气道管理有什么新进展

L. Berkow
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引用次数: 2

摘要

随着麻醉和手术患者的病情变得越来越复杂,气道管理也变得越来越复杂。此外,在手术室外需要麻醉和气道管理的患者数量正在增加。新的气道设备不断被引入市场和临床实践,使气道管理决策更具挑战性。根据ASA封闭索赔数据库,涉及气道管理的索赔数量,无论是在手术室内还是在手术室外,都是可观的。本章讨论了一些新的评估方法和设备,围绕气道能力的许多问题,手术室外的气道管理,以及模拟和标准化在气道教育和气道管理中的作用。此外,一些尚未解决的问题,如如何预测气道困难,选择哪种气道设备,如何评估气道能力,以及如何向医疗提供者和患者传播困难的气道信息,将被解决。
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What’s New in Airway Management
As the condition of patients presenting for anesthesia and surgery continues to become more complex, so has airway management. In addition, the number of patients who require anesthesia and airway management outside the operating room setting is increasing. New airway devices continue to be introduced into the market and clinical practice, making airway management decisions even more challenging. According to the ASA Closed Claims database, the number of claims involving airway management, both inside and outside the operating room setting, is substantial. This chapter discusses some of the new evaluation methods and devices, many of the issues surrounding airway competency, airway management outside the operating room setting, and the role of simulation and standardization in airway education and airway management. In addition, several still-unanswered questions, such as how to predict airway difficulty, which airway device to choose, how to assess airway competency, and how to disseminate difficult airway information to both medical providers and patients, will be addressed.
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