在紧急空气管道管理中,预氧化和呼吸暂停氧化
Alexandra Barbosa1, Jarrod M Mosier1,2
1Department of Emergency Medicine, The University of Arizona College of Medicine, Tucson, AZ, USA.
Clinical and experimental emergency medicine
|January 29, 2024
概括
优化先氧化对于安全输管至关重要,降低低氧气不足的风险. 本综述涵盖了重症监护的技术,重点关注困难的呼吸道,肥胖和怀孕.
科学领域:
- 关键护理医学 关键护理医学
- 麻醉学 麻醉学
- 紧急医疗 紧急医疗
背景情况:
- 潜管期低氧症带来了显著的风险,包括心脏骤停.
- 有效的预氧化是紧急和重症监护人员的关键技能.
- 用于氧化前的设备选择应以患者生理学为指导.
研究的目的:
- 审查用于快速序列输管的先氧化方法.
- 讨论临床指示,终点和呼吸暂停氧化策略.
- 为生理上困难的呼吸道,肥胖和孕妇患者提供方法.
主要方法:
- 在PubMed MEDLINE中从2008年3月到2023年3月进行搜索.
- 包括关于重症监护和手术室的氧化前技术的文章.
- 不包括医院前和儿科患者.
主要成果:
- 各种氧化前技术及其说明的概述.
- 讨论确定氧化前期和呼吸暂停氧化的终点.
- 对生理上困难的呼吸道,肥胖和孕妇患者的具体考虑.
结论:
- 适当的先氧化对于安全的输管术至关重要.
- 根据患者生理学量身定制的技术优化了氧化.
- 本综述为管理具有挑战性的氧化前情景提供了指导.
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