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全面评估、充分准备、合理决策、重视氧合——《2022年美国麻醉医师协会困难气道管理实践指南》解读

吴觉伦 申乐

吴觉伦, 申乐. 全面评估、充分准备、合理决策、重视氧合——《2022年美国麻醉医师协会困难气道管理实践指南》解读[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0075
引用本文: 吴觉伦, 申乐. 全面评估、充分准备、合理决策、重视氧合——《2022年美国麻醉医师协会困难气道管理实践指南》解读[J]. 协和医学杂志. doi: 10.12290/xhyxzz.2022-0075
WU Juelun, SHEN Le. Evaluation, Preparation, Decision, and Oxygenation: Summary of 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0075
Citation: WU Juelun, SHEN Le. Evaluation, Preparation, Decision, and Oxygenation: Summary of 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2022-0075

全面评估、充分准备、合理决策、重视氧合——《2022年美国麻醉医师协会困难气道管理实践指南》解读

doi: 10.12290/xhyxzz.2022-0075
基金项目: 

Education Reform Project Foundation for the Central Universities of Peking Union Medical College (2020zlgc0105)

详细信息
    通讯作者:

    申乐,E-mail:pumchshenle@163.com

  • 中图分类号: R614

Evaluation, Preparation, Decision, and Oxygenation: Summary of 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

Funds: 

Education Reform Project Foundation for the Central Universities of Peking Union Medical College (2020zlgc0105)

  • 摘要: 困难气道是麻醉管理中常见的问题之一,与麻醉安全和质量密切相关。规范困难气道患者的管理,是麻醉工作的重要内容。多个国际学术组织先后发布了多部实践指南或专家共识,使医务人员对困难气道的处理不断更新。今年1月,《2022年美国麻醉医师协会困难气道管理实践指南》发布,从困难气道的评估、准备、管理等多个方面更新了内容。本文将对此指南的重点内容进行详细解读,以期为困难气道的规范化管理提供借鉴和参考。
  • [1] Apfelbaum JL, Hagberg CA, Connis RT, et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway[J]. Anesthesiology, 2022,136:31-81.
    [2] Lundstrøm LH, Møller AM, Rosenstock C, et al. A documented previous difficult tracheal intubation as a prognostic test for a subsequent difficult tracheal intubation in adults[J]. Anaesthesia, 2009, 64:1081-1088.
    [3] Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults[J]. Br J Anaesth, 2015,115:827-848.
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    [5] 薛富善,刘亚洋,李慧娴. 2015英国困难气道协会实践指南的特点和争议[J].临床麻醉学杂志,2017,33:1129-1131.
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    [9] Law JA, Morris IR, Brousseau PA, et al. The incidence, success rate, and complications of awake tracheal intubation in 1,554 patients over 12 years:an historical cohort study[J]. Can J Anaesth, 2015, 62:736-744.
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    [13] Yunoki K, Miyawaki I, Yamazaki K, et al. Extracorporeal Membrane Oxygenation-Assisted Airway Management for Difficult Airways[J]. J Cardiothorac Vasc Anesth, 2018, 32:2721-2725.
    [14] Asai T, Koga K, Vaughan RS. Respiratory complications associated with tracheal intubation and extubation[J]. Br J Anaesth, 1998, 80:767-775.
    [15] Abdy S. An audit of airway problems in the recovery room[J].Anaesthesia, 1999, 54:372-375.
    [16] Chen S, Zhang Y, Che L, et al. Risk factors for unplanned reintubation caused by acute airway compromise after general anesthesia:a case-control study[J]. BMC Anesthesiol, 2021, 21:17.
    [17] 罗香,杨冬,王倩钰,等.中国医学科学院整形外科医院困难气道告知现状调查[J].临床麻醉学杂志,2021,37:302-305.
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出版历程
  • 收稿日期:  2022-02-22
  • 网络出版日期:  2022-03-15

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