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Postoperative Nausea and Vomiting Management for Adults in the Ambulatory Surgical Setting. 成人门诊手术后恶心和呕吐的处理。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI: 10.1097/AIA.0000000000000466
John George Iii, Kevin Min, Sabry Ayad, Renuka Shenoy, Wasif Peerzada
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引用次数: 0
Establishing and Managing an Ambulatory Surgery Center: Planning, Launching, Operating, and Sustaining Success. 建立和管理门诊手术中心:计划、启动、操作和维持成功。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-11-18 DOI: 10.1097/AIA.0000000000000465
Imoh Z Ikpot, Gilbert Smolyak, Melissa Kreso
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引用次数: 0
Regional Anesthesia for Ambulatory Surgery. 门诊手术的区域麻醉。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-11-21 DOI: 10.1097/AIA.0000000000000463
Jihye Ha, Fayyaz Ahmed, Vanessa Ng
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引用次数: 0
Special Populations in Ambulatory Surgery: Oncologic, Lactating, Transgender and Gender Diverse, and Suicidal Ideation. 门诊手术的特殊人群:肿瘤科、哺乳期、跨性别和性别多样化,以及自杀意念。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-11-15 DOI: 10.1097/AIA.0000000000000459
Natalie B Simon, Nicolas Mario Mas D Alessandro, Kelly Lebak, Joanna Serafin, Kara M Barnett
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引用次数: 0
Patient-Centered Care for Ambulatory Surgery. 门诊手术以病人为中心的护理。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI: 10.1097/AIA.0000000000000461
Sher-Lu Pai, Beth Ladlie, Keya Locke, Rosemarie Garcia Getting
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引用次数: 0
Preoperative Challenges for Pediatric Ambulatory Surgery. 儿科门诊手术的术前挑战。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-11-14 DOI: 10.1097/AIA.0000000000000468
Peggy Vogt, Claude Abdallah, Stephanie Tran, Vidya Yalamanchili, Chhaya Patel
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引用次数: 0
Human Factors and Airway Management. 人为因素与气道管理
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/AIA.0000000000000451
Arnim Vlatten, J Adam Law
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引用次数: 0
Perioxygenation During Advanced Airway Management. 高级气道管理期间的围氧治疗。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2024-10-01 Epub Date: 2024-09-05 DOI: 10.1097/AIA.0000000000000455
Eric Hendrickson, Maria de Castro, Elizabeth Cordes Behringer

Abstract: Advanced airway management is a skill that is used every day in patient care settings throughout the world. Albeit common, it is not benign. Advanced airway management may either be elective or urgent; in either case, it may result in significant patient morbiidity and mortality. The complications of difficult or failed endotracheal intubation can be severe and include death or permanent neurologic injury. Difficulty or failure with advanced airway management often coincides with the onset of hypoxia. The onset of hypoxia affects both the patient and the airway manager. While hypoxemia may result in dysrhythmias and ultimately cardiac arrest for the patient, it adds time pressure and stress to the airway manager, and thus may impact successful performance. In this review, we will discuss how to identify patients at risk for rapid desaturation during advanced airway management. Additionally, methods of peri-oxygenation throughout the performance of airway management will be discussed.

摘要:高级气道管理是全世界每天都要在病人护理环境中使用的一项技能。尽管它很常见,但并非良性。高级气道管理可能是选择性的,也可能是紧急的;无论哪种情况,都可能导致患者严重的发病率和死亡率。气管插管困难或失败的并发症可能很严重,包括死亡或永久性神经损伤。高级气道管理的困难或失败往往与缺氧的发生同时发生。缺氧的发生对患者和气道管理者都有影响。低氧血症可能会导致心律失常,最终导致患者心跳骤停,但同时也会增加气道管理者的时间压力和精神压力,从而影响其成功执行任务。在本综述中,我们将讨论如何在高级气道管理过程中识别有快速失饱和风险的患者。此外,还将讨论在实施气道管理的整个过程中进行围氧的方法。
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引用次数: 0
Routine Use of Videolaryngoscopy in Airway Management. 在气道管理中常规使用视频喉镜。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/AIA.0000000000000450
Jane Louise Orrock, Patrick Alexander Ward, Alistair Ferris McNarry

Tracheal intubation is a fundamental facet of airway management, for which the importance of achieving success at the first attempt is well recognized. Failure to do so can lead to significant morbidity and mortality if there is inadequate patient oxygenation by alternate means. The evidence supporting the benefits of a videolaryngoscope in attaining this objective is now overwhelming (in adults). This has led to its increasing recognition in international airway management guidelines and its promotion from an occasional airway rescue tool to the first-choice device during routine airway management. However, usage in clinical practice does not currently reflect the increased worldwide availability that followed the upsurge in videolaryngoscope purchasing during the coronavirus disease 2019 pandemic. There are a number of obstacles to widespread adoption, including lack of adequate training, fears over de-skilling at direct laryngoscopy, equipment and cleaning costs, and concerns over the environmental impact, among others. It is now clear that in order for patients to benefit maximally from the technology and for airway managers to fully appreciate its role in everyday practice, proper training and education are necessary. Recent research evidence has addressed some existing barriers to default usage, and the emergence of techniques such as awake videolaryngoscopy and video-assisted flexible (bronchoscopic) intubation has also increased the scope of clinical application. Future studies will likely further confirm the superiority of videolaryngoscopy over direct laryngoscopy, therefore, it is incumbent upon all airway managers (and their teams) to gain expertise in videolaryngoscopy and to use it routinely in their everyday practice..

气管插管是气道管理的一个基本方面,首次插管成功的重要性已得到广泛认可。如果不能成功进行气管插管,而采用其他方法又无法为患者提供足够的氧合,就会导致严重的发病率和死亡率。目前有大量证据表明,视频喉镜对实现这一目标大有裨益(成人)。因此,国际气道管理指南越来越认可视频喉镜,并将其从偶尔使用的气道抢救工具提升为常规气道管理的首选设备。然而,目前在临床实践中的使用情况并没有反映出 2019 年冠状病毒疾病大流行期间视频喉镜在全球范围内的采购量激增。广泛采用视频喉镜有许多障碍,包括缺乏足够的培训、对直接喉镜检查技能下降的担忧、设备和清洁成本以及对环境影响的担忧等等。现在很清楚,为了让患者最大程度地受益于这项技术,并让气道管理人员充分认识到它在日常实践中的作用,适当的培训和教育是必要的。最近的研究证据已经解决了一些现有的默认使用障碍,清醒状态下的视频喉镜检查和视频辅助柔性(支气管镜)插管等技术的出现也扩大了临床应用的范围。未来的研究可能会进一步证实视频喉镜检查优于直接喉镜检查,因此,所有气道管理人员(及其团队)都有责任掌握视频喉镜检查的专业知识,并在日常工作中常规使用。
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引用次数: 0
Capnography: A Fundamental in Safe Airway Management. 气囊造影术:安全气道管理的基础。
IF 0.8 Q3 ANESTHESIOLOGY Pub Date : 2024-10-01 Epub Date: 2024-09-05 DOI: 10.1097/AIA.0000000000000453
Alison Deasy, Ellen P O'Sullivan
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引用次数: 0
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