomé,&nbsp;A. Garrido Sánchez","doi":"10.1016/j.redar.2023.07.003","DOIUrl":"10.1016/j.redar.2023.07.003","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138620607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte I 西班牙麻醉、复苏和疼痛治疗学会 (SEDAR)、西班牙急诊医学学会 (SEMES) 和西班牙耳鼻咽喉头颈外科学会 (SEORL-CCC) 困难气道处理指南。第一部分
IF 1.3 Q3 Medicine Pub Date : 2023-11-30 DOI: 10.1016/j.redar.2023.08.002
M.Á. Gómez-Ríos , J.A. Sastre , X. Onrubia-Fuertes , T. López , A. Abad-Gurumeta , R. Casans-Francés , D. Gómez-Ríos , J.C. Garzón , V. Martínez-Pons , M. Casalderrey-Rivas , M.Á. Fernández-Vaquero , E. Martínez-Hurtado , R. Martín-Larrauri , L. Reviriego-Agudo , U. Gutierrez-Couto , J. García-Fernández , A. Serrano-Moraza , L.J. Rodríguez Martín , C. Camacho Leis , S. Espinosa Ramírez , P. Charco-Mora

The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care. The document provides evidence-based recommendations, theoretical-educational tools, and implementation tools, mainly cognitive aids, applicable to airway management in the fields of anesthesiology, critical care, emergencies, and prehospital medicine. For this purpose, an extensive literature search was conducted following PRISMA-R guidelines and was analyzed using the GRADE methodology. Recommendations were formulated according to the GRADE methodology. Recommendations for sections with low-quality evidence were based on expert opinion through consensus reached via a Delphi questionnaire.

西班牙麻醉、复苏和疼痛治疗学会 (SEDAR)、西班牙急诊医学学会 (SEMES) 和西班牙耳鼻咽喉头颈外科学会 (SEORL-CCC) 的气道管理分会推出了《成人患者困难气道综合管理指南》。其原则侧重于人的因素、危急情况下决策的认知过程,以及优化策略应用的进展,以保持充分的肺泡氧合,从而提高安全性和护理质量。该文件提供了以证据为基础的建议、理论教育工具和实施工具,主要是认知辅助工具,适用于麻醉学、危重症护理、急诊和院前医学领域的气道管理。为此,我们按照 PRISMA-R 指南进行了广泛的文献检索,并采用 GRADE 方法进行了分析。根据 GRADE 方法制定了建议。对于证据质量较低的部分,则通过德尔菲问卷调查达成共识,根据专家意见提出建议。
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引用次数: 0
Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte II 西班牙麻醉、复苏和疼痛治疗学会 (SEDAR)、西班牙急诊医学学会 (SEMES) 和西班牙耳鼻咽喉头颈外科学会 (SEORL-CCC) 困难气道处理指南。第二部分
IF 1.3 Q3 Medicine Pub Date : 2023-11-28 DOI: 10.1016/j.redar.2023.08.001
M.Á. Gómez-Ríos , J.A. Sastre , X. Onrubia-Fuertes , T. López , A. Abad-Gurumeta , R. Casans-Francés , D. Gómez-Ríos , J.C. Garzón , V. Martínez-Pons , M. Casalderrey-Rivas , M.Á. Fernández-Vaquero , E. Martínez-Hurtado , R. Martín-Larrauri , L. Reviriego-Agudo , U. Gutierrez-Couto , J. García-Fernández , A. Serrano-Moraza , L.J. Rodríguez Martín , C. Camacho Leis , S. Espinosa Ramírez , P. Charco-Mora

The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care. The document provides evidence-based recommendations, theoretical-educational tools, and implementation tools, mainly cognitive aids, applicable to airway management in the fields of anesthesiology, critical care, emergencies, and prehospital medicine. For this purpose, an extensive literature search was conducted following PRISMA-R guidelines and was analyzed using the GRADE methodology. Recommendations were formulated according to the GRADE methodology. Recommendations for sections with low-quality evidence were based on expert opinion through consensus reached via a Delphi questionnaire.

西班牙麻醉、复苏和疼痛治疗学会 (SEDAR)、西班牙急诊医学学会 (SEMES) 和西班牙耳鼻咽喉头颈外科学会 (SEORL-CCC) 的气道管理分会推出了《成人患者困难气道综合管理指南》。其原则侧重于人的因素、危急情况下决策的认知过程,以及优化策略应用的进展,以保持充分的肺泡氧合,从而提高安全性和护理质量。该文件提供了以证据为基础的建议、理论教育工具和实施工具,主要是认知辅助工具,适用于麻醉学、危重症护理、急诊和院前医学领域的气道管理。为此,我们按照 PRISMA-R 指南进行了广泛的文献检索,并采用 GRADE 方法进行了分析。根据 GRADE 方法制定了建议。对于证据质量较低的部分,则通过德尔菲问卷调查达成共识,根据专家意见提出建议。
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引用次数: 0
期刊
Revista Espanola de Anestesiologia y Reanimacion
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