加强困难气道管理 提升临床救治水平——《2022年美国麻醉医师协会困难气道管理实践指南》解读Strengthen the Management of Difficult Airway and Improve the Treatment of Clinical Practice:Interpretation on 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway
徐胜勇;徐军;朱华栋;于学忠;
XU Shengyong;XU Jun;ZHU Huadong;YU Xuezhong;Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;State Key Laboratory of Complex Severe and Rare Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;
摘要(Abstract):
气道管理是急诊医师必须掌握的基本技能,困难气道管理是急诊工作面临的重要挑战之一。2022年,美国麻醉医师协会发布了第四版困难气道管理指南,从困难气道的定义、评估、准备工作、管理流程、拔管过程等方面均给出了最新循证医学证据支持,为临床医师提供了权威的困难气道管理规范。本文将从急诊医学角度对指南相关内容进行解读,以帮助临床医师提高认识,进一步提高我国困难气道管理水平。
Airway management is a basic skill for emergency doctors. Difficult airways are one of the most important challenges. In 2022,the American Association of anesthesiologists published the fourth edition of guideline on the management of difficult airways, which provided us with the latest evidence-based medicine about the definition, evaluation, preparation, management and extubation of difficult airways. To improve the status of airway management of emergency doctors in China, this paper interprets the key points and updates the contents of the guidelines from the perspective of emergency medicine.
关键词(KeyWords):
困难气道;管理;急诊;临床实践指南;解读
difficult airway;management;emergency;clinical practice guideline;interpretation
基金项目(Foundation): 中国医学科学院中央级公益性科研院所基本科研业务费专项资金(2018PT32005)~~
作者(Authors):
徐胜勇;徐军;朱华栋;于学忠;
XU Shengyong;XU Jun;ZHU Huadong;YU Xuezhong;Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;State Key Laboratory of Complex Severe and Rare Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;
参考文献(References):
- [1] American Society of Anesthesiologists Task Force on Management of the Difficult Airway.Practice guidelines for management of the difficult airway.A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway[J].Anesthesiology,1993,78:597- 602.
- [2] American Society of Anesthesiologists Task Force on Management of the Difficult Airway.Practice guidelines for management of the difficult airway:an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway[J].Anesthesiology,2003,98:1269- 1277.
- [3] Apfelbaum JL,Hagberg CA,Caplan RA,et al.Practice guidelines for management of the difficult airway:an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway[J].Anesthesiology,2013,118:251- 270.
- [4] Apfelbaum JL,Hagberg CA,Connis RT,et al.2022 Ameri-can Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway[J].Anesthesiology,2022,136:31- 81.
- [5] 中国急诊气道管理协作组.急诊气道管理共识[J].中华急诊医学杂志,2016,25:705- 708.China Emergency Airway Management Cooperation Group.Emergency airway management consensus[J].Zhonghua Jizhen Yixue Zazhi,2016,25:705- 708.
- [6] 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,2022,13:421- 426.Wu JL,Shen L.Evaluation,Preparation,Decision,and Oxygeration:Interpretation on 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway[J].Xiehe Yixue ZaZhi,2022,13:421- 426.
- 徐胜勇
- 徐军
- 朱华栋
- 于学忠
XU Shengyong- XU Jun
- ZHU Huadong
- YU Xuezhong
- Department of Emergency
- Peking Union Medical College Hospital
- Chinese Academy of Medical Sciences & Peking Union Medical College
- State Key Laboratory of Complex Severe and Rare Diseases
- Peking Union Medical College Hospital
- Chinese Academy of Medical Sciences & Peking Union Medical College
- 徐胜勇
- 徐军
- 朱华栋
- 于学忠
XU Shengyong- XU Jun
- ZHU Huadong
- YU Xuezhong
- Department of Emergency
- Peking Union Medical College Hospital
- Chinese Academy of Medical Sciences & Peking Union Medical College
- State Key Laboratory of Complex Severe and Rare Diseases
- Peking Union Medical College Hospital
- Chinese Academy of Medical Sciences & Peking Union Medical College