专家们就难以评估的气道问题达成共识
Ming Xia1, Wuhua Ma2, Mingzhang Zuo3
1Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Hepatobiliary surgery and nutrition
|August 21, 2023
概括
这项专家共识为麻醉中困难的呼吸道评估提供了标准化的指导,整合了病史,体检,成像和新技术,以提高患者的安全性和减少并发症.
科学领域:
- 麻醉学 麻醉学
- 航空航道管理的管理.
背景情况:
- 难以识别的气道在手术室 (OR) 和非OR麻醉环境中至关重要.
- 由于缺乏先前的指导方针,需要专家的共识来进行标准化的气道评估.
- 其目标是减少与呼吸道相关的并发症,并提高患者的安全.
研究的目的:
- 制定专家共识,为气道评估提供指导.
- 标准化和提高难以识别气道的精度.
- 减少与呼吸道相关的并发症,提高患者的安全.
主要方法:
- 由中国麻醉学会 (CSA) 的气道管理小组在国际专家审查下开发.
- 使用推,评估,开发和评价 (GRADE) 系统进行评级,以获得证据和建议.
- 通过三轮的德尔菲调查,这些建议得到了改进.
主要成果:
- 介绍了一种全面的气道评估方法,包括病史,体检,分数和成像.
- 包括新的发展,如跨鼻内镜,虚拟喉腔镜和3D打印.
- 审查难以预测呼吸道 (面部图像,语音分析) 的新兴技术,并建议未来的研究方向.
结论:
- 适用于麻醉师,重症监护和急诊医生.
- 旨在完善手术前的气道评估.
- 方便准备适当的输入管的策略,为患者有潜在的困难的气道.
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