Multidisciplinary international expert consensus on perioperative airway management
Hengrui Liang1, Guowei Che2, Fei Cui1
1Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, China.
This expert consensus updates perioperative airway management guidelines, emphasizing non-intubated surgery and individualized care for patients with respiratory conditions. It provides crucial recommendations for enhanced patient safety and surgical outcomes.
Area of Science:
- Anesthesiology and Critical Care
- Surgical Airway Management
- Pulmonary Medicine
Background:
- Perioperative airway management is essential for patient safety and surgical success.
- Effective strategies minimize postoperative pulmonary complications and speed recovery.
- This consensus updates prior recommendations with current research, focusing on overlooked areas.
Purpose of the Study:
- To provide an updated expert consensus on perioperative airway management.
- To incorporate the latest research and emphasize novel approaches.
- To refine clinical practice for improved patient outcomes.
Main Methods:
- A comprehensive literature search was conducted up to June 2024.
- A modified Delphi method involved 62 domestic experts and 18 international experts.
- Consensus required ≥70% agreement on preliminary recommendations.
Main Results:
- Consensus was reached on recommendations for preoperative, intraoperative, and postoperative airway management.
- Key updates include emphasis on non-intubated surgery and inhalation therapy.
- Individualized treatment strategies for patients with coexisting pulmonary diseases were established.
Conclusions:
- The updated consensus serves as a vital clinical practice reference.
- Further research and technological advancements are necessary for optimizing perioperative airway management.
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